report of receipts fec and disbursements form 3docquery.fec.gov/pdf/908/201809109121662908/... · m...
TRANSCRIPT
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FEC FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 05/2016)
Office Use Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:12-Day PRE-Election Report for the:
Primary (12P) General (12G) Runoff (12R) Convention (12C) Special (12S)
30-Day POST-Election Report for the:
General (30G) Runoff (30R) Special (30S)
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
3. IS THIS NEW AMENDED REPORT (N) OR (A)
in the Election on State of
TYPE OR PRINT
REPORT OF RECEIPTS AND DISBURSEMENTS
For An Authorized Committee
5. Covering Period through
in the Election on State of
STATE DISTRICT
Office Use Only
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
Termination Report (TER)
(b)
Example: If typing, type over the lines.
(c)
12FE4M5
09/10/2018 21 : 08Image# 201809109121662908
PAGE 1 / 287
Brian Forde for Congress
4521 Campus Dr
#396
Irvine CA 92612
✘
✘C00650911CA 45
01 01 2018 03 31 2018
May, Jennifer, , ,
May, Jennifer, , ,
[Electronically Filed]09 10 2018
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
COLUMN BElection Cycle-to-Date
COLUMN AThis Period
6. Net Contributions (other than loans)
(a) Total Contributions (other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds (from Line 20(d)) ..................................
(c) Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a)) ...... 7. Net Operating Expenditures
(a) Total Operating Expenditures (from Line 17) ......................................
(b) Total Offsets to Operating Expenditures (from Line 14) ................
(c) Net Operating Expenditures (subtract Line 7(b) from Line 7(a)) ...... 8. Cash on Hand at Close of Reporting Period (from Line 27) .................
9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530Local 202-694-1100
FEC Form 3 (Revised 05/2016) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee NameBrian Forde for Congress
01 01 2018 03 31 2018
Image# 201809109121662909
PAGE 2 / 287
369657.72 1242799.96
2228.83 4156.25
367428.89 1238643.71
273531.67 584361.69
307.39 434.32
273224.28 583927.37
654966.34
0.00
0.00
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , .
, , .
COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ........... (ii) Unitemized .................................... (iii) TOTAL of contributions from individuals .......................
(b) Political Party Committees ................. (c) Other Political Committees (such as PACs) ...................................
(d) The Candidate .................................... (e) TOTAL CONTRIBUTIONS (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES ....................
13. LOANS: (a) Made or Guaranteed by the Candidate ............................................
(b) All Other Loans ................................... (c) TOTAL LOANS (add Lines 13(a) and (b)) ....................
14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS (Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 05/2016) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
Brian Forde for Congress
01 01 2018 03 31 2018
Image# 201809109121662910
PAGE 3 / 287
341113.33 1158522.97
23544.39 66376.99
364657.72 1224899.96
0.00 0.00
5000.00 12500.00
0.00 5400.00
369657.72 1242799.96
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
307.39 434.32
0.00 0.00
369965.11 1243234.28
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
, , .
, , .
COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
17. OPERATING EXPENDITURES .....................
18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES .....................
19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate .................................
(b) Of All Other Loans .............................. (c) TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b)) .....................
20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees ..................
(b) Political Party Committees .................. (c) Other Political Committees (such as PACs) ....................................
(d) TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c)) ..............
21. OTHER DISBURSEMENTS .........................
22. TOTAL DISBURSEMENTS (add Lines 17, 18, 19(c), 20(d), and 21)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 05/2016) Page 4
III. CASH SUMMARY
23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................
24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................
25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................
26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD (subtract Line 26 from Line 25)..............................................................................................
, , . , , .
Image# 201809109121662911
PAGE 4 / 287
273531.67 584361.69
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
2228.83 4156.25
0.00 0.00
0.00 0.00
2228.83 4156.25
0.00 0.00
275760.50 588517.94
560761.73
369965.11
930726.84
275760.50
654966.34
FEC MISCELLANEOUS TEXT RELATED TO A REPORT, SCHEDULE OR ITEMIZATION Form/Schedule: Transaction ID : Form/Schedule: Transaction ID:
Image# 201809109121662912 PAGE 5 / 287
F3A
Regarding donors who provide an address outside of the United States, Brian Forde for Congress has thoroughprocedures in place to confirm that all contributions are made from permissible sources
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662913
6 287
✘
Brian Forde for Congress
Abrams, Wendy, , ,405 Sheridan Rd
03 10 2018
Highland Park ILTransaction ID : VVBGMBNAH54
60035-5367
1000.00
na NA
2018
✘1000.00
Ajmera, Neha, , ,2300 Webster StApt 102 03 15 2018
San Francisco CA 94115-1801Transaction ID : VVBGMBNAGB8
250.00
McKinsey & Company Associate
2018
✘600.00
Alexander, Danny, , ,349 W 21st StApt B 02 11 2018
New York NY 10011-3080Transaction ID : VVBGMABE1P6
300.00
Who Gives A Crap Designer
2018
✘
400.00
1550.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662914
7 287
✘
Brian Forde for Congress
Amadon, Alison, , ,1408 12th Ave
03 23 2018
Seattle WATransaction ID : VVBGMBNAFC5
98122-3958
500.00
Self Entreprenuer
2018
✘500.00
Anderson, Matt, , ,739 Haight StApt 203 02 26 2018
San Francisco CA 94117-3351Transaction ID : VVBGMBDCER7
500.00
Qadium Software Engineer
2018
✘1325.00
Anderson, Matt, , ,739 Haight StApt 203 03 31 2018
San Francisco CA 94117-3351Transaction ID : VVBGMBNAEA7
500.00
Qadium Software Engineer
2018
✘
1825.00
1500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662915
8 287
✘
Brian Forde for Congress
Anderson, Susan, , ,6131 147th Pl SE
03 31 2018
Bellevue WATransaction ID : VVBGMBNAAV2
98006-4601
100.00
N/A Not Employed
2018
✘350.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAAV2E
C00401224
100.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Angulo, Roberto, , ,275 Randall St
03 22 2018
San Francisco CA 94131-2738Transaction ID : VVBGMBNVG11
125.00
AfterCollege Inc. CEO
2018
✘
700.00 0.01457364 Bitcoins Not Liquidated
225.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662916
9 287
✘
Brian Forde for Congress
Atkinson, Astrid, , ,192 Bear Canyon Rd
02 24 2018
Los Gatos CATransaction ID : VVBGMBNA5B5
95033-9451
250.00
Engineering manager Google
2018
✘250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 25 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA5B5E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Baldwin, Tracy, , ,2106 Baker St
03 21 2018
San Francisco CA 94115-1606Transaction ID : VVBGMBNAMS8
500.00
RokketMed RokketMed
2018
✘
500.00
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662917
10 287
✘
Brian Forde for Congress
Banco, Ron, , ,16 Nuevo
02 27 2018
Irvine CATransaction ID : VVBGMBNA7A1
92612-2610
100.00
SE Architect
2018
✘300.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA7A1E
C00401224
100.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Barclay, Tony, , ,11600 River Rd
02 22 2018
Potomac MD 20854-1238Transaction ID : VVBGMBD2ED0
500.00
Georgetown University University Professor
2018
✘
500.00
600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662918
11 287
✘
Brian Forde for Congress
Barzun, Matthew, , ,333 E Main St
Ste 401 03 13 2018
Louisville KYTransaction ID : VVBGMBNAGM9
40202-1297
500.00
Philanthropist Self
2018
✘500.00
Batteh, Kevin, , ,2700 Chesapeake St NW
03 30 2018
Washington DC 20008-1042Transaction ID : VVBGMBNAKS5
700.00
Delta Strategy Group Attorney
2018
✘2700.00
Bearman, Joshua, , ,974 E Elizabeth St
03 29 2018
Pasadena CA 91104-2408Transaction ID : VVBGMBNAJM3
500.00
Self Writer
2018
✘
500.00
1700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662919
12 287
✘
Brian Forde for Congress
Beauregard, Steve, , ,2019 3rd St
03 07 2018
Santa Monica CATransaction ID : VVBGMBNVFM9
90405-1111
49.99
Bloq CRO
2018
✘293.72 0.00516151 Bitcoins Not Liquidated
Beauregard, Steve, , ,2019 3rd St
03 07 2018
Santa Monica CA 90405-1111Transaction ID : VVBGMBNVFN7
96.87
Bloq CRO
2018
✘293.72 0.01 Bitcoins Not Liquidated
Bennett, Tobey, , ,6804 Estrella De Mar Rd
03 17 2018
Carlsbad CA 92009-5207Transaction ID : VVBGMBNAHT0
250.00
CP+B advertising exec
2018
✘
250.00
396.86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662920
13 287
✘
Brian Forde for Congress
Berkowitz, Barak, , ,210 Tennyson Ave
03 14 2018
Palo Alto CATransaction ID : VVBGMBNAGH6
94301-3736
250.00
MIT Media Consultant
2018
✘500.00
Berman, Frances & Steven, , ,16716 Monte Hermoso Dr
03 22 2018
Pacific Palisades CA 90272-1908Transaction ID : VVBGMBNAMF9
500.00
Intwrscope Music business
2018
✘500.00
Bernard, Sarah, , ,426 Montana Ave
03 09 2018
Santa Monica CA 90403-1304Transaction ID : VVBGMBNAH79
250.00
Self-Employed Media/Entertainment
2018
✘
500.00
1000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662921
14 287
✘
Brian Forde for Congress
Bhat, Suncheth, , ,1375 Sacramento St
Apt 6 03 23 2018
San Francisco CATransaction ID : VVBGMBNAFJ1
94109-4257
300.00
Pacific Gas and Electric Company Director
2018
✘475.00
Blatchford, Laurel, , ,614 F St NE
03 31 2018
Washington DC 20002-5273Transaction ID : VVBGMBNAAM7
100.00
Enterprise Community Partners Non Profit Executive
2018
✘350.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAAM7E
C00401224
100.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662922
15 287
✘
Brian Forde for Congress
Blatte, Marc, , ,1454 NW 78th Ave
02 02 2018
Doral FLTransaction ID : VVBGMBNA1X8
33126-1624
25.00
N/A Not Employed
2018
✘398.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA1X8E
C00401224
25.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Bledsoe Downes, Ann Marie, , ,4722 E Ashurst Dr
01 03 2018
Phoenix AZ 85048-0148Transaction ID : VVBGMNHY8G1
250.00
Ho- Chunk Inc Vice President
2018
✘
250.00
275.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662923
16 287
✘
Brian Forde for Congress
Bloom, Evan, , ,375 Bellevue Ave
Apt 101 03 22 2018
Oakland CATransaction ID : VVBGMBNAJ80
94610-3446
250.00
Netflix Data Scientist
2018
✘250.00
Blue, Allen, , ,827 Milwood Ave
03 28 2018
Venice CA 90291-3830Transaction ID : VVBGMBNAJR5
2700.00
LinkedIn Corp VP Product Management
2018
✘5400.00
Blue, Allen, , ,827 Milwood Ave
03 28 2018
Venice CA 90291-3830Transaction ID : VVBGMBNTN91
2700.00
LinkedIn Corp VP Product Management
2018✘
5400.00
5650.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662924
17 287
✘
Brian Forde for Congress
Boring, Jeff, , ,1301 1st St NW
Apt 1 03 07 2018
Washington DCTransaction ID : VVBGMBNVFQ2
20001-1251
100.14
usip.org Sys Admin
2018
✘200.28 0.13505319 Etherium Not Liquidated
Bosche, Mercurio, , ,3470 E Coast AveApt 904 03 31 2018
Miami FL 33137-4073Transaction ID : VVBGMBNAC62
500.00
Hyper Telecom Ceo
2018
✘500.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAC62E
C00401224
500.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
600.14
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662925
18 287
✘
Brian Forde for Congress
Breen, Mary James, , ,741 Gibson Ave
03 23 2018
Pacific Grove CATransaction ID : VVBGMBNAFA0
93950-4026
250.00
University of California, Berkeley Higher education administrator
2018
✘250.00
Brewer, Ryan, , ,220 McAllister Ave
03 31 2018
Kentfield CA 94904-1621Transaction ID : VVBGMBNAEP2
250.00
Ballast Investments Investor
2018
✘550.00
Brisson, Gisele, , ,PO Box 188
03 29 2018
Seattle WA 98111-0188Transaction ID : VVBGMBNAF34
2700.00
Retired Retired
2018
✘
5400.00
3200.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662926
19 287
✘
Brian Forde for Congress
Brisson, Gisele, , ,PO Box 188
03 29 2018
Seattle WATransaction ID : VVBGMBNTN67
98111-0188
2700.00
Retired Retired
2018✘
5400.00
Brown-Philpot, Stacy, , ,2270 Yale St
03 31 2018
Palo Alto CA 94306-1426Transaction ID : VVBGMBNAE24
250.00
TaskRabbit CEO
2018
✘1250.00
Brundage, Sarah, , ,336 Hanover Ave
03 21 2018
Oakland CA 94606-1373Transaction ID : VVBGMBNAMH5
250.00
Enterprise Community Partners Policy Director
2018
✘
250.00
3200.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662927
20 287
✘
Brian Forde for Congress
Bush, Lauren, , ,420 W 14th St
Ste 6NE 01 01 2018
New York NYTransaction ID : VVBGMABAEV2
10014-1017
150.00
FEED Projects Social Entrepreneur
2018
✘650.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
01 07 2018
West Somerville MA 02144-0031Transaction ID : VVBGMABAEV2E
C00401224
150.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Busque, Leah, , ,610 Edinburgh St
03 29 2018
San Mateo CA 94402-2243Transaction ID : VVBGMBNAF68
250.00
TaskRabbit Chairwoman
2018
✘
750.00
400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662928
21 287
✘
Brian Forde for Congress
Byers, Brook, , ,2750 Sand Hill Rd
03 31 2018
Menlo Park CATransaction ID : VVBGMBNQZ22
94025-7020
2700.00
Kleiner Perkins Caufield & Byers Venture Capitalist
2018
✘5400.00
Byers, Brook, , ,2750 Sand Hill Rd
03 31 2018
Menlo Park CA 94025-7020Transaction ID : VVBGMBNQZ30
2700.00
Kleiner Perkins Caufield & Byers Venture Capitalist
2018✘
5400.00
Byrnes, David, , ,10562 Dunleer Dr
03 15 2018
Los Angeles CA 90064-4318Transaction ID : VVBGMBNAGC6
500.00
Ziffren Brittenham Attorney
2018
✘
500.00
5900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662929
22 287
✘
Brian Forde for Congress
Cain, Gerald, , ,355 Noe St
02 26 2018
San Francisco CATransaction ID : VVBGMBDCN78
94114-1618
100.00
Stanford University College Instructor - Computer Science
2018
✘350.00
Caleel, Thomas, , ,PO Box 5434
03 31 2018
Santa Barbara CA 93150-5434Transaction ID : VVBGMBNADC0
500.00
Toro Advisory Partners Llc Consultant
2018
✘500.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNADC0E
C00401224
500.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662930
23 287
✘
Brian Forde for Congress
Campoverdi, Alejandra, , ,411 S Main St
Unit 611 03 19 2018
Los Angeles CATransaction ID : VVBGMBNAHF3
90013-1335
500.00
First 5 California Commisioner
2018
✘1000.00
Cantrell, Colin, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZ 85251-3119Transaction ID : VVBGMBNVGB0
5838.34
Nexus Founder
2018
✘11676.68 0.519501990507495 Bitcoins Not Liquidated
Cantrell, Wife, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZ 85251-3119Transaction ID : VVBGMBNVG79
2700.00
Information Requested Information Requested
2018
✘
10800.00 0.24 Bitcoins Not Liquidated
9038.34
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662931
24 287
✘
Brian Forde for Congress
Cantrell, Wife, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZTransaction ID : VVBGMET0B99
85251-3119
2700.00
Information Requested Information Requested
2018✘
10800.00 0.24 Bitcoins Not Liquidated
Carlsness, Laine, , ,1138 Bay St
01 11 2018
Alameda CA 94501-3912Transaction ID : VVBGMBNA1P3
1000.00
Broadsheet Design Graphic Designer
2018
✘1000.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
01 14 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA1P3E
C00401224
1000.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
3700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662932
25 287
✘
Brian Forde for Congress
Cernosia, Prescille, , ,PO Box 1820
03 30 2018
Dover NJTransaction ID : VVBGMBNAEV1
07802-1820
2700.00
University of Chicago Fundraiser
2018
✘5400.00
Cernosia, Prescille, , ,PO Box 1820
03 30 2018
Dover NJ 07802-1820Transaction ID : VVBGMBNTC69
2700.00
University of Chicago Fundraiser
2018✘
5400.00
Chaudhri, Tariq, , ,22 W 15th StApt 22C 03 12 2018
New York NY 10011-6848Transaction ID : VVBGMBNAGX0
500.00
Citadel LLC Investment Analyst
2018
✘
500.00
5900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662933
26 287
✘
Brian Forde for Congress
Chen, John, , ,291 Church St
02 21 2018
San Francisco CATransaction ID : VVBGMBCKYH0
94114-1310
500.00
Emergence Investor
2018
✘500.00
Chen, Timothy, , ,940 Mission Ct
03 30 2018
Fremont CA 94539-8202Transaction ID : VVBGMBNA9J8
2700.00
Via Technologies Inc. Business Development
2018
✘5400.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9J8E
C00401224
2700.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
3200.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662934
27 287
✘
Brian Forde for Congress
Chen, Timothy, , ,940 Mission Ct
03 30 2018
Fremont CATransaction ID : VVBGMBNTN26
94539-8202
2700.00
Via Technologies Inc. Business Development
2018✘
5400.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNTN26E
C00401224
2700.00
Conduit total listed in Agg. field✘
2018✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Chien, Colleen, , ,5622 Maxwelton Rd
02 23 2018
Piedmont CA 94618-2653Transaction ID : VVBGMBD5FJ6
200.00
Santa Clara University School of Law Professor
2018
✘
300.00
2900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662935
28 287
✘
Brian Forde for Congress
Chu, Jehan, , ,3 Grimal Ct
03 17 2018
Randolph NJTransaction ID : VVBGMBNVG37
07869-1409
2700.00
Kenetic Investor
2018
✘10800.00 0.34 Bitcoins Not Liquidated
Chu, Jehan, , ,3 Grimal Ct
03 17 2018
Randolph NJ 07869-1409Transaction ID : VVBGMESR808
2700.00
Kenetic Investor
2018✘
10800.00 0.34 Bitcoins Not Liquidated
Cohen, Patrick, , ,132 Marinero Cir
03 31 2018
Belvedere Tiburon CA 94920-1627Transaction ID : VVBGMBNAEJ0
100.00
MBA2012 Venture Partner
2018
✘
400.00
5500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662936
29 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 01 09 2018
San Francisco CATransaction ID : VVBGMBNV9B6
94104-5401
50.00
2018
✘131934.33 0.00337678 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 01 11 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNV9E0
5400.00
2018
✘137334.33 0.00308766 Bitcoins Sold via Coinbase - Purchaser
Unknown
Glass, Robin, , ,2516 Carmelita Ave
01 10 2018
Belmont CA 94002-1530Transaction ID : VVBGMBNTT18
2700.00
Evolent Health CMO/CCO
2018 ✘
✘
5400.00 * 0.00014456 Bitcoins Sold via Coinbase - PurchaserUnknown
5450.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662937
30 287
✘
Brian Forde for Congress
Glass, Russell, , ,2516 Carmelita Ave
01 10 2018
Belmont CATransaction ID : VVBGMBNTT26
94002-1530
2700.00
Votergy Exec
2018✘
✘5400.00 * 0.00014456 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 02 10 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2W3
10.00
2018
✘137344.33 0.00119664 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 02 21 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA352
6.00
2018
✘
137350.33 0.00028755 Bitcoins Sold via Coinbase - PurchaserUnknown
16.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662938
31 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 03 2018
San Francisco CATransaction ID : VVBGMBNA293
94104-5401
1019.42
2018
✘151927.14 0.08932626 Bitcoins Sold via Coinbase - Purchaser
Unknown
Herbert, Stacy, , ,554 Weathersfield
01 18 2018
Pittsboro NC 27312-8717Transaction ID : VVBGMBNA635
1003.87
n/a Investor✘
2018
✘2007.74 * 0.08932623 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 03 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2B9
513.46
2018
✘
151927.14 0.04601431 Bitcoins Sold via Coinbase - PurchaserUnknown
1532.88
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662939
32 287
✘
Brian Forde for Congress
Harrington, Adam, , ,79 Madison Ave
01 18 2018
New York NYTransaction ID : VVBGMBNA690
10016-7802
500.00
Strategic Coin Staff
2018✘
✘1000.00 * 0.04501431 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 03 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2D5
1018.51
2018
✘151927.14 0.08924619 Bitcoins Sold via Coinbase - Purchaser
Unknown
Fenton, Bruce, , ,10 Lyman St
01 18 2018
Duxbury MA 02332-3018Transaction ID : VVBGMBNA627
1002.97
n/a Investor
2018 ✘
✘
2005.94 * 0.08924619 Bitcoins, Contributions PreviouslyDisclosed
1018.51
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662940
33 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 03 2018
San Francisco CATransaction ID : VVBGMBNA2H6
94104-5401
5503.71
2018
✘151927.14 0.48230586 Bitcoins Sold via Coinbase - Purchaser
Unknown
Long, Marshall, , ,175 Blossom StUnit 306 01 18 2018
Boston MA 02114-2625Transaction ID : VVBGMBNA6S7
2700.00
n/a Retired✘
2018
✘10540.62 * 0.24 Bitcoins, Contributions Previously Disclosed
Long, Marshall, , ,175 Blossom StUnit 306 01 18 2018
Boston MA 02114-2625Transaction ID : VVBGMBNA6T5
2720.31
n/a Retired
2018 ✘
✘
10540.62 * 0.24 Bitcoins, Contributions Previously Disclosed
5503.71
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662941
34 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 03 2018
San Francisco CATransaction ID : VVBGMBNA2V5
94104-5401
977.57
2018
✘151927.14 0.08572009 Bitcoins Sold via Coinbase - Purchaser
Unknown
Sullivan, Nick, , ,340 S Lemon Ave# 1508 01 18 2018
Walnut CA 91789-2706Transaction ID : VVBGMBNA6B6
990.09
N/A N/A✘
2018
✘1980.18 * 0.08572099 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 03 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNTQD6
5544.14
2018
✘
151927.14 0.48615450 Bitcoins Sold via Coinbase - PurchaserUnknown
6521.71
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662942
35 287
✘
Brian Forde for Congress
Roszack, Katherine, , ,250 White Oak Ln
01 18 2018
Winnetka ILTransaction ID : VVBGMBNTQ79
60093-3630
2700.00
Information Requested Information Requested
2018✘
✘10800.00 * 0.24 Bitcoin, Contributions Previously Disclosed
Roszack, Katherine, , ,250 White Oak Ln
01 18 2018
Winnetka IL 60093-3630Transaction ID : VVBGMBNTQ95
2700.00
Information Requested Information Requested✘
2018✘
10800.00 * 0.24 Bitcoin, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 05 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNV9H3
11412.64
2018
✘
163339.78 1.00 Bitcoins Sold via Coinbase - Purchaser Unknown
11412.64
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662943
36 287
✘
Brian Forde for Congress
Cantrell, Colin, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZTransaction ID : VVBGMBNTT42
85251-3119
2700.00
Nexus Founder
2018✘
✘11676.68 * 0.51950199 Bitcoins Sold via Coinbase - Purchaser
Unknown
Cantrell, Colin, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZ 85251-3119Transaction ID : VVBGMBNTT59
3138.34
Nexus Founder✘
2018✘
11676.68 * 0.51950199 Bitcoins Sold via Coinbase - PurchaserUnknown
Cantrell, Wife, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZ 85251-3119Transaction ID : VVBGMBNTT67
2700.00
Information Requested Information Requested
2018 ✘
✘
10800.00 * 0.24 Bitcoins Sold via Coinbase - Purchaser Unknown
0.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662944
37 287
✘
Brian Forde for Congress
Cantrell, Wife, , ,6835 E Camelback Rd
01 18 2018
Scottsdale AZTransaction ID : VVBGMBNTT75
85251-3119
2700.00
Information Requested Information Requested
2018✘
✘
10800.00 * 0.24 Bitcoins Sold via Coinbase - Purchaser Unknown
Coinbase548 Market St# 23008 03 06 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA311
250.00
2018
✘163589.78 0.02203519 Bitcoins Sold via Coinbase - Purchaser
Unknown
Ellwood, Andy, , ,102 Christopher StApt 2G 03 05 2018
New York NY 10014-4237Transaction ID : VVBGMBNA659
250.00
Basket Entrepreneur
2018 ✘
✘
1250.00 * 0.02203519 Bitcoins, Contributions PreviouslyDisclosed
250.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662945
38 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 08 2018
San Francisco CATransaction ID : VVBGMBNA2J4
94104-5401
27.00
2018
✘163616.78 0.0028677 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 03 13 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNVBH9
250.10
2018
✘163866.88 0.02607948 Bitcoins Sold via Coinbase - Purchaser
Unknown
Hauter, Ariel, , ,93 Allen St
03 11 2018
New York NY 10002-3034Transaction ID : VVBGMBNTT83
250.10
Self Internet Consultant
2018 ✘
✘
650.20 * 0.02607948 Bitcoins Sold via Coinbase - PurchaserUnknown
277.10
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662946
39 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 17 2018
San Francisco CATransaction ID : VVBGMBNA2G9
94104-5401
5400.00
2018
✘169266.88 0.68371826 Bitcoins Sold via Coinbase - Purchaser
Unknown
Chu, Jehan, , ,3 Grimal Ct
03 17 2018
Randolph NJ 07869-1409Transaction ID : VVBGMBNA6R9
2700.00
Kenetic Investor✘
2018✘
10800.00 * 0.34 Bitcoins, Contributions Previously Disclosed
Chu, Jehan, , ,3 Grimal Ct
03 17 2018
Randolph NJ 07869-1409Transaction ID : VVBGMBNA6Z4
2700.00
Kenetic Investor
2018 ✘
✘
10800.00 * 0.34 Bitcoins, Contributions Previously Disclosed
5400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662947
40 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 18 2018
San Francisco CATransaction ID : VVBGMBNA337
94104-5401
100.00
2018
✘169366.88 0.01344075 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 03 22 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA360
125.00
2018
✘169491.88 0.01457364 Bitcoins Sold via Coinbase - Purchaser
Unknown
Angulo, Roberto, , ,275 Randall St
03 22 2018
San Francisco CA 94131-2738Transaction ID : VVBGMBNA601
125.00
AfterCollege Inc. CEO
2018 ✘
✘
700.00 * 0.01457364 Bitcoins, Contributions PreviouslyDisclosed
225.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662948
41 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA277
94104-5401
41.54
2018
✘181934.19 0.00516151 Bitcoins Sold via Coinbase - Purchaser
Unknown
Beauregard, Steve, , ,2019 3rd St
03 07 2018
Santa Monica CA 90405-1111Transaction ID : VVBGMBNA6N5
49.99
Bloq CRO✘
2018
✘293.72 * 0.00516151 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA285
80.43
2018
✘
181934.19 0.01 Bitcoins Sold via Coinbase - Purchaser Unknown
121.97
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662949
42 287
✘
Brian Forde for Congress
Beauregard, Steve, , ,2019 3rd St
03 07 2018
Santa Monica CATransaction ID : VVBGMBNA5X8
90405-1111
96.87
Bloq CRO
2018✘
✘293.72 * 0.01 Bitcoins, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2F1
62.11
2018
✘181934.19 0.13505319 Etherium Sold via Coinbase - Purchaser
Unknown
Boring, Jeff, , ,1301 1st St NWApt 1 03 07 2018
Washington DC 20001-1251Transaction ID : VVBGMBNA5Z3
100.14
usip.org Sys Admin
2018 ✘
✘
200.28 * 0.13505319 Etherium, Contributions PreviouslyDisclosed
62.11
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662950
43 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA2M0
94104-5401
2512.69
2018
✘181934.19 5.5 Etherium Sold via Coinbase - Purchaser Unknown
Grossblatt, David, , ,2030 3rd StApt 16 03 22 2018
San Francisco CA 94107-4317Transaction ID : VVBGMBNA619
2700.00
Self Technology Consulting✘
2018
✘5918.10 * 5.5 Etherium, Contributions Previously Disclosed
Grossblatt, David, , ,2030 3rd StApt 16 03 22 2018
San Francisco CA 94107-4317Transaction ID : VVBGMBNA6D2
259.05
Self Technology Consulting
2018 ✘
✘
5918.10 * 5.5 Etherium, Contributions Previously Disclosed
2512.69
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662951
44 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA2N8
94104-5401
1735.40
2018
✘181934.19 3.8 Etherium Sold via Coinbase - Purchaser Unknown
Kuchar, David, , ,585 Page StApt 3 03 23 2018
San Francisco CA 94117-3435Transaction ID : VVBGMBNA6H4
1995.03
Coral Protocol Entrepreneur✘
2018
✘3990.06 * 3.8 Etherium, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2P6
41.14
2018
✘
181934.19 0.0051585 Bitcoins Sold via Coinbase - PurchaserUnknown
1776.54
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662952
45 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA2Q4
94104-5401
501.10
2018
✘181934.19 1.09 Etherium Sold via Coinbase - Purchaser Unknown
Koehn, Garrett, , ,119 Marguerite Ave
01 23 2018
Mill Valley CA 94941-1039Transaction ID : VVBGMBNA641
1066.53
CRC Group Insurance✘
2018
✘2633.06 * 1.09 Etherium, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2S0
836.46
2018
✘
181934.19 0.10416667 Bitcoins Sold via Coinbase - PurchaserUnknown
1337.56
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662953
46 287
✘
Brian Forde for Congress
Hansen, Jason, Dax, ,15177 Skogen Ln NE
03 07 2018
Bainbridge Island WATransaction ID : VVBGMBNA6C4
98110-3057
1000.00
Perkins Coie LLP Lawyer
2018✘
✘2000.00 * 0.10416667 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2T8
2598.05
2018
✘181934.19 5.7 Etherium Sold via Coinbase - Purchaser Unknown
Wong, Jason, , ,1229 Florida St
03 23 2018
San Francisco CA 94110-4112Transaction ID : VVBGMBNA6E0
2700.00
Unemployed Unemployed
2018 ✘
✘
6001.98 * 5.7 Etherium, Contributions Previously Disclosed
2598.05
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662954
47 287
✘
Brian Forde for Congress
Wong, Jason, , ,1229 Florida St
03 23 2018
San Francisco CATransaction ID : VVBGMBNA6F8
94110-4112
300.99
Unemployed Unemployed
2018✘
✘
6001.98 * 5.7 Etherium, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2Y9
1556.72
2018
✘181934.19 3.3972 Etherium Sold via Coinbase - Purchaser
Unknown
Makowski, Paul, , ,967 W Laurel St
01 10 2018
San Diego CA 92101-1224Transaction ID : VVBGMBNVFP5
1699.98
Narf Industries, LLC CTO
2018 ✘
✘
10799.98 * 3.3792 Etherium Sold via Coinbase, PurchaserUnknown
1556.72
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662955
48 287
✘
Brian Forde for Congress
Makowski, Paul, , ,967 W Laurel St
01 10 2018
San Diego CATransaction ID : VVBGMESZY82
92101-1224
2700.00
Narf Industries, LLC CTO
2018✘
✘
10799.98 * 3.3792 Etherium Sold via Coinbase, PurchaserUnknown
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2Z7
19.85
2018
✘181934.19 0.00248 Bitcoins Sold via Coinbase - Purchaser
Unknown
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 26 2018
Hong KongTransaction ID : VVBGMBNA5T4
20.00
Alibaba Group Business
2018 ✘
✘
6401.54 * 0.00248 Bitcoins, Contributions Previously Disclosed
19.85
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662956
49 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA303
94104-5401
80.35
2018
✘181934.19 0.01 Bitcoins Sold via Coinbase - Purchaser Unknown
Coinbase548 Market St# 23008 03 27 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA329
2059.53
2018
✘181934.19 4.45251 Etherium Sold via Coinbase - Purchaser
Unknown
Schmidt, Ben, , ,1450 Market StApt 532 03 15 2018
San Diego CA 92101-4163Transaction ID : VVBGMBNA6K9
2685.88
Swarm Technologies Computer Scientist
2018 ✘
✘
5371.76 * 4.45251 Etherium, Contributions Previously Disclosed
2139.88
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662957
50 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 27 2018
San Francisco CATransaction ID : VVBGMBNA378
94104-5401
316.94
2018
✘181934.19 0.68837148 Bitcoins Sold via Coinbase - Purchaser
Unknown
Pereira, Rons, , ,855 10th St
03 11 2018
Santa Monica CA 90403-1653Transaction ID : VVBGMBNA683
498.37
Not Employed Not Employed✘
2018
✘996.74 * 0.68837148 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 28 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNVBD7
2258.54
2018
✘
185011.58 4.45251 Bitcoins Sold via Coinbase - PurchaserUnknown
2575.48
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662958
51 287
✘
Brian Forde for Congress
Portillo, Alexia, , ,1056 Trestle Glen
03 23 2018
Oakland CATransaction ID : VVBGMBNTT91
94610-2547
2508.45
MommyLexi.com Founder
2018✘
✘5016.90 * 0.28250000 Bitcoins, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 29 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2A1
500.00
2018
✘185511.58 0.06732465 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 03 30 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2C7
1655.36
2018
✘
187166.94 0.24552 Bitcoins Sold via Coinbase - PurchaserUnknown
2155.36
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662959
52 287
✘
Brian Forde for Congress
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 26 2018
Hong KongTransaction ID : VVBGMBNA6V3
1980.77
Alibaba Group Business
2018✘
✘
6401.54 * 0.24552 Bitcoins, Contributions Previously Disclosed
Coinbase548 Market St# 23008 03 31 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2E3
50.11
2018
✘201243.28 0.1269 Bitcoins Sold via Coinbase - Purchaser
Unknown
Coinbase548 Market St# 23008 03 31 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA2R2
1994.96
2018
✘
201243.28 5.07923608 Etherium Sold via Coinbase - PurchaserUnknown
2045.07
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662960
53 287
✘
Brian Forde for Congress
Friedman, Graham, , ,82 Graham Ave
03 31 2018
Brooklyn NYTransaction ID : VVBGMBNA6J2
11206-3311
2000.05
TLDR Partner in DLT fund
2018✘
✘4000.10 * 5.07923608 Etherium, Contributions Previously
Disclosed
Coinbase548 Market St# 23008 03 31 2018
San Francisco CA 94104-5401Transaction ID : VVBGMBNA345
395.58
2018
✘201243.28 0.997 Etherium Sold via Coinbase - Purchaser
Unknown
Le, Gary, , ,3409 Ave Isla VerdeApt 1503 03 31 2018
Carolina PR 00979-4901Transaction ID : VVBGMBNA675
395.32
Stealth Venture Stealth Venture
2018 ✘
✘
790.64 * 0.997 Etherium, Contributions Previously Disclosed
395.58
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662961
54 287
✘
Brian Forde for Congress
Coinbase548 Market St
# 23008 03 31 2018
San Francisco CATransaction ID : VVBGMESR713
94104-5401
5650.00
2018
✘201243.28 0.71618634 Bitcoins Sold via Coinbase - Purchaser
Unknown
Murck, Patrick, , ,23 Fair Oaks Ter
03 31 2018
Lexington MA 02421-6905Transaction ID : VVBGMBNA667
250.00
Cooley LLP Attorney✘
2018
✘2506.80 * 0.03542798 Bitcoins, Contributions Previously
Disclosed
Wachsman, David, , ,75 Wall StApt 29M 03 29 2018
New York NY 10005-3161Transaction ID : VVBGMBNA6X8
2700.00
Wachsman PR LLC CEO
2018 ✘
✘
16200.00 * 0.68075836 Bitcoins, Contributions PreviouslyDisclosed
5650.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662962
55 287
✘
Brian Forde for Congress
Wachsman, David, , ,75 Wall St
Apt 29M 03 29 2018
New York NYTransaction ID : VVBGMBNA6Y6
10005-3161
2700.00
Wachsman PR LLC CEO
2018✘
✘
16200.00 * 0.68075836 Bitcoins, Contributions PreviouslyDisclosed
Coinbase548 Market St# 23008 03 31 2018
San Francisco CA 94104-5401Transaction ID : VVBGMESR789
5900.00
2018
✘201243.28 0.74808301 Bitcoins Sold via Coinbase - Purchaser
Unknown
Selkis, Ryan, , ,800 Madison StApt 238 03 29 2018
Hoboken NJ 07030-6493Transaction ID : VVBGMBNA6A8
500.00
Messari, Inc. CEO
2018 ✘
✘
1000.00 * 0.06732465 Bitcoins, Contributions PreviouslyDisclosed
5900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662963
56 287
✘
Brian Forde for Congress
Wachsman, David, , ,75 Wall St
Apt 29M 03 29 2018
New York NYTransaction ID : VVBGMBNVGQ5
10005-3161
2700.00
Wachsman PR LLC CEO
2018✘
✘16200.00 * 0.68075836 Bitcoins Not Liquidated
Wachsman, David, , ,75 Wall StApt 29M 03 29 2018
New York NY 10005-3161Transaction ID : VVBGMESR8S4
2700.00
Wachsman PR LLC CEO✘
2018✘
16200.00 * 0.68075836 Bitcoins Not Liquidated
Collins, Patrick and, , ,4053 Eagle Nest LnHouse 03 29 2018
Danville CA 94506-5811Transaction ID : VVBGMBNAEZ3
500.00
Shatter Fund Partner
2018
✘
500.00
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662964
57 287
✘
Brian Forde for Congress
Crossley, Natalie, , ,4231 Byron St
03 08 2018
Houston TXTransaction ID : VVBGMBNAH95
77005-3517
250.00
Labcorp Medical sales
2018
✘250.00
Curtis, Colleen, , ,13 Via Ripa
03 30 2018
Sea Bright NJ 07760-2131Transaction ID : VVBGMBNAM01
100.00
Starz PR
2018
✘475.00
Dacosta, Marc, , ,245 5th AveFl 17 03 30 2018
New York NY 10016-8728Transaction ID : VVBGMBNAKW9
100.00
Enigma.io (Co-founder) Executive
2018
✘
350.00
450.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662965
58 287
✘
Brian Forde for Congress
Darabi, Soraya, , ,531 11th St
# 2 01 30 2018
Brooklyn NYTransaction ID : VVBGMA4QJJ7
11215-4303
600.00
Trail Mix Ventures GP
2018
✘600.00
Dasher, Grant, , ,800 High StApt 305 03 30 2018
Palo Alto CA 94301-2452Transaction ID : VVBGMBNAKD0
1000.00
Google Software Engineer
2018
✘1000.00
David, Narsai, , ,350 Berkeley Park Blvd
02 23 2018
Kensington CA 94707-1248Transaction ID : VVBGMBD4EA4
500.00
N/A Not Employed
2018
✘
500.00
2100.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662966
59 287
✘
Brian Forde for Congress
David, Narsai, , ,350 Berkeley Park Blvd
03 27 2018
Kensington CATransaction ID : VVBGMBNA8Z0
94707-1248
100.00
N/A Not Employed
2018
✘600.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA8Z0E
C00401224
100.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Deutsch, Stacia, , ,12 Woodfall
03 21 2018
Irvine CA 92604-4621Transaction ID : VVBGMBNAMN6
2400.00
Self-Employed Writer
2018
✘
3000.00
2500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662967
60 287
✘
Brian Forde for Congress
Deutsch, Stacia, , ,12 Woodfall
03 21 2018
Irvine CATransaction ID : VVBGMBNTGE9
92604-4621
300.00
Self-Employed Writer
2018✘
3000.00
Dillon, Mayra, , ,4020 Troon Way
02 27 2018
Bonita CA 91902-1319Transaction ID : VVBGMBNA710
50.00
National City Family Clinic Physician
2018
✘220.18 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA710E
C00401224
50.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
350.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662968
61 287
✘
Brian Forde for Congress
Dillon, Mayra, , ,4020 Troon Way
03 16 2018
Bonita CATransaction ID : VVBGMBNA888
91902-1319
50.00
National City Family Clinic Physician
2018
✘270.18 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 18 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA888E
C00401224
50.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Dillon, Mayra, , ,4020 Troon Way
03 25 2018
Bonita CA 91902-1319Transaction ID : VVBGMBNQWA9
27.00
National City Family Clinic Physician
2018
✘
297.18 * Earmarked Contribution: See Below
77.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662969
62 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 25 2018
West Somerville MATransaction ID : VVBGMBNQWA9E
02144-0031
C00401224
27.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Dillon, Mayra, , ,4020 Troon Way
03 30 2018
Bonita CA 91902-1319Transaction ID : VVBGMBNA9K6
20.18
National City Family Clinic Physician
2018
✘317.36 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9K6E
C00401224
20.18
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
20.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662970
63 287
✘
Brian Forde for Congress
DJANG, JASON, , ,855 N Croft Ave
Apt 301 03 18 2018
Los Angeles CATransaction ID : VVBGMBNAHH8
90069-4472
250.00
Google Producer
2018
✘250.00
Dugan, Patrick, , ,47 Lapidge St
03 24 2018
San Francisco CA 94110-1621Transaction ID : VVBGMBNAFY6
1000.00
Valencia Street Capital Technology Entrepreneur
2018
✘1000.00
Dunn, Andrew, , ,34 W 9th St
03 31 2018
New York NY 10011-8915Transaction ID : VVBGMBNAEK8
500.00
Walmart Bonobos
2018
✘
1000.00
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662971
64 287
✘
Brian Forde for Congress
Dunn, Casey, , ,2704 All View Way
03 31 2018
Belmont CATransaction ID : VVBGMBNQZ48
94002-1410
2700.00
Self-Employed Software
2018✘
5400.00
Dunn, Casey, , ,2704 All View Way
03 31 2018
Belmont CA 94002-1410Transaction ID : VVBGMBNQZ56
2700.00
Self-Employed Software
2018
✘5400.00
Edelman, Ross David, , ,1515 P St NW
01 01 2018
Washington DC 20005-1939Transaction ID : VVBGMNHY8E5
1000.00
MIT Project Director
2018
✘
1000.00
6400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662972
65 287
✘
Brian Forde for Congress
Edelman, Ross, , ,1515 P St NW
Apt 3 03 31 2018
Washington DCTransaction ID : VVBGMBNAEQ9
20005-1939
500.00
MIT Project Director
2018
✘500.00
Ellwood, Andy, , ,102 Christopher StApt 2G 03 05 2018
New York NY 10014-4237Transaction ID : VVBGMBNVG61
250.00
Basket Entrepreneur
2018
✘1250.00 0.02203519 Bitcoins Not Liquidated
Fenton, Bruce, , ,10 Lyman St
01 18 2018
Duxbury MA 02332-3018Transaction ID : VVBGMBNVGC8
1002.97
n/a Investor
2018
✘
2005.94 0.08924619 Bitcoins Not Liquidated
1752.97
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662973
66 287
✘
Brian Forde for Congress
Ferguson, Gwen, , ,14872 Alder Ln
03 30 2018
Tustin CATransaction ID : VVBGMBNA9D8
92780-6743
100.00
N/A Not Employed
2018
✘250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9D8E
C00401224
100.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Fessas, Romanos, , ,New York 10012
02 05 2018
New York NY 10012Transaction ID : VVBGMFKBG47
300.00
N/A Not Employed
2018
✘
650.00
400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662974
67 287
✘
Brian Forde for Congress
Fessas, Romanos, , ,New York 10012
03 31 2018
New York NYTransaction ID : VVBGMBNACC7
10012
50.00
N/A Not Employed
2018
✘700.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNACC7E
C00401224
50.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Fink, Martin, , ,PO 66244
03 19 2018
Los Angeles CA 90066Transaction ID : VVBGMBNAN87
500.00
self employed consultant
2018
✘
500.00
550.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662975
68 287
✘
Brian Forde for Congress
Firth, John, , ,808 Brickell Key Dr
Apt 2307 03 31 2018
Miami FLTransaction ID : VVBGMBNAC04
33131-2689
27.00
Falconi Consultant
2018
✘227.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAC04E
C00401224
27.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Fisch, Jacob, , ,149 Buckminster Rd
03 31 2018
Brookline MA 02445-5809Transaction ID : VVBGMBNADY2
750.00
Acorn International CEO
2018
✘
5400.00
777.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662976
69 287
✘
Brian Forde for Congress
Fisch, Jacob, , ,149 Buckminster Rd
03 31 2018
Brookline MATransaction ID : VVBGMBNADZ0
02445-5809
1950.00
Acorn International CEO
2018
✘5400.00
Fisch, Jacob, , ,149 Buckminster Rd
03 31 2018
Brookline MA 02445-5809Transaction ID : VVBGMBNTCB9
2700.00
Acorn International CEO
2018✘
5400.00
Flannigan, Erik, , ,213 Rennie Ave
03 29 2018
Venice CA 90291-2645Transaction ID : VVBGMBNAF42
500.00
Media Consultant Self
2018
✘
500.00
5150.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662977
70 287
✘
Brian Forde for Congress
Fletcher, Christy, , ,78 5th Ave
03 30 2018
New York NYTransaction ID : VVBGMBNAKB5
10011-8003
100.00
Fletcher & Company Founder
2018
✘1100.00
Fondo, Grant, , ,2310 Homestead RdSte C1 03 30 2018
Los Altos CA 94024-7302Transaction ID : VVBGMBNAEW9
2700.00
Self Therapist
2018
✘5400.00
Fondo, Grant, , ,2310 Homestead RdSte C1 03 30 2018
Los Altos CA 94024-7302Transaction ID : VVBGMBNTC85
2700.00
Self Therapist
2018✘
5400.00
5500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662978
71 287
✘
Brian Forde for Congress
Fontaine, Julie, , ,401 18th St
03 11 2018
Santa Monica CATransaction ID : VVBGMBNAH38
90402-2429
500.00
Netflix Publicist
2018
✘500.00
Fontana, Laura, , ,15 Woodland Ave
03 19 2018
San Francisco CA 94117-3814Transaction ID : VVBGMBNANC8
300.00
Wells Fargo Bank Product Development
2018
✘300.00
Frangione, Tom, , ,196 Austin Ave
03 22 2018
Atherton CA 94027-3908Transaction ID : VVBGMBNAJ72
500.00
self investor
2018
✘
500.00
1300.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662979
72 287
✘
Brian Forde for Congress
Frank, Aaron, , ,PO Box 157
03 30 2018
Moffett Field CATransaction ID : VVBGMBNAKN4
94035-0157
100.00
Singularity University faculty
2018
✘900.00
Friedlander, Peter, , ,7463 Franklin Ave
03 17 2018
West Hollywood CA 90046-2243Transaction ID : VVBGMBNAHN0
500.00
Netflix Executive
2018
✘500.00
Friedman, Graham, , ,82 Graham Ave
03 31 2018
Brooklyn NY 11206-3311Transaction ID : VVBGMBNVFJ3
2000.05
TLDR Partner in DLT fund
2018
✘
4000.10 5.07923608 Etherium Not Liquidated
2600.05
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662980
73 287
✘
Brian Forde for Congress
Friedman, Michael, , ,20 Monarch Bay Dr
02 15 2018
Dana Point CATransaction ID : VVBGMBNA439
92629-3402
20.18
SE Consultant
2018
✘270.18 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 18 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA439E
C00401224
20.18
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Fuller, Andrew, , ,25292 Earhart Rd
03 26 2018
Laguna Hills CA 92653-5254Transaction ID : VVBGMBNAB69
500.00
Creative Planning Inc. Managing Director
2018
✘
500.00 * Earmarked Contribution: See Below
520.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662981
74 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAB69E
02144-0031
C00401224
500.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Gage, Linda Schacht, , ,2811 Benvenue Ave
03 02 2018
Berkeley CA 94705-2103Transaction ID : VVBGMBNADV8
500.00
Retired Journalist
2018
✘500.00
Garcia, Joshua, , ,82 Marcy AveApt 3B 03 12 2018
Brooklyn NY 11211-4596Transaction ID : VVBGMBNAGW3
250.00
Self employed Lawyer
2018
✘
250.00
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662982
75 287
✘
Brian Forde for Congress
Garrett, Toni, , ,215 Alvarado Rd
02 26 2018
Berkeley CATransaction ID : VVBGMBDDJB0
94705-1512
250.00
Self Employed Self Employed
2018
✘250.00
Ghosh, Bhaskar, , ,926 Van Auken Cir
03 27 2018
Palo Alto CA 94303-3841Transaction ID : VVBGMBNAK24
500.00
8VC Venture Capitalist
2018
✘500.00
Glass, Robin, , ,2516 Carmelita Ave
01 10 2018
Belmont CA 94002-1530Transaction ID : VVBGMBNVGJ6
2700.00
Evolent Health CMO/CCO
2018
✘
5400.00 0.00014456 Bitcoins Not Liquidated
3450.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662983
76 287
✘
Brian Forde for Congress
Glass, Russell, , ,2516 Carmelita Ave
01 10 2018
Belmont CATransaction ID : VVBGMBNVGH8
94002-1530
2700.00
Votergy Exec
2018
✘5400.00 0.00014456 Bitcoins Not Liquidated
Glueck, Jeffrey, , ,5 Stearns Rdg
03 07 2018
Irvington NY 10533-1346Transaction ID : VVBGMBNAHB1
500.00
Foursquare Mobile tech executive
2018
✘650.00
Goldberg, Carole, , ,2152 Balsam Ave
03 17 2018
Los Angeles CA 90025-5942Transaction ID : VVBGMBNAHV7
500.00
UCLA Professor
2018
✘
500.00
3700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662984
77 287
✘
Brian Forde for Congress
Gooding, John, , ,PO Box 8400
03 30 2018
Emeryville CATransaction ID : VVBGMBNA9A5
94662-0400
2700.00
Milo Group Of Ca Inc. Consultant
2018
✘2700.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9A5E
C00401224
2700.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Gorenberg, Mark, , ,1650 BroadwayPh 2 03 25 2018
San Francisco CA 94109-1265Transaction ID : VVBGMBNAJJ9
1000.00
Zetta Venture Partners Zetta Venture Partners
2018
✘
1000.00
3700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662985
78 287
✘
Brian Forde for Congress
Greig, Janet, , ,1969 Barbara Dr
03 21 2018
Palo Alto CATransaction ID : VVBGMBNAMK1
94303-3442
500.00
N/A Retired
2018✘
3200.00
Grodofsky, Scott, , ,2377 28th StApt 2R 02 10 2018
Long Island City NY 11105-2874Transaction ID : VVBGMABDQ77
2000.00
Cordelina Wine Company Sales
2018
✘2025.00
Grossblatt, David, , ,2030 3rd StApt 16 03 22 2018
San Francisco CA 94107-4317Transaction ID : VVBGMBNVFX0
2959.05
Self Technology Consulting
2018
✘
5918.10 5.5 Etherium Not Liquidated
5459.05
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662986
79 287
✘
Brian Forde for Congress
Guerrero, Cynthia, V, ,1777 Lafayette St
Unit 107 03 31 2018
Santa Clara CATransaction ID : VVBGMBNADG1
95050-7201
250.00
Calstrat Lobbyist
2018
✘250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNADG1E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Guido, Daniel, , ,343 Gold StApt 4012 03 07 2018
Brooklyn NY 11201-3110Transaction ID : VVBGMBNAHA3
250.00
Trail of Bits CEO
2018
✘
250.00
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662987
80 287
✘
Brian Forde for Congress
Hall, Eric, , ,28 Clubhouse Ave
Uppr 03 19 2018
Venice CATransaction ID : VVBGMBNAN94
90291-3202
500.00
Crescent Capital finance
2018
✘500.00
Hall, Victoria, , ,1175 Park Ave
03 08 2018
New York NY 10128-1211Transaction ID : VVBGMBNAH87
250.00
N/A Not Employed
2018
✘450.00
Hall, Victoria, , ,1175 Park Ave
03 13 2018
New York NY 10128-1211Transaction ID : VVBGMBNA821
1000.00
N/A Not Employed
2018
✘
1450.00 * Earmarked Contribution: See Below
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662988
81 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 18 2018
West Somerville MATransaction ID : VVBGMBNA821E
02144-0031
C00401224
1000.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Hall, Victoria, , ,1175 Park Ave
03 27 2018
New York NY 10128-1211Transaction ID : VVBGMBNABJ4
100.00
N/A Not Employed
2018
✘1550.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNABJ4E
C00401224
100.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
100.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662989
82 287
✘
Brian Forde for Congress
Hansen, Jason, Dax, ,15177 Skogen Ln NE
03 07 2018
Bainbridge Island WATransaction ID : VVBGMBNVFS8
98110-3057
1000.00
Perkins Coie LLP Lawyer
2018
✘2000.00 0.10416667 Bitcoins Not Liquidated
Harrington, Adam, , ,79 Madison Ave
01 18 2018
New York NY 10016-7802Transaction ID : VVBGMBNVGD6
500.00
Strategic Coin Staff
2018
✘1000.00 0.04501431 Bitcoins Not Liquidated
Harrison, Craig, , ,11908 Montana AveApt 105 03 20 2018
Los Angeles CA 90049-5019Transaction ID : VVBGMBNAN37
250.00
Obscura Media CTO
2018
✘
250.00
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662990
83 287
✘
Brian Forde for Congress
Hauter, Ariel, , ,93 Allen St
03 11 2018
New York NYTransaction ID : VVBGMBNVG45
10002-3034
250.10
Self Internet Consultant
2018
✘650.20 0.02607948 Bitcoins Not Liquidated
Hay, Austin, , ,1524 Notth Colonial Ter
02 23 2018
Arlington VA 22209Transaction ID : VVBGMBD5G80
2700.00
HBE Ventures, LLC Consultant
2018
✘5400.00
Hay, Austin, , ,1524 Notth Colonial Ter
02 23 2018
Arlington VA 22209Transaction ID : VVBGMBNTGG4
2700.00
HBE Ventures, LLC Consultant
2018✘
5400.00
5650.10
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662991
84 287
✘
Brian Forde for Congress
Herbert, Stacy, , ,554 Weathersfield
01 18 2018
Pittsboro NCTransaction ID : VVBGMBNVG87
27312-8717
1003.87
n/a Investor
2018
✘2007.74 0.08932623 Bitcoins Not Liquidated
Heyman, Edward, , ,41 Sonrisa
03 30 2018
Irvine CA 92620-1957Transaction ID : VVBGMBNAEY5
250.00
Self Retired
2018
✘250.00
Hong, Jane, , ,117 Oakwood Dr
03 31 2018
Redwood City CA 94061-3929Transaction ID : VVBGMBNABT7
100.00
N/A Not Employed
2018
✘
350.00 * Earmarked Contribution: See Below
1353.87
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662992
85 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNABT7E
02144-0031
C00401224
100.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Houle-Sandoval, Kelly, , ,11625 Montana AveApt 224 03 17 2018
Los Angeles CA 90049-4685Transaction ID : VVBGMBNA7X1
500.00
Orbach Huff Suarez & Henderson Attorney
2018
✘2000.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 18 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA7X1E
C00401224
500.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662993
86 287
✘
Brian Forde for Congress
Jaffe, Steven, , ,4 Sevenoaks
03 30 2018
Irvine CATransaction ID : VVBGMBNACZ7
92603-3451
500.00
Broadcom Engineer
2018
✘625.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNACZ7E
C00401224
500.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Jain, Liz, , ,2950 26th St
03 23 2018
San Francisco CA 94110-4859Transaction ID : VVBGMBNAFB7
500.00
The Bridgespan Group Consultant
2018
✘
500.00
1000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662994
87 287
✘
Brian Forde for Congress
Johnston, Conor, , ,725 Corbett Ave
Apt 4 03 29 2018
San Francisco CATransaction ID : VVBGMBNAF92
94131-1359
200.00
otter brands, llc Consultant
2018
✘900.00
Johnston, Peter, , ,604 Castro St
03 20 2018
San Francisco CA 94114-2518Transaction ID : VVBGMBNAMT6
125.00
Flexport Software Engineer
2018
✘275.00
Jong, Anneke, , ,22 N 6th StApt 11I 02 13 2018
Brooklyn NY 11249-3085Transaction ID : VVBGMABJ206
250.00
Launch Kids Tech executive
2018
✘
250.00
575.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662995
88 287
✘
Brian Forde for Congress
Kawejsza, Jason, , ,3970 Mandeville Canyon Rd
03 16 2018
Los Angeles CATransaction ID : VVBGMBNAHX3
90049-1000
250.00
Interscope Records Attorney
2018
✘250.00
Keating, Zoe, , ,PO Box 64887
02 22 2018
Burlington VT 05406-4887Transaction ID : VVBGMBD2599
500.00
Musician Musician
2018
✘500.00
Kemper, Kathy, , ,4422 Lowell St NW
01 10 2018
Washington DC 20016-2749Transaction ID : VVBGMBNA1V3
300.00
Institute for Education Ceo & Founder
2018
✘
2300.00 * Earmarked Contribution: See Below
1050.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662996
89 287
✘
Brian Forde for Congress
ActBluePO Box 441146
01 14 2018
West Somerville MATransaction ID : VVBGMBNA1V3E
02144-0031
C00401224
300.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Khoueiri, Jean-Pierre, , ,1211 Hardee Rd
01 19 2018
Coral Gables FL 33146-3230Transaction ID : VVBGMA42AK3
2700.00
Macchina Fintech
2018
✘2700.00
Kidd, Greg, , ,66 Starbuck Dr
03 12 2018
Muir Beach CA 94965-9715Transaction ID : VVBGMBNAGZ6
250.00
globaliD Startup Founder
2018
✘
250.00
2950.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662997
90 287
✘
Brian Forde for Congress
Klancher, Stephen, , ,26701 Quail Crk
Apt 253 03 31 2018
Laguna Hills CATransaction ID : VVBGMBNAC46
92656-3052
27.00
Lexmark Technical Support
2018
✘207.72 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAC46E
C00401224
27.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Koehn, Garrett, , ,119 Marguerite Ave
01 23 2018
Mill Valley CA 94941-1039Transaction ID : VVBGMBNVFT6
1066.53
CRC Group Insurance
2018
✘
2633.06 1.09 Etherium Not Liquidated
1093.53
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662998
91 287
✘
Brian Forde for Congress
Komar, Brian, , ,3811 Yuma St NW
03 31 2018
Washington DCTransaction ID : VVBGMBNABY8
20016-2213
100.00
Salesforce.Org Engagement
2018
✘600.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNABY8E
C00401224
100.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Krom, Solly, , ,7 Banyan Tree
03 26 2018
Irvine CA 92612-2231Transaction ID : VVBGMBNAJF5
2500.00
none disabled
2018
✘
2500.00
2600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121662999
92 287
✘
Brian Forde for Congress
Kuchar, David, , ,585 Page St
Apt 3 03 23 2018
San Francisco CATransaction ID : VVBGMBNVFW2
94117-3435
1995.03
Coral Protocol Entrepreneur
2018
✘3990.06 3.8 Etherium Not Liquidated
Kulback, John, , ,850 Lucile AveApt 11 03 17 2018
Los Angeles CA 90026-1592Transaction ID : VVBGMBNAHR4
1000.00
VICE Business Affairs
2018
✘1000.00
Kulback, John, , ,850 Lucile AveApt 11 03 30 2018
Los Angeles CA 90026-1592Transaction ID : VVBGMBNAKX7
2700.00
VICE Business Affairs
2018✘
5400.00
5695.03
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663000
93 287
✘
Brian Forde for Congress
Kulback, John, , ,850 Lucile Ave
Apt 11 03 30 2018
Los Angeles CATransaction ID : VVBGMBNTN42
90026-1592
1700.00
VICE Business Affairs
2018
✘5400.00
Kumagai, Wayne, , ,2180 Stonehaven Dr
03 23 2018
Los Altos CA 94024-7045Transaction ID : VVBGMBNAFH3
250.00
Newmark commercial real estate
2018
✘250.00
LaMotte, Matt, , ,4139 Ventura Canyon Ave
03 14 2018
Sherman Oaks CA 91423-4327Transaction ID : VVBGMBNAGG8
250.00
Universal Music Group SVP Marketing
2018
✘
250.00
2200.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663001
94 287
✘
Brian Forde for Congress
Larsen, Chris, , ,2621 Larkin St
03 16 2018
San Francisco CATransaction ID : VVBGMBNAG35
94109-1512
1500.00
Ripple Inc. Executive Chairman
2018
✘1500.00
Larsen, Chris, , ,2621 Larkin St
03 29 2018
San Francisco CA 94109-1512Transaction ID : VVBGMBNAF18
2700.00
Ripple Inc. Executive Chairman
2018✘
5400.00
Larsen, Chris, , ,2621 Larkin St
03 29 2018
San Francisco CA 94109-1512Transaction ID : VVBGMBNTN75
1200.00
Ripple Inc. Executive Chairman
2018
✘
5400.00
5400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663002
95 287
✘
Brian Forde for Congress
Lauren, David, , ,1065 Avenue Of The Americas
Fl 11 03 22 2018
New York NYTransaction ID : VVBGMBNQXH7
10018-0767
500.00
Ralph Lauren Vice Chairman and Chief Innovation Off
2018
✘1500.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 25 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNQXH7E
C00401224
500.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Lawrence, Joran, , ,23 Henry St
03 30 2018
Winchester MA 01890-3637Transaction ID : VVBGMBNAKE8
200.00
Verizon Product Manager
2018
✘
800.00
700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663003
96 287
✘
Brian Forde for Congress
Le, Gary, , ,3409 Ave Isla Verde
Apt 1503 03 31 2018
Carolina PRTransaction ID : VVBGMBNVFK1
00979-4901
395.32
Stealth Venture Stealth Venture
2018
✘790.64 0.997 Etherium Not Liquidated
Lee, Annie, , ,2220 Colorado Ave
03 16 2018
Santa Monica CA 90404-3506Transaction ID : VVBGMBNAG27
250.00
Interscope Records Finance
2018
✘250.00
Lee, Jeffrey, , ,708 W 20th StSte A 02 08 2018
Merced CA 95340-3639Transaction ID : VVBGMABD4B9
1000.00
Self-Employed Optometrist
2018
✘
1000.00
1645.32
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663004
97 287
✘
Brian Forde for Congress
Lefkowitz, Mike, , ,11 Lakefront
03 29 2018
Irvine CATransaction ID : VVBGMBNAF01
92604-4680
1000.00
Self Retired
2018
✘1000.00
Lenehan, Brian, , ,241 Atlantic Ave. 8G
02 12 2018
Brooklyn NY 11201-2962Transaction ID : VVBGMABF9F6
500.00
Andrew Technologies Entrepreneurship
2018
✘500.00
Lenehan, Brian, , ,241 Atlantic Ave. 8G
03 29 2018
Brooklyn NY 11201-2962Transaction ID : VVBGMBNACS0
100.00
Andrew Technologies Entrepreneurship
2018
✘
600.00 * Earmarked Contribution: See Below
1600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663005
98 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNACS0E
02144-0031
C00401224
100.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Lerdsuwanrut, George, , ,2125 S Bentley AveApt 110 03 31 2018
Los Angeles CA 90025-5771Transaction ID : VVBGMBNAED0
2000.00
Self-Employed Systems Admin
2018✘
4700.00
Lewin, Peter, , ,Rue Jean Stas 3
03 22 2018
Saint Gilles CA 00000Transaction ID : VVBGMBNAJ07
2000.00
Levi Strauss & Co. Director of Strategy, Europe
2018
✘
2000.00
4000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663006
99 287
✘
Brian Forde for Congress
Li, Betty, , ,2407 Harrison St
Apt 12 03 30 2018
San Francisco CATransaction ID : VVBGMBNAKJ0
94110-2777
250.00
N/A Not Employed
2018
✘1250.00
Lifschutz, Michael, , ,51 W 86th StApt 105 02 07 2018
New York NY 10024-3617Transaction ID : VVBGMFKKW62
2500.00
Rutgers University Peace Corps Campus Recruiter
2018
✘2500.00
Lin, Bernard, , ,80 Nassau StApt 504 03 12 2018
New York NY 10038-3793Transaction ID : VVBGMBNAGY8
250.00
Opencrowd Blockchain Technology
2018
✘
250.00
3000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663007
100 287
✘
Brian Forde for Congress
Litle, Adam, , ,1060 Warfield Ave
02 25 2018
Oakland CATransaction ID : VVBGMBD5VR9
94610-1612
250.00
Granular VP Sales
2018
✘2250.00
Litvak, Paul, , ,649 Fell St
02 23 2018
San Francisco CA 94102-5008Transaction ID : VVBGMBD5F46
200.00
Airbnb Product Manager
2018
✘700.00
Long, Marshall, , ,175 Blossom StUnit 306 01 18 2018
Boston MA 02114-2625Transaction ID : VVBGMBNVGA3
2400.00
n/a Retired
2018
✘
10540.62 0.24 Bitcoins Not Liquidated
2850.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663008
101 287
✘
Brian Forde for Congress
Long, Marshall, , ,175 Blossom St
Unit 306 01 18 2018
Boston MATransaction ID : VVBGMET0BE8
02114-2625
2720.31
n/a Retired
2018✘
10540.62 0.24 Bitcoins Not Liquidated
Look, Jeanne, , ,835 25th Ave N
02 08 2018
Saint Petersburg FL 33704-2709Transaction ID : VVBGMFKM5K4
300.00
retired retired
2018
✘300.00
Lowenthal, Josh, , ,16942 Marinabay Dr
02 20 2018
Huntington Beach CA 92649-2916Transaction ID : VVBGMB7GFH2
250.00
FreeConferenceCall.com President
2018
✘
250.00
3270.31
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663009
102 287
✘
Brian Forde for Congress
Lubin, Nathaniel, , ,272 1st Ave
Apt 2C 02 05 2018
New York NYTransaction ID : VVBGMP5BWD1
10009-1852
150.00
Lubin Strategies LLC Founder
2018
✘400.00
Magdieli, Miriam, , ,3242 38th St NW
03 31 2018
Washington DC 20016-3729Transaction ID : VVBGMBNADD8
50.00
Synectics Executive Director
2018
✘650.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNADD8E
C00401224
50.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
200.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663010
103 287
✘
Brian Forde for Congress
Makowski, Paul, , ,967 W Laurel St
01 10 2018
San Diego CATransaction ID : VVBGMBNA6G6
92101-1224
2700.00
Narf Industries, LLC CTO
2018✘
10799.98 3.3792 Etherium, Contributions Previously Disclosed
Makowski, Paul, , ,967 W Laurel St
01 10 2018
San Diego CA 92101-1224Transaction ID : VVBGMBNA6W1
1699.98
Narf Industries, LLC CTO
2018
✘10799.98 3.3792 Etherium, Contributions Previously Disclosed
Mandal, Praveen, , ,11031 Eastbrook Ave
03 24 2018
Los Altos CA 94024-6602Transaction ID : VVBGMBNAFZ3
250.00
Self Engineer
2018
✘
250.00
4649.98
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663011
104 287
✘
Brian Forde for Congress
MASSERMAN, ALIZA, , ,8 Sunriver
03 28 2018
Irvine CATransaction ID : VVBGMBNAJS2
92614-5402
500.00
Self-employed Physician
2018
✘500.00
Mauro, Gref, , ,620 Congress Ave
01 30 2018
Austin TX 78701-3252Transaction ID : VVBGMBNA244
500.00
Revolution Advisors Venture Capital
2018
✘2500.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA244E
C00401224
500.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
1000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663012
105 287
✘
Brian Forde for Congress
Mauro, Gref, , ,620 Congress Ave
03 30 2018
Austin TXTransaction ID : VVBGMBNACW3
78701-3252
200.00
Revolution Advisors Venture Capital
2018
✘3000.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNACW3E
C00401224
200.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Mauro, Gref, , ,620 Congress Ave
03 30 2018
Austin TX 78701-3252Transaction ID : VVBGMBNTN18
300.00
Revolution Advisors Venture Capital
2018✘
3000.00 * Earmarked Contribution: See Below
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663013
106 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNTN18E
02144-0031
C00401224
300.00
Conduit total listed in Agg. field
2018✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Mayan, Amanda, , ,12000 N Bayshore DrApt 305 03 28 2018
North Miami FL 33181-2950Transaction ID : VVBGMBNAJX4
250.00
MAN Holdings LLC Executive
2018
✘350.00
Mccauley, Raymond, , ,394 Foxborough Dr
03 31 2018
Mountain View CA 94041-1604Transaction ID : VVBGMBNAC20
500.00
SE Scientist
2018
✘
1500.00 * Earmarked Contribution: See Below
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663014
107 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAC20E
02144-0031
C00401224
500.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
McCollum, Tim, , ,175 Baltic St
02 07 2018
Brooklyn NY 11201-6173Transaction ID : VVBGMFKGVZ3
250.00
Mad?casse Chocolate CEO
2018
✘250.00
McCollum, Tim, , ,175 Baltic St
02 13 2018
Brooklyn NY 11201-6173Transaction ID : VVBGMABFYD4
150.00
Mad?casse Chocolate CEO
2018
✘
400.00
400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663015
108 287
✘
Brian Forde for Congress
McDonald, Autumn, , ,6240 Aspinwall Rd
02 26 2018
Oakland CATransaction ID : VVBGMBD7RG7
94611-2114
250.00
New America Civic engagement
2018
✘250.00
Mclaughlin, Julie, , ,310 S Morning Sun Ave
03 27 2018
Mill Valley CA 94941-3801Transaction ID : VVBGMBNABK1
250.00
N/A Not Employed
2018
✘850.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNABK1E
C00401224
250.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663016
109 287
✘
Brian Forde for Congress
McNulty, Rhett, , ,445 Bent St
03 27 2018
Laguna Beach CATransaction ID : VVBGMBNAK08
92651-2329
1000.00
Grounded in Tech, LLC Consultant
2018
✘1000.00
Menzalji, Georgina, , ,18 10th St
03 22 2018
San Francisco CA 94103-1338Transaction ID : VVBGMBNAJ15
250.00
Riley Corporation Head of Operations
2018
✘250.00
Mirman, Laurie, , ,10 Corporate ParkSte 305 03 31 2018
Irvine CA 92606-5140Transaction ID : VVBGMBNAE16
500.00
Mirman Enterprises Inc. Self ermployed
2018
✘
500.00
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663017
110 287
✘
Brian Forde for Congress
Mirowitz, Howard, , ,19 Montanas Norte
03 28 2018
Irvine CATransaction ID : VVBGMBNAJV8
92612-2608
1000.00
University of California - Irvine Lecturer / Venture Fund Manager
2018
✘1200.00
Montano, Michael, , ,1200 Avenue BApt 514 03 25 2018
San Antonio TX 78215-1336Transaction ID : VVBGMBNAFX8
250.00
Cotchett Pitre McCarthy LLP Attorney
2018
✘250.00
Moran, Joyce, , ,24 Calle Camaron
02 03 2018
San Clemente CA 92673-6834Transaction ID : VVBGMA5ARV8
500.00
retired retired
2018
✘
500.00
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663018
111 287
✘
Brian Forde for Congress
Morcos, Alex, , ,1375 Broadway
Fl 16 03 15 2018
New York NYTransaction ID : VVBGMBNAGD4
10018-7001
1000.00
ChainCode Labs, LLC Finance
2018
✘1000.00
Moretti, Edoardo W, , ,675 3rd Ave
03 15 2018
New York NY 10017-5704Transaction ID : VVBGMBNAG92
2700.00
VICE Chief Creative Officer
2018
✘5400.00
Moretti, Edoardo W, , ,675 3rd Ave
03 15 2018
New York NY 10017-5704Transaction ID : VVBGMBNTNA9
2700.00
VICE Chief Creative Officer
2018✘
5400.00
6400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663019
112 287
✘
Brian Forde for Congress
MORGAN, SCOTT, , ,6448 Pyrus Pl
03 12 2018
Carlsbad CATransaction ID : VVBGMBNAGQ3
92011-4209
1000.00
Nanome Executivr
2018
✘1000.00
Murck, Patrick, , ,23 Fair Oaks Ter
03 31 2018
Lexington MA 02421-6905Transaction ID : VVBGMBNVFH5
250.00
Cooley LLP Attorney
2018
✘2506.80 0.03542798 Bitcoins Not Liquidated
Narasimhan, Ravi, , ,2 Photinia
01 05 2018
Irvine CA 92620-2218Transaction ID : VVBGMC48FG3
1000.00
Google, Inc. Product Manager
2018
✘
1050.00
2250.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663020
113 287
✘
Brian Forde for Congress
Narasimhan, Ravi, , ,2 Photinia
03 23 2018
Irvine CATransaction ID : VVBGMBNAFE1
92620-2218
1650.00
Google, Inc. Product Manager
2018
✘2700.00
Newton, Justin, , ,22416 Victory Blvd
03 23 2018
Woodland Hills CA 91367-1737Transaction ID : VVBGMBNAG01
2000.00
Netki CEO
2018
✘2500.00
O'Neill, Maura, , ,2020 E Galer St
02 20 2018
Seattle WA 98112-3419Transaction ID : VVBGMB7H6B3
1000.00
UC Berkeley Distinguished Teaching Fellow
2018✘
3700.00
4650.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663021
114 287
✘
Brian Forde for Congress
O'Reilly, Tim, , ,1070 Warfield Ave
03 18 2018
Oakland CATransaction ID : VVBGMBNAHJ6
94610-1612
500.00
O'Reilly Media Executive
2018
✘500.00
Osaka, Glenn, , ,1628 Laurelwood Dr
02 21 2018
San Jose CA 95125-4949Transaction ID : VVBGMB7K1V4
250.00
Self-employed Consultant
2018
✘250.00
Panchadsaram, Ryan, , ,1121 Tennessee StApt 2 03 22 2018
San Francisco CA 94107-3454Transaction ID : VVBGMBNAMA0
500.00
Kleiner Perkins Investor
2018
✘
500.00
1250.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663022
115 287
✘
Brian Forde for Congress
Park, David, , ,432 Rinconada Ct
03 23 2018
Los Altos CATransaction ID : VVBGMBNAFG5
94022-3838
1700.00
Facebook Product Manager
2018
✘5400.00
Park, David, , ,432 Rinconada Ct
03 23 2018
Los Altos CA 94022-3838Transaction ID : VVBGMBNTC35
2700.00
Facebook Product Manager
2018✘
5400.00
Parks, William, , ,1630 Pine Cone Rd
03 31 2018
Moscow ID 83843-9317Transaction ID : VVBGMBNQYT9
500.00
NORTHWEST RIVER SUPPLIES President
2018
✘
500.00
4900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663023
116 287
✘
Brian Forde for Congress
Pearl, Jeffry, , ,12000 N Bayshore Dr
Apt 205 03 30 2018
North Miami FLTransaction ID : VVBGMBNAKF6
33181-2950
250.00
Bache Leasing Corp. Car Dealer
2018
✘500.00
Pereira, Rons, , ,855 10th St
03 11 2018
Santa Monica CA 90403-1653Transaction ID : VVBGMBNVGN9
498.37
Not Employed Not Employed
2018
✘996.74 0.68837148 Bitcoins Not Liquidated
Pereira, Rons, , ,855 10th St
03 12 2018
Santa Monica CA 90403-1653Transaction ID : VVBGMBNTTA9
988.34
Not Employed Not Employed
2018 ✘
✘
2973.42 * 1.41400000 Etherium Sold via Coinbase - PurchaserUnknown
748.37
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663024
117 287
✘
Brian Forde for Congress
Pereira, Rons, , ,855 10th St
03 12 2018
Santa Monica CATransaction ID : VVBGMBNVGP7
90403-1653
988.34
Not Employed Not Employed
2018
✘2973.42 1.414 Etherium Not Liquidated
Perry, Emily, , ,644 E St NE
03 31 2018
Washington DC 20002-5230Transaction ID : VVBGMBNAEM6
100.00
American Express Director of Business Development
2018
✘850.00
Phelps, Joshua, , ,823 Emerson St NW
02 26 2018
Washington DC 20011-4517Transaction ID : VVBGMBNA752
31.40
medsource research
2018
✘
781.40 * Earmarked Contribution: See Below
1119.74
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663025
118 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 04 2018
West Somerville MATransaction ID : VVBGMBNA752E
02144-0031
C00401224
31.40
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Portillo, Alexia, , ,1056 Trestle Glen
03 23 2018
Oakland CA 94610-2547Transaction ID : VVBGMBNVG04
2508.45
MommyLexi.com Founder
2018
✘5016.90 0.2825 Bitcoins Not Liquidated
Portillo, Daniel, , ,656 Trestle Glen Rd
03 21 2018
Oakland CA 94610-2310Transaction ID : VVBGMBNAJC2
1000.00
Greylock Partner
2018
✘
1000.00
3508.45
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663026
119 287
✘
Brian Forde for Congress
Powell, Ben, , ,311 10th St NE
03 30 2018
Washington DCTransaction ID : VVBGMBNA957
20002-6203
250.00
Agora Partnerships Entrepreneur
2018
✘750.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA957E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Proffer, Sterling, , ,12 Conselyea St# 3 03 30 2018
Brooklyn NY 11211-2202Transaction ID : VVBGMBNAKV1
2700.00
VICE Media Business Development
2018
✘
2700.00
2950.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663027
120 287
✘
Brian Forde for Congress
Puccianti, Liz, , ,371 27th Ave
03 21 2018
San Francisco CATransaction ID : VVBGMBNQXW4
94121-1811
200.00
Incite Fusion Founder
2018
✘2750.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 25 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNQXW4E
C00401224
200.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Puccianti, Liz, , ,371 27th Ave
03 21 2018
San Francisco CA 94121-1811Transaction ID : VVBGMBNTC28
50.00
Incite Fusion Founder
2018✘
2750.00 * Earmarked Contribution: See Below
250.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663028
121 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 25 2018
West Somerville MATransaction ID : VVBGMBNTC28E
02144-0031
C00401224
50.00
Conduit total listed in Agg. field
2018✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Pucker, Abigail, , ,2430 N Lakeview Ave
03 26 2018
Chicago IL 60614-2877Transaction ID : VVBGMBNAJD0
2550.00
Catalyte Business development
2018
✘2850.00
Pucker, Abigail, , ,2430 N Lakeview Ave
03 26 2018
Chicago IL 60614-2877Transaction ID : VVBGMBNTC93
150.00
Catalyte Business development
2018✘
2850.00
2700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663029
122 287
✘
Brian Forde for Congress
Rafiei, Melahat, , ,785 N Victoria Dr
03 28 2018
Orange CATransaction ID : VVBGMBNAJT0
92867-7143
150.00
Progressive Solutions Consulting President
2018
✘400.00
Rajaraman, Lavanya, , ,2 Ph
03 23 2018
Irvine CA 92620Transaction ID : VVBGMBNAFD3
2700.00
Not Employed Not Employed
2018
✘2700.00
Rasiej, Andrew, , ,31 Union Sq W
03 12 2018
New York NY 10003-3203Transaction ID : VVBGMBNAGP5
100.00
NY Tech Meetup Philanthropy
2018
✘
350.00
2950.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663030
123 287
✘
Brian Forde for Congress
Rebassoo, Vaho, , ,2020 E Galer St
03 23 2018
Seattle WATransaction ID : VVBGMBNAFF9
98112-3419
2200.00
retired retired
2018
✘2700.00
Rebassoo, Vaho, , ,2020 E Galer St
03 23 2018
Seattle WA 98112-3419Transaction ID : VVBGMBNAFK9
500.00
retired retired
2018
✘2700.00
Reed, Norman, M., ,1519 Pershing DrApt B 03 31 2018
San Francisco CA 94129-3313Transaction ID : VVBGMBNQYJ8
300.00
Carta General Counsel
2018
✘
300.00
3000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663031
124 287
✘
Brian Forde for Congress
Reich, David, , ,671 Rhode Island St
03 22 2018
San Francisco CATransaction ID : VVBGMBNAM42
94107-2627
125.00
Uber Business
2018
✘1625.00
Reum, Courtney, , ,215 S La Cienega BlvdSte 200 03 31 2018
Beverly Hills CA 90211-3322Transaction ID : VVBGMBNAE08
1000.00
M13 Investor
2018✘
3700.00
Rhinehart, Scott, , ,23572 Valarta Ln
03 30 2018
Mission Viejo CA 92691-3424Transaction ID : VVBGMBNAKT3
250.00
Robert Puleo Design, Inc. Director of Business Services
2018
✘
250.00
1375.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663032
125 287
✘
Brian Forde for Congress
Richard, Paloma, , ,104 Esworthy Pl
03 30 2018
North Potomac MDTransaction ID : VVBGMBNAK65
20878-8723
100.00
National Nuclear Security Administrati Program Analyst/Program Manager
2018
✘600.00
Riedel, Daniel, , ,346 1st StApt 303 03 31 2018
San Francisco CA 94105-2639Transaction ID : VVBGMBNAEF6
250.00
New Context CEO
2018
✘750.00
Romo, Lisa, , ,2136 Essex St
02 04 2018
Berkeley CA 94705-1815Transaction ID : VVBGMBNA260
250.00
Cal. State Public Defender Attorney
2018
✘
250.00 * Earmarked Contribution: See Below
600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663033
126 287
✘
Brian Forde for Congress
ActBluePO Box 441146
02 04 2018
West Somerville MATransaction ID : VVBGMBNA260E
02144-0031
C00401224
250.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Ross, Denice, , ,2241 Highland Ave
03 30 2018
Falls Church VA 22046-2209Transaction ID : VVBGMBNA9C1
100.00
New America New America
2018
✘350.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9C1E
C00401224
100.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
100.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663034
127 287
✘
Brian Forde for Congress
Roszack, Katherine, , ,250 White Oak Ln
01 18 2018
Winnetka ILTransaction ID : VVBGMBNVFG7
60093-3630
2700.00
Information Requested Information Requested
2018
✘10800.00 0.24 Bitcoins Not Liquidated
Roszack, Katherine, , ,250 White Oak Ln
01 18 2018
Winnetka IL 60093-3630Transaction ID : VVBGMESR583
2700.00
Information Requested Information Requested
2018✘
10800.00 0.24 Bitcoins Not Liquidated
Rubenstein, Elizabeth, , ,957 Micheltorena St
03 31 2018
Los Angeles CA 90026-2721Transaction ID : VVBGMBNAC12
1000.00
21St Century Fox Svp Social Impact
2018
✘
1500.00 * Earmarked Contribution: See Below
6400.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663035
128 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAC12E
02144-0031
C00401224
1000.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Rubin, James, , ,120 E 80th St
03 16 2018
New York NY 10075-0306Transaction ID : VVBGMBNAG69
1000.00
Meridiam NA investor
2018
✘1000.00
Sachs, Philippe, , ,1787 Churchill Downs
03 31 2018
West Chester PA 19380-6447Transaction ID : VVBGMBNAER7
1000.00
safari Kid U.K. Ltd Education
2018
✘
1000.00
2000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663036
129 287
✘
Brian Forde for Congress
Sareen, Anil, , ,32 Rimani Dr
03 31 2018
Mission Viejo CATransaction ID : VVBGMBNAAX8
92692-5105
27.00
N/A Not Employed
2018
✘277.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAAX8E
C00401224
27.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Savage, Erika, , ,6454 Ivarene Ave
03 12 2018
Los Angeles CA 90068-2824Transaction ID : VVBGMBNAH04
500.00
Universal Music SVP Strategic Development
2018
✘
500.00
527.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663037
130 287
✘
Brian Forde for Congress
Schappa, Caleb, , ,1600 S Bayshore Ln
Apt 4C 01 30 2018
Miami FLTransaction ID : VVBGMBNA1Z4
33133-4029
50.00
SE Engineer
2018✘
2950.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA1Z4E
C00401224
50.00
Conduit total listed in Agg. field✘
2018✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Schappa, Caleb, , ,1600 S Bayshore LnApt 4C 02 28 2018
Miami FL 33133-4029Transaction ID : VVBGMBNA7E3
50.00
SE Engineer
2018✘
3000.00 * Earmarked Contribution: See Below
100.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663038
131 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 04 2018
West Somerville MATransaction ID : VVBGMBNA7E3E
02144-0031
C00401224
50.00
Conduit total listed in Agg. field
2018✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Schappa, Caleb, , ,1600 S Bayshore LnApt 4C 03 30 2018
Miami FL 33133-4029Transaction ID : VVBGMBNACX1
50.00
SE Engineer
2018✘
3050.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNACX1E
C00401224
50.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
50.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663039
132 287
✘
Brian Forde for Congress
Schaumburg, John, , ,3410 NW Luray Ter
02 03 2018
Portland ORTransaction ID : VVBGMFK50P0
97210-2727
220.00
Retired Retired
2018
✘220.00
Schmidt, Ben, , ,1450 Market StApt 532 03 15 2018
San Diego CA 92101-4163Transaction ID : VVBGMBNVFZ6
2685.88
Swarm Technologies Computer Scientist
2018
✘5371.76 4.45251 Etherium Not Liquidated
Schoenrock, Anderson, , ,12401 Brooks Xing
03 30 2018
Fishers IN 46037-9547Transaction ID : VVBGMBNAKZ3
100.00
Memory Ventures CEO
2018
✘
1350.00
3005.88
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663040
133 287
✘
Brian Forde for Congress
Schulze, Gary, , ,31 West 100 Street
03 09 2018
New York NYTransaction ID : VVBGMBNAH62
10025-4842
250.00
MTA Retired
2018
✘350.00
Scott, Anthony, , ,1639 19th St NW
03 29 2018
Washington DC 20009-2284Transaction ID : VVBGMBNACG9
250.00
Tonyscottgroup Llc Self Employed
2018
✘1250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNACG9E
C00401224
250.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663041
134 287
✘
Brian Forde for Congress
Sefton, Gloria, , ,PO Box 714
03 02 2018
Trabuco Canyon CATransaction ID : VVBGMBNA7P6
92678-0714
250.00
AcuFocus Inc. Attorney
2018
✘775.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA7P6E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Sefton, Gloria, , ,PO Box 714
03 25 2018
Trabuco Canyon CA 92678-0714Transaction ID : VVBGMBNAFW0
1500.00
AcuFocus Inc. Attorney
2018
✘
2275.00
1750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663042
135 287
✘
Brian Forde for Congress
Seilsopour, James, , ,12 Woodfall
03 03 2018
Irvine CATransaction ID : VVBGMBNAHC9
92604-4621
500.00
State Farm Insurance
2018
✘1000.00
Seilsopour, James, , ,12 Woodfall
03 21 2018
Irvine CA 92604-4621Transaction ID : VVBGMBNAMP4
1700.00
State Farm Insurance
2018
✘2700.00
Selkis, Ryan, , ,800 Madison StApt 238 03 29 2018
Hoboken NJ 07030-6493Transaction ID : VVBGMBNVGR3
500.00
Messari, Inc. CEO
2018
✘
1000.00 0.06732465 Bitcoins Not Liquidated
2700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663043
136 287
✘
Brian Forde for Congress
Shah, Kunal, , ,16551 Manassas St
02 02 2018
San Diego CATransaction ID : VVBGMFK49K5
92127-4409
300.00
ZS Associates Consultant
2018
✘300.00
Shah, Sonal, , ,1308 Clifton St NWApt 406 03 29 2018
Washington DC 20009-7031Transaction ID : VVBGMBNAF26
100.00
Georgetown University Professor
2018
✘1100.00
Shaw, Jeanette, , ,10505 SW Naeve St
03 23 2018
Portland OR 97224-3516Transaction ID : VVBGMBNAFN4
250.00
Forth Government Relations
2018
✘
250.00
650.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663044
137 287
✘
Brian Forde for Congress
Shelton, James, , ,525 28th St
03 31 2018
San Francisco CATransaction ID : VVBGMBNAE99
94131-2219
500.00
CZI Manager
2018
✘750.00
Shen, Clarissa, , ,675 Greer Rd
03 11 2018
Palo Alto CA 94303-3020Transaction ID : VVBGMBNAH20
250.00
Udacity Executive
2018
✘250.00
Sherman, Scott, , ,8 Weatherly Dr
03 30 2018
Coto De Caza CA 92679-8607Transaction ID : VVBGMBNAK57
2000.00
Ingram Micro Human Resources Leader
2018
✘
2000.00
2750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663045
138 287
✘
Brian Forde for Congress
Silverman, Gregory, , ,4006 Longridge Ave
03 31 2018
Van Nuys CATransaction ID : VVBGMBNAC54
91423-4926
250.00
Stampede Ventures Ceo/Founder
2018
✘250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAC54E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Simon, Jerome, , ,168 Jersey St
03 19 2018
San Francisco CA 94114-3837Transaction ID : VVBGMBNANB0
1000.00
Lonestar Capital Management LLC Finance
2018
✘
1000.00
1250.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663046
139 287
✘
Brian Forde for Congress
Singh, Narender, , ,2269 Chestnut St
Ste 245 01 01 2018
San Francisco CATransaction ID : VVBGMABAEW0
94123-2600
200.00
Intellidex CEO
2018
✘450.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
01 07 2018
West Somerville MA 02144-0031Transaction ID : VVBGMABAEW0E
C00401224
200.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Sinkula, Michael, , ,3720 Fillmore StApt 301 02 25 2018
San Francisco CA 94123-1253Transaction ID : VVBGMBD7KR8
100.00
Zenlabs Founder
2018
✘
300.00
300.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663047
140 287
✘
Brian Forde for Congress
Sirgutz, Brian, , ,c/o Grand Central Tech 3rd fl.
03 31 2018
New York NYTransaction ID : VVBGMBNABQ3
10017
250.00
SE Entrerprenur
2018
✘250.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNABQ3E
C00401224
250.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Snyder, Kiaran, , ,827 Milwood Ave
03 30 2018
Venice CA 90291-3830Transaction ID : VVBGMBNACV5
2700.00
Mgm Writer
2018
✘
5400.00 * Earmarked Contribution: See Below
2950.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663048
141 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNACV5E
02144-0031
C00401224
2700.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Snyder, Kiaran, , ,827 Milwood Ave
03 30 2018
Venice CA 90291-3830Transaction ID : VVBGMBNTMX6
2700.00
Mgm Writer
2018✘
5400.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNTMX6E
C00401224
2700.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
2700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663049
142 287
✘
Brian Forde for Congress
Sperling, Gene, , ,3255 O St NW
02 21 2018
Washington DCTransaction ID : VVBGMBCDVE1
20007-2843
500.00
Self-employed Economic advisor
2018
✘500.00
Spiegelman, Michael, , ,290 San Carlos StApt 5 03 15 2018
San Francisco CA 94110-1775Transaction ID : VVBGMBNAGA0
500.00
Netflix Director of Product Innovation
2018
✘2500.00
Steinberg, Beth, , ,2040 Filbert St
03 30 2018
San Francisco CA 94123-3506Transaction ID : VVBGMBNAD05
500.00
Chief People Officer Zenefits
2018
✘
1500.00 * Earmarked Contribution: See Below
1500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663050
143 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAD05E
02144-0031
C00401224
500.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Stoneman, Jesse, , ,652 Lyon St
03 20 2018
San Francisco CA 94117-1307Transaction ID : VVBGMBNAMW2
250.00
Pathlight Biz Ops & Strategy
2018
✘250.00
Strang, Jo, , ,1764 Hobart St NW
03 30 2018
Washington DC 20009-2908Transaction ID : VVBGMBNAKP2
500.00
ASLRRA Executive
2018
✘
2700.00
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663051
144 287
✘
Brian Forde for Congress
Sullivan, Nick, , ,340 S Lemon Ave
# 1508 01 18 2018
Walnut CATransaction ID : VVBGMBNVG95
91789-2706
990.09
N/A N/A
2018
✘1980.18 0.08572099 Bitcoins Not Liquidated
Summers, Larry, , ,207 Fisher Ave
03 31 2018
Brookline MA 02445-4223Transaction ID : VVBGMBNA9Q7
1000.00
Harvard Professor
2018
✘1000.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA9Q7E
C00401224
1000.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
1990.09
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663052
145 287
✘
Brian Forde for Congress
Swett, Clinton, , ,544 Union Ave
Apt 5I 01 09 2018
Brooklyn NYTransaction ID : VVBGMCDG6G6
11211-1380
100.00
Self Employed Auctioneer
2018
✘600.00
Swett, Clinton, , ,544 Union AveApt 5I 01 09 2018
Brooklyn NY 11211-1380Transaction ID : VVBGMNK9HC6
500.00
Self Employed Auctioneer
2018
✘600.00
Swieskowski, Patrick, , ,47 Grand StApt 4 02 10 2018
Brooklyn NY 11249-4214Transaction ID : VVBGMABDPP2
150.00
Secure by Design Inc Programmer
2018
✘
350.00
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663053
146 287
✘
Brian Forde for Congress
Switzer, James, , ,1225 Park Ave
# 5E 03 13 2018
New York NYTransaction ID : VVBGMBNAGK1
10128-1758
250.00
Flybridge Venture Capital
2018
✘250.00
Syed, Naveed, , ,3511 Shadow Creek Dr
03 31 2018
Danville CA 94506-1245Transaction ID : VVBGMBNAET3
100.00
Old Towne Arco Business Owner
2018
✘350.00
Tatham, Casey, B, ,240 Centre St
03 31 2018
New York NY 10013-3215Transaction ID : VVBGMBNAAT4
250.00
Green Bay Advisors LLC Executive
2018
✘
750.00 * Earmarked Contribution: See Below
600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663054
147 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAAT4E
02144-0031
C00401224
250.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Trivas, Jonathan, , ,2800 Neilson Way
03 20 2018
Santa Monica CA 90405-4025Transaction ID : VVBGMBNAMX0
250.00
Self Entrepreneur
2018
✘250.00
Troy, James, , ,300 Linden St
01 18 2018
San Francisco CA 94102-5177Transaction ID : VVBGMNPDAM2
500.00
Stephens Banker
2018
✘
500.00
750.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663055
148 287
✘
Brian Forde for Congress
Tsao, Thomas, , ,10190 Cedar Pond Dr
03 19 2018
Vienna VATransaction ID : VVBGMBNANA2
22182-2903
2700.00
Gobi Venture Capital
2018
✘2700.00
Uphoff, Rachel, , ,2831 W Girard Ave
03 30 2018
Philadelphia PA 19130-1249Transaction ID : VVBGMBNAKK8
1000.00
HCRC Recruiter
2018
✘2000.00
Valentine, Kelsey, , ,1945 Clay StApt 3 01 04 2018
San Francisco CA 94109-3430Transaction ID : VVBGMABAEZ3
20.18
Fabric Genomics Business Development
2018
✘
540.36 * Earmarked Contribution: See Below
3720.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663056
149 287
✘
Brian Forde for Congress
ActBluePO Box 441146
01 07 2018
West Somerville MATransaction ID : VVBGMABAEZ3E
02144-0031
C00401224
20.18
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Valentine, Kelsey, , ,1945 Clay StApt 3 02 04 2018
San Francisco CA 94109-3430Transaction ID : VVBGMBNA202
20.18
Fabric Genomics Business Development
2018
✘560.54 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA202E
C00401224
20.18
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
20.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663057
150 287
✘
Brian Forde for Congress
Valentine, Kelsey, , ,1945 Clay St
Apt 3 03 04 2018
San Francisco CATransaction ID : VVBGMBNA7Q4
94109-3430
20.18
Fabric Genomics Business Development
2018
✘580.72 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA7Q4E
C00401224
20.18
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Van Horn, Todd, , ,95 Bear Gulch Dr
03 28 2018
Portola Valley CA 94028-7904Transaction ID : VVBGMBNAJW6
250.00
Syneron Candela Corporate Executive
2018
✘
250.00
270.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663058
151 287
✘
Brian Forde for Congress
Van, Mr., , ,3530 Pansy Dr
03 29 2018
Calabasas CATransaction ID : VVBGMBNA8G1
91302-2036
600.00
M&A Capital Llc Investment Banking
2018
✘950.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA8G1E
C00401224
600.00
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Vizcaino, Paul, , ,411 S Main StUnit 611 03 19 2018
Los Angeles CA 90013-1335Transaction ID : VVBGMBNAHG1
500.00
Self Employed Public Affairs
2018
✘
500.00
1100.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663059
152 287
✘
Brian Forde for Congress
Wachsman, David, , ,75 Wall St
Apt 29M 03 29 2018
New York NYTransaction ID : VVBGMBNTQS1
10005-3161
5400.00
Wachsman PR LLC CEO
2018
✘16200.00 0.68075836 Bitcoins, Not Liquidated
Weinstein, Elaine, , ,27356 BellogenteApt 271 03 31 2018
Mission Viejo CA 92691-6345Transaction ID : VVBGMBNQYK5
500.00
N/A Retired
2018
✘1000.00
Weinstein, Jason, , ,8015 Aberdeen Rd
03 31 2018
Bethesda MD 20814-1120Transaction ID : VVBGMBNAAQ0
1000.00
Steptoe And Johnson Attorney
2018
✘
1000.00 * Earmarked Contribution: See Below
6900.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663060
153 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNAAQ0E
02144-0031
C00401224
1000.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Weisman, Robin, Mahler, ,77 Evans Rd
03 31 2018
Brookline MA 02445-2117Transaction ID : VVBGMBNAEC3
100.00
Kajko, Weisman & Colasanti, LLP Lawyer
2018
✘600.00
Westly, Steve, , ,325 Sharon Park Dr# 109 03 17 2018
Menlo Park CA 94025-6805Transaction ID : VVBGMBNAHW5
500.00
Westly Group Venture Capitalist
2018
✘
500.00
600.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663061
154 287
✘
Brian Forde for Congress
Whigham, Jack, , ,2000 Avenue Of The Stars
02 16 2018
Los Angeles CATransaction ID : VVBGMBNA489
90067-4700
20.18
CAA Talent Agent
2018
✘220.18 * Earmarked Contribution: See Below
ActBluePO Box 441146
02 18 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA489E
C00401224
20.18
Conduit total listed in Agg. field✘
2018
✘41852.33 Note: Above Contribution earmarked through this
organization.
Whigham, Jack, , ,2000 Avenue Of The Stars
02 16 2018
Los Angeles CA 90067-4700Transaction ID : VVBGMBNA497
200.00
CAA Talent Agent
2018
✘
220.18 * Earmarked Contribution: See Below
220.18
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663062
155 287
✘
Brian Forde for Congress
ActBluePO Box 441146
02 18 2018
West Somerville MATransaction ID : VVBGMBNA497E
02144-0031
C00401224
200.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Whigham, Jack, , ,2000 Avenue Of The Stars
02 26 2018
Los Angeles CA 90067-4700Transaction ID : VVBGMBNA7F1
500.00
CAA Talent Agent
2018
✘720.18 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 04 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNA7F1E
C00401224
500.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
500.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663063
156 287
✘
Brian Forde for Congress
Whigham, John, , ,2000 Avenue Of The Stars
03 14 2018
Los Angeles CATransaction ID : VVBGMBNAGF0
90067-4700
500.00
Creative Artists Agency Talent Agent
2018
✘500.00
Whigham, John, , ,2000 Avenue Of The Stars
03 31 2018
Los Angeles CA 90067-4700Transaction ID : VVBGMBNAAP2
2200.00
Creative Artists Agency Talent Agent
2018
✘4600.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNAAP2E
C00401224
2200.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
2700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663064
157 287
✘
Brian Forde for Congress
Whigham, John, , ,2000 Avenue Of The Stars
03 31 2018
Los Angeles CATransaction ID : VVBGMBNTMV0
90067-4700
1900.00
Creative Artists Agency Talent Agent
2018✘
4600.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNTMV0E
C00401224
1900.00
Conduit total listed in Agg. field✘
2018✘
41852.33 Note: Above Contribution earmarked through thisorganization.
Willard, Richard, , ,43 E 30th St
03 11 2018
New York NY 10016-7313Transaction ID : VVBGMBNAH12
250.00
Agentic Group LLC Technology Executive
2018
✘
250.00
2150.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663065
158 287
✘
Brian Forde for Congress
Williams, Claudia, , ,1200 Lakeshore Ave
Apt 17A 02 24 2018
Oakland CATransaction ID : VVBGMBD5GR6
94606-1628
1000.00
Manifest MedEx CEO
2018
✘1000.00
Williams, Jeffrey, , ,1023 Keniston Ave
03 31 2018
Los Angeles CA 90019-1708Transaction ID : VVBGMBNABX0
50.00
Wargo & French Attorney
2018
✘300.00 * Earmarked Contribution: See Below
ActBluePO Box 441146
03 31 2018
West Somerville MA 02144-0031Transaction ID : VVBGMBNABX0E
C00401224
50.00
Conduit total listed in Agg. field
2018 ✘
✘
41852.33 Note: Above Contribution earmarked through thisorganization.
1050.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663066
159 287
✘
Brian Forde for Congress
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 26 2018
Hong KongTransaction ID : VVBGMBNAJG3
2400.00
Alibaba Group Business
2018
✘6401.54
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 26 2018
Hong KongTransaction ID : VVBGMBNVFY8
20.00
Alibaba Group Business
2018✘
6401.54 0.00248 Bitcoins Not Liquidated
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 26 2018
Hong KongTransaction ID : VVBGMBNVGS1
1980.77
Alibaba Group Business
2018✘
6401.54 0.24552 Bitcoins Not Liquidated
4400.77
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663067
160 287
✘
Brian Forde for Congress
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 31 2018
Hong KongTransaction ID : VVBGMBNADX4
300.00
Alibaba Group Business
2018
✘7401.54
Wong, Brian, , ,54 Kennedy Road, Ewan Court, Apt 1
03 31 2018
Hong KongTransaction ID : VVBGMBNTC43
700.00
Alibaba Group Business
2018✘
7401.54
Wong, Jason, , ,1229 Florida St
03 23 2018
San Francisco CA 94110-4112Transaction ID : VVBGMBNVFR0
2700.00
Unemployed Unemployed
2018
✘
6001.98 5.7 Etherium Not Liquidated
3700.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663068
161 287
✘
Brian Forde for Congress
Wong, Jason, , ,1229 Florida St
03 23 2018
San Francisco CATransaction ID : VVBGMET0BF6
94110-4112
300.99
Unemployed Unemployed
2018✘
6001.98 5.7 Etherium Not Liquidated
Wong, Nicole, , ,429 Vassar Ave
02 26 2018
Berkeley CA 94708-1215Transaction ID : VVBGMBDCN86
1000.00
Self Employed Consultant
2018
✘1000.00
Wulff, Katharine, , ,133 N Grant St
03 31 2018
Denver CO 80203-4846Transaction ID : VVBGMBNABV5
100.00
Children Now Policy
2018
✘
350.00 * Earmarked Contribution: See Below
1400.99
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663069
162 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNABV5E
02144-0031
C00401224
100.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
Yedor, James, , ,1622 Sierra Alta Dr
03 31 2018
Santa Ana CA 92705-8405Transaction ID : VVBGMBNQZ14
500.00
Dadman Farms Owner
2018
✘1100.00
Zacke, Gernot, , ,371 Union St
03 31 2018
San Francisco CA 94133-3519Transaction ID : VVBGMBNABZ6
27.00
Visor Founder
2018
✘
277.00 * Earmarked Contribution: See Below
527.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663070
163 287
✘
Brian Forde for Congress
ActBluePO Box 441146
03 31 2018
West Somerville MATransaction ID : VVBGMBNABZ6E
02144-0031
C00401224
27.00
Conduit total listed in Agg. field
2018✘
✘41852.33 Note: Above Contribution earmarked through this
organization.
0.00
341113.33
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663071
164 287
✘
Brian Forde for Congress
314 Action FundPO Box 14560
03 31 2018
Washington DCTransaction ID : VVBGMBNQZA5
20044-4560
C00633248
5000.00
2018
✘5000.00
5000.00
5000.00
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201809109121663072
165 287
✘
Brian Forde for Congress
State of California Employment Development Department
03 31 2018
Sacramento CATransaction ID : VVBGMBNQZ89
201.83
2018
✘328.76 Offset
201.83
201.83
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663073
166 287
✘
Brian Forde for Congress
270 Strategies
626 W Jackson Blvd 01 02 2018
Ste 600
Chicago IL 60661-5671
Consultant - Digital
2018 606.00
✘ Transaction ID : VVAHC9RN4P9
ActBlue Technical Services
PO Box 441146 01 05 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 75.46
Transaction ID : VVAHC9RT6E7✘
ActBlue Technical Services
PO Box 441146 01 09 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 592.78
✘ Transaction ID : VVAHC9RT6D9
1274.24
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663074
167 287
✘
Brian Forde for Congress
ActBlue Technical Services
PO Box 441146 01 18 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 21.18
✘ Transaction ID : VVAHC9RT6C2
ActBlue Technical Services
PO Box 441146 01 24 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 55.77
Transaction ID : VVAHC9RT6A6✘
ActBlue Technical Services
PO Box 441146 01 25 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 0.20
✘ Transaction ID : VVAHC9RT698
77.15
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663075
168 287
✘
Brian Forde for Congress
ActBlue Technical Services
PO Box 441146 02 05 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 7.12
✘ Transaction ID : VVAHC9RT680
ActBlue Technical Services
PO Box 441146 02 09 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 39.23
Transaction ID : VVAHC9RT672✘
ActBlue Technical Services
PO Box 441146 02 16 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 16.43
✘ Transaction ID : VVAHC9RT664
62.78
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663076
169 287
✘
Brian Forde for Congress
ActBlue Technical Services
PO Box 441146 03 02 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 28.67
✘ Transaction ID : VVAHC9RT648
ActBlue Technical Services
PO Box 441146 03 05 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 24.14
Transaction ID : VVAHC9RT630✘
ActBlue Technical Services
PO Box 441146 03 16 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 69.06
✘ Transaction ID : VVAHC9RP8B8
121.87
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663077
170 287
✘
Brian Forde for Congress
ActBlue Technical Services
PO Box 441146 03 26 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 5.55
✘ Transaction ID : VVAHC9RP9W5
ActBlue Technical Services
PO Box 441146 03 29 2018
West Somerville MA 02144-0031
Credit Card Processing Fee
2018 73.65
Transaction ID : VVAHC9RP8A0✘
Amazon
410 Terry Ave N 01 16 2018
Seattle WA 98109-5210
Office Supplies
2018 50.99
✘ Transaction ID : VVAHC9RC8Y0
130.19
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663078
171 287
✘
Brian Forde for Congress
Amazon
410 Terry Ave N 01 16 2018
Seattle WA 98109-5210
Office Supplies
2018 5.98
✘ Transaction ID : VVAHC9RC8Z8
Amazon
410 Terry Ave N 02 26 2018
Seattle WA 98109-5210
Office Supplies
2018 27.98
Transaction ID : VVAHC9RC906✘
Apollo Printing & Graphics
2100 W Lincoln Ave 01 12 2018
Anaheim CA 92801-5640
Printing
2018 255.00
✘ Transaction ID : VVAHC9RPMM4
288.96
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663079
172 287
✘
Brian Forde for Congress
Apollo Printing & Graphics
2100 W Lincoln Ave 01 16 2018
Anaheim CA 92801-5640
Printing
2018 253.58
✘ Transaction ID : VVAHC9RN7S9
Apollo Printing & Graphics
2100 W Lincoln Ave 01 29 2018
Anaheim CA 92801-5640
Printing
2018 189.64
Transaction ID : VVAHC9RN921✘
Apollo Printing & Graphics
2100 W Lincoln Ave 02 09 2018
Anaheim CA 92801-5640
Printing
2018 608.79
✘ Transaction ID : VVAHC9RNQ39
1052.01
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663080
173 287
✘
Brian Forde for Congress
Apollo Printing & Graphics
2100 W Lincoln Ave 02 23 2018
Anaheim CA 92801-5640
Printing
2018 432.08
✘ Transaction ID : VVAHC9RP0E5
Aruba Communications
3333 Scott Blvd 01 12 2018
Santa Clara CA 95054-3103
Software
2018 24.80
Transaction ID : VVAHC9RC914✘
Aruba Communications
3333 Scott Blvd 02 07 2018
Santa Clara CA 95054-3103
Software
2018 24.80
✘ Transaction ID : VVAHC9RC922
481.68
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663081
174 287
✘
Brian Forde for Congress
Aruba Communications
3333 Scott Blvd 03 09 2018
Santa Clara CA 95054-3103
Software
2018 24.80
✘ Transaction ID : VVAHC9RC939
Best Buy
16171 Lake Forest Dr 01 05 2018
Irvine CA 92618-4301
Office Supplies
2018 416.43
Transaction ID : VVAHC9RN5W7✘
Best Buy
16171 Lake Forest Dr 01 31 2018
Irvine CA 92618-4301
Office Supplies
2018 272.77
✘ Transaction ID : VVAHC9RNEY3
714.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663082
175 287
✘
Brian Forde for Congress
Best Buy
16171 Lake Forest Dr 02 05 2018
Irvine CA 92618-4301
Office Supplies
2018 218.24
✘ Transaction ID : VVAHC9RNPW4
Beth Krom Creative
7 Banyan Tree 01 02 2018
Irvine CA 92612-2231
Consultant - Research
2018 6500.00
Transaction ID : VVAHC9RN496✘
Beth Krom Creative
7 Banyan Tree 01 11 2018
Irvine CA 92612-2231
Reimbursement (vendors that aggregate over $200 listed below)
2018 1208.43
✘ Transaction ID : VVAHC9RPMK6
7926.67
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663083
176 287
✘
Brian Forde for Congress
See's Candy
75-77 East Orangethrope Ave 01 11 2018
Anaheim CA 92801
Gifts
2018 857.50
✘ Transaction ID : VVAHC9RPTB7
✘*
USPS
15642 Sand Canyon Ave 01 11 2018
Irvine CA 92619-5478
Postage
2018 298.98
Transaction ID : VVAHC9RPTE1✘
✘ *
Beth Krom Creative
7 Banyan Tree 02 05 2018
Irvine CA 92612-2231
Consultant - Research
2018 6500.00
✘ Transaction ID : VVAHC9RNPZ7
6500.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663084
177 287
✘
Brian Forde for Congress
California Democratic Party
1830 9th St 01 19 2018
Sacramento CA 95811-7012
Event Tickets
2018 350.00
✘ Transaction ID : VVAHC9RC947
California Democratic Party
1830 9th St 02 06 2018
Sacramento CA 95811-7012
Event Tickets
2018 145.00
Transaction ID : VVAHC9RC955✘
California Democratic Party
1830 9th St 02 06 2018
Sacramento CA 95811-7012
Event Tickets
2018 145.00
✘ Transaction ID : VVAHC9RC963
640.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663085
178 287
✘
Brian Forde for Congress
California Democratic Party
1830 9th St 02 08 2018
Sacramento CA 95811-7012
Event Tickets
2018 145.00
✘ Transaction ID : VVAHC9RC971
Cantrell, Colin, , ,
6835 E Camelback Rd 01 18 2018
Scottsdale AZ 85251-3119
0.519501990507495 Bitcoins Received, Not Liquidated
2018 5838.34
Transaction ID : VVAHC9RTHZ3✘
Cantrell, Wife, , ,
6835 E Camelback Rd 01 18 2018
Scottsdale AZ 85251-3119
0.24 Bitcoins Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9XDBR6
8683.34
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663086
179 287
✘
Brian Forde for Congress
Cantrell, Wife, , ,
6835 E Camelback Rd 01 18 2018
Scottsdale AZ 85251-3119
0.24 Bitcoins Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9XE1N8
Chu, Jehan, , ,
3 Grimal Ct 03 17 2018
Randolph NJ 07869-1409
0.34 Bitcoins Received, Not Liquidated
2018 2700.00
Transaction ID : VVAHC9RPWX3✘
Chu, Jehan, , ,
3 Grimal Ct 03 17 2018
Randolph NJ 07869-1409
0.34 Bitcoins Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RPWY1
8100.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663087
180 287
✘
Brian Forde for Congress
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 4.38
✘ Transaction ID : VVAHC9RC9B1
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 9.94
Transaction ID : VVAHC9RC9C9✘
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 22.24
✘ Transaction ID : VVAHC9RC9D6
36.56
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663088
181 287
✘
Brian Forde for Congress
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 52.62
✘ Transaction ID : VVAHC9RC9E4
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 52.67
Transaction ID : VVAHC9RC9F2✘
Coinbase
548 Market St 01 02 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 169.35
✘ Transaction ID : VVAHC9RC9G0
274.64
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663089
182 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 03 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 5.13
✘ Transaction ID : VVAHC9RPV19
Coinbase
548 Market St 03 03 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 10.19
Transaction ID : VVAHC9RPV51✘
Coinbase
548 Market St 03 03 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 55.04
✘ Transaction ID : VVAHC9RPVG8
70.36
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663090
183 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 03 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 9.78
✘ Transaction ID : VVAHC9RPVJ3
Coinbase
548 Market St 03 03 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 10.19
Transaction ID : VVAHC9RPVP5✘
Coinbase
548 Market St 03 05 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 114.13
✘ Transaction ID : VVAHC9RT8S7
134.10
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663091
184 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 05 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 55.04
✘ Transaction ID : VVAHC9RT8T5
Coinbase
548 Market St 03 12 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 3.00
Transaction ID : VVAHC9RPVH5✘
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 20.60
✘ Transaction ID : VVAHC9RPV27
78.64
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663092
185 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.20
✘ Transaction ID : VVAHC9RPV35
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 25.13
Transaction ID : VVAHC9RPV76✘
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 17.35
✘ Transaction ID : VVAHC9RPV92
42.68
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663093
186 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.41
✘ Transaction ID : VVAHC9RPVA0
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 5.01
Transaction ID : VVAHC9RPVB8✘
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 8.36
✘ Transaction ID : VVAHC9RPVD4
13.78
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663094
187 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 25.98
✘ Transaction ID : VVAHC9RPVE2
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.62
Transaction ID : VVAHC9RPVF0✘
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 15.57
✘ Transaction ID : VVAHC9RPVK1
42.17
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663095
188 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 3.17
✘ Transaction ID : VVAHC9RPVN7
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.80
Transaction ID : VVAHC9RPVQ3✘
Coinbase
548 Market St 03 27 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.42
✘ Transaction ID : VVAHC9RPVR1
4.39
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663096
189 287
✘
Brian Forde for Congress
Coinbase
548 Market St 03 28 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 0.80
✘ Transaction ID : VVAHC9RPVM9
Coinbase
548 Market St 03 28 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 22.59
Transaction ID : VVAHC9RT8V3✘
Coinbase
548 Market St 03 28 2018
# 23008
San Francisco CA 94104-5401
Transfer Fee
2018 6.54
✘ Transaction ID : VVAHC9RT8Y6
29.93
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663097
190 287
✘
Brian Forde for Congress
Community Action Fund of PPOSBC
03 09 2018
Orange County CA
Contribution
2018 1475.00
✘ Transaction ID : VVAHC9RP8J3
Cox Communications
2 Martin Luther King Jr Dr SW 02 21 2018
Atlanta GA 30334-9000
Telecommunications
2018 851.24
Transaction ID : VVAHC9RNY01✘
Credit Stripe
185 Berry St 03 02 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 1.32
✘ Transaction ID : VVAHC9RP8H5
2327.56
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663098
191 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 05 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 0.90
✘ Transaction ID : VVAHC9RP9V7
Credit Stripe
185 Berry St 03 06 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 12.30
Transaction ID : VVAHC9RPX15✘
Credit Stripe
185 Berry St 03 07 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 21.60
✘ Transaction ID : VVAHC9RT6J9
34.80
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663099
192 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 09 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 19.85
✘ Transaction ID : VVAHC9RT6K7
Credit Stripe
185 Berry St 03 12 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 12.60
Transaction ID : VVAHC9RT6M5✘
Credit Stripe
185 Berry St 03 13 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 12.60
✘ Transaction ID : VVAHC9RT6N3
45.05
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663100
193 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 14 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 132.80
✘ Transaction ID : VVAHC9RT6P1
Credit Stripe
185 Berry St 03 15 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 23.30
Transaction ID : VVAHC9RT6Q8✘
Credit Stripe
185 Berry St 03 16 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 26.65
✘ Transaction ID : VVAHC9RT6R6
182.75
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663101
194 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 19 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 195.84
✘ Transaction ID : VVAHC9RT6S4
Credit Stripe
185 Berry St 03 20 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 81.30
Transaction ID : VVAHC9RT6T2✘
Credit Stripe
185 Berry St 03 21 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 254.74
✘ Transaction ID : VVAHC9RT6V0
531.88
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663102
195 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 22 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 40.12
✘ Transaction ID : VVAHC9RT6W8
Credit Stripe
185 Berry St 03 23 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 192.23
Transaction ID : VVAHC9RT6X6✘
Credit Stripe
185 Berry St 03 26 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 145.63
✘ Transaction ID : VVAHC9RT6Y4
377.98
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663103
196 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 27 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 398.78
✘ Transaction ID : VVAHC9RT6Z2
Credit Stripe
185 Berry St 03 28 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 301.81
Transaction ID : VVAHC9RT700✘
Credit Stripe
185 Berry St 03 29 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 42.57
✘ Transaction ID : VVAHC9RT717
743.16
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663104
197 287
✘
Brian Forde for Congress
Credit Stripe
185 Berry St 03 30 2018
Ste 550
San Francisco CA 94107-9105
Credit Card Processing Fee
2018 210.00
✘ Transaction ID : VVAHC9RT725
Democratic Party of Orange County
2050 BRISTOL St 02 27 2018
Costa Mesa CA 92626
Event tickets
2018 240.00
Transaction ID : VVAHC9RP165✘
Ellwood, Andy, , ,
102 Christopher St 03 05 2018
Apt 2G
New York NY 10014-4237
0.02203519 Bitcoins Received, Not Liquidated
2018 250.00
✘ Transaction ID : VVAHC9RPW61
700.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663105
198 287
✘
Brian Forde for Congress
1 Hacker Way 01 02 2018
Menlo Park CA 94025-1456
Advertisement
2018 100.00
✘ Transaction ID : VVAHC9RC9H8
1 Hacker Way 03 26 2018
Menlo Park CA 94025-1456
Advertisement
2018 25.00
Transaction ID : VVAHC9RP6Q9✘
FedEx
3992 Barranca Pkwy 01 11 2018
Irvine CA 92606-8223
Shipping
2018 161.63
✘ Transaction ID : VVAHC9RPTA9*
✘
125.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663106
199 287
✘
Brian Forde for Congress
Fenton, Bruce, , ,
10 Lyman St 01 18 2018
Duxbury MA 02332-3018
0.08924619 Bitcoins Received, Not Liquidated
2018 1002.97
✘ Transaction ID : VVAHC9RPWE5
First Data
5565 Glenridge Connector NE 01 03 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 1428.37
Transaction ID : VVAHC9RC9J6✘
First Data
5565 Glenridge Connector NE 01 03 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 1290.27
✘ Transaction ID : VVAHC9RC9K4
3721.61
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663107
200 287
✘
Brian Forde for Congress
First Data
5565 Glenridge Connector NE 01 03 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 120.75
✘ Transaction ID : VVAHC9RC9M2
First Data
5565 Glenridge Connector NE 01 03 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 52.60
Transaction ID : VVAHC9RC9N0✘
First Data
5565 Glenridge Connector NE 02 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 1702.13
✘ Transaction ID : VVAHC9RC9P8
1875.48
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663108
201 287
✘
Brian Forde for Congress
First Data
5565 Glenridge Connector NE 02 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 402.10
✘ Transaction ID : VVAHC9RC9Q5
First Data
5565 Glenridge Connector NE 02 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 31.69
Transaction ID : VVAHC9RC9R3✘
First Data
5565 Glenridge Connector NE 03 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 759.60
✘ Transaction ID : VVAHC9RC9S1
1193.39
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663109
202 287
✘
Brian Forde for Congress
First Data
5565 Glenridge Connector NE 03 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 389.92
✘ Transaction ID : VVAHC9RC9T9
First Data
5565 Glenridge Connector NE 03 05 2018
Ste 2000
Atlanta GA 30342-1651
Credit Card Processing Fee
2018 38.93
Transaction ID : VVAHC9RC9V7✘
Forde, Brian, , ,
21886 Huron Ln 01 25 2018
Lake Forest CA 92630-1903
Reimbursement (vendors that aggregate over $200 listed below)H8CA45189
Forde, Brian, , ,✘ 2018 8903.61
✘ Transaction ID : VVAHC9RP8G7
CA 45
9332.46
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663110
203 287
✘
Brian Forde for Congress
Basecamp
30 N Racine Ave 01 25 2018
Ste 200
Chicago IL 60607-2184
Software
2018 245.00
✘ Transaction ID : VVAHC9RPTQ2
✘*
Github
88 Colin P Kelly Jr St 01 25 2018
San Francisco CA 94107-2008
Software
2018 380.22
Transaction ID : VVAHC9RPTK0✘
✘ *
1600 Amphitheatre Pkwy 01 25 2018
Mountain View CA 94043-1351
Software
2018 326.39
✘ Transaction ID : VVAHC9RPTS6*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663111
204 287
✘
Brian Forde for Congress
Jet Blue
6322 S 3000 E 01 25 2018
Ste G10
Salt Lake City UT 84121-6945
Transportation
2018 327.19
✘ Transaction ID : VVAHC9RPTR8
✘*
Lyft
185 Berry St 01 25 2018
San Francisco CA 94107-5705
Transportation
2018 258.92
Transaction ID : VVAHC9RPTN6✘
✘ *
Orange County Young Democrats
249 E Ocean Blvd 01 25 2018
Ste 685
Long Beach CA 90802-4849
Event tickets
2018 500.00
✘ Transaction ID : VVAHC9RPTV2*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663112
205 287
✘
Brian Forde for Congress
RevUp
805 Veterans Blvd 01 25 2018
Ste 300
Redwood City CA 94063-1737
Software
2018 1000.00
✘ Transaction ID : VVAHC9RPTT4
✘*
United Airlines
233 S Wacker Dr 01 25 2018
Chicago IL 60606-7147
Transportation
2018 748.06
Transaction ID : VVAHC9RPTP4✘
✘ *
WeWork
200 Spectrum Center Dr 01 25 2018
Ste 300
Irvine CA 92618-5004
Office Space
2018 4800.00
✘ Transaction ID : VVAHC9RPTW0*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663113
206 287
✘
Brian Forde for Congress
Friedman, Graham, , ,
82 Graham Ave 03 31 2018
Brooklyn NY 11206-3311
5.07923608 Etherium Received, Not Liquidated
2018 2000.05
✘ Transaction ID : VVAHC9RPWK4
Garvey Shubert Barer
1000 Potomac St NW 01 02 2018
Ste 200
Washington DC 20007-3568
Legal Fees
2018 1508.00
Transaction ID : VVAHC9RN310✘
Garvey Shubert Barer
1000 Potomac St NW 01 02 2018
Ste 200
Washington DC 20007-3568
Legal Fees
2018 1624.00
✘ Transaction ID : VVAHC9RN344
5132.05
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663114
207 287
✘
Brian Forde for Congress
Garvey Shubert Barer
1000 Potomac St NW 03 05 2018
Ste 200
Washington DC 20007-3568
Legal Fees
2018 796.00
✘ Transaction ID : VVAHC9RP1T1
Glass, Robin, , ,
2516 Carmelita Ave 01 10 2018
Belmont CA 94002-1530
0.00014456 Bitcoins Received, Not Liquidated
2018 2700.00
Transaction ID : VVAHC9XDBP0✘
Glass, Russell, , ,
2516 Carmelita Ave 01 10 2018
Belmont CA 94002-1530
0.00014456 Bitcoins Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RTHY6
6196.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663115
208 287
✘
Brian Forde for Congress
1600 Amphitheatre Pkwy 01 02 2018
Mountain View CA 94043-1351
Email Service
2018 500.00
✘ Transaction ID : VVAHC9RC9W5
1600 Amphitheatre Pkwy 01 29 2018
Mountain View CA 94043-1351
Email Service
2018 225.57
Transaction ID : VVAHC9RC9X3✘
1600 Amphitheatre Pkwy 03 01 2018
Mountain View CA 94043-1351
Email Service
2018 56.03
✘ Transaction ID : VVAHC9RC9Y1
781.60
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663116
209 287
✘
Brian Forde for Congress
Grossblatt, David, , ,
2030 3rd St 03 22 2018
Apt 16
San Francisco CA 94107-4317
5.5 Etherium Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RPWN0
Grossblatt, David, , ,
2030 3rd St 03 22 2018
Apt 16
San Francisco CA 94107-4317
5.5 Etherium Received, Not Liquidated
2018 259.05
Transaction ID : VVAHC9RPWP8✘
Hansen, Jason, Dax, ,
15177 Skogen Ln NE 03 07 2018
Bainbridge Island WA 98110-3057
0.10416667 Bitcoins Received, Not Liquidated
2018 1000.00
✘ Transaction ID : VVAHC9RPWD7
3959.05
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663117
210 287
✘
Brian Forde for Congress
Harrington, Adam, , ,
79 Madison Ave 01 18 2018
New York NY 10016-7802
0.04501431 Bitcoins Received, Not Liquidated
2018 500.00
✘ Transaction ID : VVAHC9RPWA3
Hauter, Ariel, , ,
93 Allen St 01 18 2018
New York NY 10002-3034
0.02607948 Bitcoins Received, Not Liquidated
2018 250.10
Transaction ID : VVAHC9RTJ19✘
Herbert, Stacy, , ,
554 Weathersfield 01 18 2018
Pittsboro NC 27312-8717
0.08932623 Bitcoins Received, Not Liquidated
2018 1003.87
✘ Transaction ID : VVAHC9RPWF2
1753.97
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663118
211 287
✘
Brian Forde for Congress
Jain, Pranav, , ,
2950 26th St 02 21 2018
Apt 6
San Francisco CA 94110-4845
0.00028755 Bitcoins Received, Not Liquidated
2018 3.00
✘ Transaction ID : VVAHC9RPVT7
Jain, Pranav, , ,
2950 26th St 02 21 2018
Apt 6
San Francisco CA 94110-4845
0.00028912 Bitcoins Received, Not Liquidated
2018 3.00
Transaction ID : VVAHC9XDF63✘
Jain, Pranav, , ,
2950 26th St 03 01 2018
Apt 6
San Francisco CA 94110-4845
Reimbursements
2018 696.34
✘ Transaction ID : VVAHC9RP8E2
702.34
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663119
212 287
✘
Brian Forde for Congress
United Airlines
233 S Wacker Dr 03 01 2018
Chicago IL 60606-7147
Transportation
2018 433.20
✘ Transaction ID : VVAHC9RPTX7
✘*
Kimpton Solamar Hotel
435 6th Ave 02 27 2018
San Diego CA 92101-7007
Travel
2018 214.62
Transaction ID : VVAHC9RP181✘
Koehn, Garrett, , ,
119 Marguerite Ave 01 23 2018
Mill Valley CA 94941-1039
1.09 Etherium Received, Not Liquidated
2018 1066.53
✘ Transaction ID : VVAHC9RPWG0
1281.15
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663120
213 287
✘
Brian Forde for Congress
Kuchar, David, , ,
585 Page St 03 23 2018
Apt 3
San Francisco CA 94117-3435
3.8 Etherium Received, Not Liquidated
2018 1995.03
✘ Transaction ID : VVAHC9RPWJ6
Le, Gary, , ,
3409 Ave Isla Verde 03 31 2018
Apt 1503
Carolina PR 00979-4901
0.997 Etherium Received, Not Liquidated
2018 395.32
Transaction ID : VVAHC9RPW87✘
Liz Kratzer
133 Seafare 01 02 2018
Laguna Niguel CA 92677-5973
Consulting - Finance Consulting
2018 3500.00
✘ Transaction ID : VVAHC9RN4K5
5890.35
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663121
214 287
✘
Brian Forde for Congress
Liz Kratzer
133 Seafare 02 02 2018
Laguna Niguel CA 92677-5973
Consultant - Fundraising
2018 3500.00
✘ Transaction ID : VVAHC9RNYE2
Liz Kratzer
133 Seafare 02 21 2018
Laguna Niguel CA 92677-5973
Consulting - Finance Consulting
2018 3500.00
Transaction ID : VVAHC9RNPS0✘
Locomotion Media Group, LLC
333 S Grand Ave 02 02 2018
Ste 3310
Los Angeles CA 90071-1538
Video Editing
2018 800.00
✘ Transaction ID : VVAHC9RNPG9
7800.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663122
215 287
✘
Brian Forde for Congress
Locomotion Media Group, LLC
333 S Grand Ave 02 02 2018
Ste 3310
Los Angeles CA 90071-1538
Video Editing
2018 450.00
✘ Transaction ID : VVAHC9RNPH7
Long, Marshall, , ,
175 Blossom St 01 18 2018
Unit 306
Boston MA 02114-2625
0.24 Bitcoins Received, Not Liquidated
2018 2700.00
Transaction ID : VVAHC9RPWZ9✘
Long, Marshall, , ,
175 Blossom St 01 18 2018
Unit 306
Boston MA 02114-2625
0.24 Bitcoins Received, Not Liquidated
2018 2720.31
✘ Transaction ID : VVAHC9RPX07
5870.31
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663123
216 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 10 2018
San Francisco CA 94107-5705
Travel
2018 8.09
✘ Transaction ID : VVAHC9RCA48
Lyft
185 Berry St 01 10 2018
San Francisco CA 94107-5705
Travel
2018 1.00
Transaction ID : VVAHC9RCA56✘
Lyft
185 Berry St 01 11 2018
San Francisco CA 94107-5705
Travel
2018 15.48
✘ Transaction ID : VVAHC9RCA64
24.57
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663124
217 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 11 2018
San Francisco CA 94107-5705
Travel
2018 25.50
✘ Transaction ID : VVAHC9RCA72
Lyft
185 Berry St 01 11 2018
San Francisco CA 94107-5705
Travel
2018 1.00
Transaction ID : VVAHC9RCA80✘
Lyft
185 Berry St 01 12 2018
San Francisco CA 94107-5705
Travel
2018 17.33
✘ Transaction ID : VVAHC9RCA98
43.83
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663125
218 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 12 2018
San Francisco CA 94107-5705
Travel
2018 15.39
✘ Transaction ID : VVAHC9RCAA6
Lyft
185 Berry St 01 12 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCAB3✘
Lyft
185 Berry St 01 12 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCAC1
18.39
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663126
219 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 12 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCAD9
Lyft
185 Berry St 01 16 2018
San Francisco CA 94107-5705
Travel
2018 6.54
Transaction ID : VVAHC9RCAE7✘
Lyft
185 Berry St 01 16 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCAF5
8.54
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663127
220 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 19 2018
San Francisco CA 94107-5705
Travel
2018 58.02
✘ Transaction ID : VVAHC9RCAG3
Lyft
185 Berry St 01 19 2018
San Francisco CA 94107-5705
Travel
2018 49.99
Transaction ID : VVAHC9RCAH1✘
Lyft
185 Berry St 01 19 2018
San Francisco CA 94107-5705
Travel
2018 16.12
✘ Transaction ID : VVAHC9RCAJ9
124.13
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663128
221 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 21.39
✘ Transaction ID : VVAHC9RCAK7
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 14.02
Transaction ID : VVAHC9RCAM5✘
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 13.20
✘ Transaction ID : VVAHC9RCAN2
48.61
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663129
222 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 14.56
✘ Transaction ID : VVAHC9RCAP0
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 10.71
Transaction ID : VVAHC9RCAQ8✘
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 17.24
✘ Transaction ID : VVAHC9RCAR6
42.51
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663130
223 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 5.00
✘ Transaction ID : VVAHC9RCAS4
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 18.11
Transaction ID : VVAHC9RCAT2✘
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 18.84
✘ Transaction ID : VVAHC9RCAV0
41.95
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663131
224 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 30.39
✘ Transaction ID : VVAHC9RCAW8
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCAX6✘
Lyft
185 Berry St 01 22 2018
San Francisco CA 94107-5705
Travel
2018 15.02
✘ Transaction ID : VVAHC9RCAY4
47.41
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663132
225 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 23 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCAZ1
Lyft
185 Berry St 01 24 2018
San Francisco CA 94107-5705
Travel
2018 11.26
Transaction ID : VVAHC9RCB09✘
Lyft
185 Berry St 01 26 2018
San Francisco CA 94107-5705
Travel
2018 15.36
✘ Transaction ID : VVAHC9RCB17
27.62
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663133
226 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 26 2018
San Francisco CA 94107-5705
Travel
2018 19.16
✘ Transaction ID : VVAHC9RCB25
Lyft
185 Berry St 01 26 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCB33✘
Lyft
185 Berry St 01 26 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCB41
22.16
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663134
227 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 29 2018
San Francisco CA 94107-5705
Travel
2018 17.33
✘ Transaction ID : VVAHC9RCB59
Lyft
185 Berry St 01 29 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCB67✘
Lyft
185 Berry St 01 30 2018
San Francisco CA 94107-5705
Travel
2018 16.13
✘ Transaction ID : VVAHC9RCB75
35.46
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663135
228 287
✘
Brian Forde for Congress
Lyft
185 Berry St 01 30 2018
San Francisco CA 94107-5705
Travel
2018 2.00
✘ Transaction ID : VVAHC9RCB83
Lyft
185 Berry St 02 01 2018
San Francisco CA 94107-5705
Travel
2018 15.67
Transaction ID : VVAHC9RCB90✘
Lyft
185 Berry St 02 01 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCBA8
18.67
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663136
229 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 06 2018
San Francisco CA 94107-5705
Travel
2018 15.26
✘ Transaction ID : VVAHC9RCBB6
Lyft
185 Berry St 02 06 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCBC4✘
Lyft
185 Berry St 02 07 2018
San Francisco CA 94107-5705
Travel
2018 19.05
✘ Transaction ID : VVAHC9RCBD2
36.31
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663137
230 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 07 2018
San Francisco CA 94107-5705
Travel
2018 2.00
✘ Transaction ID : VVAHC9RCBE0
Lyft
185 Berry St 02 09 2018
San Francisco CA 94107-5705
Travel
2018 22.30
Transaction ID : VVAHC9RCBF8✘
Lyft
185 Berry St 02 09 2018
San Francisco CA 94107-5705
Travel
2018 2.00
✘ Transaction ID : VVAHC9RCBG6
26.30
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663138
231 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 09 2018
San Francisco CA 94107-5705
Travel
2018 19.14
✘ Transaction ID : VVAHC9RCBH4
Lyft
185 Berry St 02 09 2018
San Francisco CA 94107-5705
Travel
2018 2.00
Transaction ID : VVAHC9RCBJ2✘
Lyft
185 Berry St 02 12 2018
San Francisco CA 94107-5705
Travel
2018 19.33
✘ Transaction ID : VVAHC9RCBK9
40.47
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663139
232 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 12 2018
San Francisco CA 94107-5705
Travel
2018 2.00
✘ Transaction ID : VVAHC9RCBM7
Lyft
185 Berry St 02 12 2018
San Francisco CA 94107-5705
Travel
2018 19.51
Transaction ID : VVAHC9RCBN5✘
Lyft
185 Berry St 02 12 2018
San Francisco CA 94107-5705
Travel
2018 72.12
✘ Transaction ID : VVAHC9RCBP3
93.63
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663140
233 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 12 2018
San Francisco CA 94107-5705
Travel
2018 45.83
✘ Transaction ID : VVAHC9RCBQ1
Lyft
185 Berry St 02 13 2018
San Francisco CA 94107-5705
Travel
2018 18.72
Transaction ID : VVAHC9RCBR9✘
Lyft
185 Berry St 02 14 2018
San Francisco CA 94107-5705
Travel
2018 52.46
✘ Transaction ID : VVAHC9RCBS7
117.01
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663141
234 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 15 2018
San Francisco CA 94107-5705
Travel
2018 14.78
✘ Transaction ID : VVAHC9RCBT5
Lyft
185 Berry St 02 15 2018
San Francisco CA 94107-5705
Travel
2018 1.00
Transaction ID : VVAHC9RCBV3✘
Lyft
185 Berry St 02 15 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCBW1
16.78
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663142
235 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 15 2018
San Francisco CA 94107-5705
Travel
2018 14.49
✘ Transaction ID : VVAHC9RCBX8
Lyft
185 Berry St 02 15 2018
San Francisco CA 94107-5705
Travel
2018 60.26
Transaction ID : VVAHC9RCBY6✘
Lyft
185 Berry St 02 16 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCBZ4
75.75
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663143
236 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 16 2018
San Francisco CA 94107-5705
Travel
2018 14.86
✘ Transaction ID : VVAHC9RCC02
Lyft
185 Berry St 02 20 2018
San Francisco CA 94107-5705
Travel
2018 1.00
Transaction ID : VVAHC9RCC10✘
Lyft
185 Berry St 02 20 2018
San Francisco CA 94107-5705
Travel
2018 15.15
✘ Transaction ID : VVAHC9RCC28
31.01
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663144
237 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 21 2018
San Francisco CA 94107-5705
Travel
2018 20.40
✘ Transaction ID : VVAHC9RCC36
Lyft
185 Berry St 02 21 2018
San Francisco CA 94107-5705
Travel
2018 2.01
Transaction ID : VVAHC9RCC44✘
Lyft
185 Berry St 02 22 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCC52
23.41
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663145
238 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 22 2018
San Francisco CA 94107-5705
Travel
2018 14.90
✘ Transaction ID : VVAHC9RCC60
Lyft
185 Berry St 02 23 2018
San Francisco CA 94107-5705
Travel
2018 20.63
Transaction ID : VVAHC9RCC77✘
Lyft
185 Berry St 02 23 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCC85
36.53
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663146
239 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 23 2018
San Francisco CA 94107-5705
Travel
2018 1.00
✘ Transaction ID : VVAHC9RCC93
Lyft
185 Berry St 02 23 2018
San Francisco CA 94107-5705
Travel
2018 16.70
Transaction ID : VVAHC9RCCA1✘
Lyft
185 Berry St 02 26 2018
San Francisco CA 94107-5705
Travel
2018 4.37
✘ Transaction ID : VVAHC9RCCB9
22.07
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663147
240 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 26 2018
San Francisco CA 94107-5705
Travel
2018 2.88
✘ Transaction ID : VVAHC9RCCC5
Lyft
185 Berry St 02 26 2018
San Francisco CA 94107-5705
Travel
2018 4.44
Transaction ID : VVAHC9RCCD3✘
Lyft
185 Berry St 02 28 2018
San Francisco CA 94107-5705
Travel
2018 14.99
✘ Transaction ID : VVAHC9RCCE1
22.31
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663148
241 287
✘
Brian Forde for Congress
Lyft
185 Berry St 02 28 2018
San Francisco CA 94107-5705
Travel
2018 5.00
✘ Transaction ID : VVAHC9RCCF9
Lyft
185 Berry St 02 28 2018
San Francisco CA 94107-5705
Travel
2018 1.25
Transaction ID : VVAHC9RCCG7✘
Lyft
185 Berry St 03 02 2018
San Francisco CA 94107-5705
Travel
2018 11.09
✘ Transaction ID : VVAHC9RCCH4
17.34
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663149
242 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 05 2018
San Francisco CA 94107-5705
Travel
2018 2.00
✘ Transaction ID : VVAHC9RCCJ2
Lyft
185 Berry St 03 05 2018
San Francisco CA 94107-5705
Travel
2018 20.30
Transaction ID : VVAHC9RCCK0✘
Lyft
185 Berry St 03 09 2018
San Francisco CA 94107-5705
Travel
2018 16.14
✘ Transaction ID : VVAHC9RCCM8
38.44
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663150
243 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 12 2018
San Francisco CA 94107-5705
Transportation
2018 19.13
✘ Transaction ID : VVAHC9RP2E9
Lyft
185 Berry St 03 12 2018
San Francisco CA 94107-5705
Transportation
2018 15.30
Transaction ID : VVAHC9RP2G5✘
Lyft
185 Berry St 03 13 2018
San Francisco CA 94107-5705
Transportation
2018 15.85
✘ Transaction ID : VVAHC9RP2Q0
50.28
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663151
244 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 14 2018
San Francisco CA 94107-5705
Transportation
2018 16.08
✘ Transaction ID : VVAHC9RP2R8
Lyft
185 Berry St 03 19 2018
San Francisco CA 94107-5705
Transportation
2018 16.27
Transaction ID : VVAHC9RP461✘
Lyft
185 Berry St 03 19 2018
San Francisco CA 94107-5705
Transportation
2018 16.15
✘ Transaction ID : VVAHC9RP479
48.50
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663152
245 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 22 2018
San Francisco CA 94107-5705
Transportation
2018 21.13
✘ Transaction ID : VVAHC9RP6S5
Lyft
185 Berry St 03 22 2018
San Francisco CA 94107-5705
Transportation
2018 16.52
Transaction ID : VVAHC9RP6T3✘
Lyft
185 Berry St 03 22 2018
San Francisco CA 94107-5705
Transportation
2018 13.14
✘ Transaction ID : VVAHC9RP6V1
50.79
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663153
246 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 22 2018
San Francisco CA 94107-5705
Transportation
2018 11.68
✘ Transaction ID : VVAHC9RP6W9
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 66.47
Transaction ID : VVAHC9RP6X6✘
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 53.68
✘ Transaction ID : VVAHC9RP6Y4
131.83
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663154
247 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 51.92
✘ Transaction ID : VVAHC9RP6Z2
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 19.57
Transaction ID : VVAHC9RP700✘
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 16.18
✘ Transaction ID : VVAHC9RP718
87.67
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663155
248 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 15.80
✘ Transaction ID : VVAHC9RP726
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 15.42
Transaction ID : VVAHC9RP734✘
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 13.14
✘ Transaction ID : VVAHC9RP742
44.36
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663156
249 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 12.73
✘ Transaction ID : VVAHC9RP750
Lyft
185 Berry St 03 26 2018
San Francisco CA 94107-5705
Transportation
2018 11.71
Transaction ID : VVAHC9RP768✘
Lyft
185 Berry St 03 27 2018
San Francisco CA 94107-5705
Transportation
2018 66.05
✘ Transaction ID : VVAHC9RP775
90.49
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663157
250 287
✘
Brian Forde for Congress
Lyft
185 Berry St 03 27 2018
San Francisco CA 94107-5705
Transportation
2018 15.74
✘ Transaction ID : VVAHC9RP783
Lyft
185 Berry St 03 29 2018
San Francisco CA 94107-5705
Transportation
2018 18.81
Transaction ID : VVAHC9RP791✘
Makowski, Paul, , ,
967 W Laurel St 01 10 2018
San Diego CA 92101-1224
3.3792 Etherium Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RPWS1
2734.55
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663158
251 287
✘
Brian Forde for Congress
Makowski, Paul, , ,
967 W Laurel St 01 10 2018
San Diego CA 92101-1224
3.3792 Etherium Received, Not Liquidated
2018 1699.98
✘ Transaction ID : VVAHC9RPWT9
Mosaic Sales Solutions
Contend 01 02 2018
758 New High St,
Los Angeles, CA 90012
Consulting - Marketing
2018 8585.00
Transaction ID : VVAHC9RN2Y7✘
Moulton Plaza
48 Tesla 01 02 2018
Irvine CA 92618-4603
Office Space
2018 6000.00
✘ Transaction ID : VVAHC9RN2T5
16284.98
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663159
252 287
✘
Brian Forde for Congress
Moulton Plaza
48 Tesla 02 01 2018
Irvine CA 92618-4603
Office Space
2018 3000.00
✘ Transaction ID : VVAHC9RNPD5
MSI Office Furniture LLC
301 E Stevens Ave 01 08 2018
Santa Ana CA 92707-5717
Office Equipment
2018 539.83
Transaction ID : VVAHC9RN6B6✘
MSI Office Furniture LLC
301 E Stevens Ave 01 08 2018
Santa Ana CA 92707-5717
Office Equipment
2018 107.75
✘ Transaction ID : VVAHC9RN6D1
3647.58
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663160
253 287
✘
Brian Forde for Congress
MSI Office Furniture LLC
301 E Stevens Ave 01 08 2018
Santa Ana CA 92707-5717
Office Equipment
2018 301.70
✘ Transaction ID : VVAHC9RN6E9
Murck, Patrick, , ,
23 Fair Oaks Ter 03 31 2018
Lexington MA 02421-6905
0.03542798 Bitcoins Received, Not Liquidated
2018 250.00
Transaction ID : VVAHC9RPW79✘
Next Level Partners
410 1st St SE 01 02 2018
Ste 310
Washington DC 20003-1866
Consultant - Compliance
2018 2250.00
✘ Transaction ID : VVAHC9RN3C7
2801.70
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663161
254 287
✘
Brian Forde for Congress
Next Level Partners
410 1st St SE 02 07 2018
Ste 310
Washington DC 20003-1866
Consultant - Compliance
2018 2250.00
✘ Transaction ID : VVAHC9RNQ13
Next Level Partners
410 1st St SE 03 01 2018
Ste 310
Washington DC 20003-1866
Consultant - Compliance
2018 2250.00
Transaction ID : VVAHC9RP1P1✘
NGP VAN
1445 New York Ave NW 01 02 2018
Ste 200
Washington DC 20005-2158
Software
2018 775.00
✘ Transaction ID : VVAHC9RN2H4
5275.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663162
255 287
✘
Brian Forde for Congress
NGP VAN
1445 New York Ave NW 01 19 2018
Ste 200
Washington DC 20005-2158
Software
2018 150.00
✘ Transaction ID : VVAHC9RN8Y9
NGP VAN
1445 New York Ave NW 02 02 2018
Ste 200
Washington DC 20005-2158
Software
2018 850.00
Transaction ID : VVAHC9RNPJ5✘
NGP VAN
1445 New York Ave NW 03 02 2018
Ste 200
Washington DC 20005-2158
Software
2018 850.00
✘ Transaction ID : VVAHC9RP1Q9
1850.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663163
256 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 01 02 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 2663.46
✘ Transaction ID : VVAHC9RP7B7
Paychex
911 Panorama Trl S 01 02 2018
Rochester NY 14625-2396
Payroll
2018 6272.88
Transaction ID : VVAHC9RP7Q2✘
Bowen, Joseph, , ,
100 W 55th St 01 02 2018
Austin TX 78751-1204
Payroll
2018 3003.41
✘ Transaction ID : VVAHC9RPG32*
✘
8936.34
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663164
257 287
✘
Brian Forde for Congress
Carson, Audrey, , ,
3801 Parkview Ln 01 02 2018
12C
Irvine CA 92612-1903
Payroll
2018 360.83
✘ Transaction ID : VVAHC9RPG58
✘*
Stern, Michael, , ,
8502 E Chapman Ave 01 02 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 1977.39
Transaction ID : VVAHC9RPG66✘
✘ *
Stukkie, Heidi, , ,
823 Jonathan Ln 01 02 2018
Muskegon MI 49442-2925
Payroll
2018 931.25
✘ Transaction ID : VVAHC9RPG74*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663165
258 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 01 12 2018
Rochester NY 14625-2396
Payroll
2018 5542.55
✘ Transaction ID : VVAHC9RP7S8
Bowen, Joseph, , ,
100 W 55th St 01 12 2018
Austin TX 78751-1204
Payroll
2018 3003.41
Transaction ID : VVAHC9RPFZ0✘
✘ *
Stern, Michael, , ,
8502 E Chapman Ave 01 12 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 1977.39
✘ Transaction ID : VVAHC9RPG08*
✘
5542.55
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663166
259 287
✘
Brian Forde for Congress
Stukkie, Heidi, , ,
823 Jonathan Ln 01 12 2018
Muskegon MI 49442-2925
Payroll
2018 561.75
✘ Transaction ID : VVAHC9RPG24
✘*
Paychex
911 Panorama Trl S 01 16 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 2584.70
Transaction ID : VVAHC9RP7C5✘
Paychex
911 Panorama Trl S 01 16 2018
Rochester NY 14625-2396
Payroll - Invoice
2018 199.50
✘ Transaction ID : VVAHC9RP7J2
2784.20
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663167
260 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 01 22 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 887.72
✘ Transaction ID : VVAHC9RP7D3
Paychex
911 Panorama Trl S 01 31 2018
Rochester NY 14625-2396
Payroll
2018 9161.96
Transaction ID : VVAHC9RP7R0✘
Bowen, Joseph, , ,
100 W 55th St 01 31 2018
Austin TX 78751-1204
Payroll
2018 3121.84
✘ Transaction ID : VVAHC9RPFM4*
✘
10049.68
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663168
261 287
✘
Brian Forde for Congress
Carson, Audrey, , ,
3801 Parkview Ln 01 31 2018
12C
Irvine CA 92612-1903
Payroll
2018 171.27
✘ Transaction ID : VVAHC9RPFN1
✘*
Jain, Pranav, , ,
2950 26th St 01 31 2018
Apt 6
San Francisco CA 94110-4845
Payroll
2018 599.48
Transaction ID : VVAHC9RPFP9✘
✘ *
McDonald, Alexander, , ,
8701 Palo Verde Rd 01 31 2018
Irvine CA 92617-5310
Payroll
2018 1420.93
✘ Transaction ID : VVAHC9RPFQ7*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663169
262 287
✘
Brian Forde for Congress
McDonald, Alexander, , ,
8701 Palo Verde Rd 01 31 2018
Irvine CA 92617-5310
Payroll
2018 796.40
✘ Transaction ID : VVAHC9RPFR5
✘*
Stern, Michael, , ,
8502 E Chapman Ave 01 31 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 2028.54
Transaction ID : VVAHC9RPFS3✘
✘ *
Stukkie, Heidi, , ,
823 Jonathan Ln 01 31 2018
Muskegon MI 49442-2925
Payroll
2018 1023.50
✘ Transaction ID : VVAHC9RPFT1*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663170
263 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 02 01 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 3310.12
✘ Transaction ID : VVAHC9RP7E1
Paychex
911 Panorama Trl S 02 01 2018
Rochester NY 14625-2396
Payroll - Invoice
2018 67.15
Transaction ID : VVAHC9RP7K0✘
Paychex
911 Panorama Trl S 02 15 2018
Rochester NY 14625-2396
Payroll
2018 10081.93
✘ Transaction ID : VVAHC9RP7T6
13459.20
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663171
264 287
✘
Brian Forde for Congress
Bowen, Joseph, , ,
100 W 55th St 02 15 2018
Austin TX 78751-1204
Payroll
2018 3121.84
✘ Transaction ID : VVAHC9RPFF4
✘*
Jain, Pranav, , ,
2950 26th St 02 15 2018
Apt 6
San Francisco CA 94110-4845
Payroll
2018 2769.12
Transaction ID : VVAHC9RPFG2✘
✘ *
McDonald, Alexander, , ,
8701 Palo Verde Rd 02 15 2018
Irvine CA 92617-5310
Payroll
2018 1420.93
✘ Transaction ID : VVAHC9RPFH0*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663172
265 287
✘
Brian Forde for Congress
Stern, Michael, , ,
8502 E Chapman Ave 02 15 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 2028.54
✘ Transaction ID : VVAHC9RPFJ8
✘*
Stukkie, Heidi, , ,
823 Jonathan Ln 02 15 2018
Muskegon MI 49442-2925
Payroll
2018 741.50
Transaction ID : VVAHC9RPFK6✘
✘ *
Paychex
911 Panorama Trl S 02 16 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 3932.32
✘ Transaction ID : VVAHC9RP7F9
3932.32
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663173
266 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 02 16 2018
Rochester NY 14625-2396
Payroll - Invoice
2018 60.75
✘ Transaction ID : VVAHC9RP7M8
Paychex
911 Panorama Trl S 02 28 2018
Rochester NY 14625-2396
Payroll
2018 9971.68
Transaction ID : VVAHC9RP7V3✘
Bowen, Joseph, , ,
100 W 55th St 02 28 2018
Austin TX 78751-1204
Payroll
2018 3121.84
✘ Transaction ID : VVAHC9RPFA5*
✘
10032.43
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663174
267 287
✘
Brian Forde for Congress
Jain, Pranav, , ,
2950 26th St 02 28 2018
Apt 6
San Francisco CA 94110-4845
Payroll
2018 2769.12
✘ Transaction ID : VVAHC9RPFB2
✘*
McDonald, Alexander, , ,
8701 Palo Verde Rd 02 28 2018
Irvine CA 92617-5310
Payroll
2018 1420.93
Transaction ID : VVAHC9RPFC0✘
✘ *
Stern, Michael, , ,
8502 E Chapman Ave 02 28 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 2028.54
✘ Transaction ID : VVAHC9RPFD8*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663175
268 287
✘
Brian Forde for Congress
Stukkie, Heidi, , ,
823 Jonathan Ln 02 28 2018
Muskegon MI 49442-2925
Payroll
2018 631.25
✘ Transaction ID : VVAHC9RPFE6
✘*
Paychex
911 Panorama Trl S 03 01 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 3928.38
Transaction ID : VVAHC9RP7G7✘
Paychex
911 Panorama Trl S 03 01 2018
Rochester NY 14625-2396
Payroll - Invoice
2018 60.75
✘ Transaction ID : VVAHC9RP7N6
3989.13
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663176
269 287
✘
Brian Forde for Congress
Paychex
911 Panorama Trl S 03 15 2018
Rochester NY 14625-2396
Payroll
2018 11154.30
✘ Transaction ID : VVAHC9RP892
Bowen, Joseph, , ,
100 W 55th St 03 15 2018
Austin TX 78751-1204
Payroll
2018 3121.84
Transaction ID : VVAHC9RPF47✘
✘ *
Flores, Javier, , ,
24756 Clarington Dr 03 15 2018
Laguna Hills CA 92653-4305
Payroll
2018 1270.12
✘ Transaction ID : VVAHC9RPF97*
✘
11154.30
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663177
270 287
✘
Brian Forde for Congress
Jain, Pranav, , ,
2950 26th St 03 15 2018
Apt 6
San Francisco CA 94110-4845
Payroll
2018 2769.12
✘ Transaction ID : VVAHC9RPF55
✘*
McDonald, Alexander, , ,
8701 Palo Verde Rd 03 15 2018
Irvine CA 92617-5310
Payroll
2018 1420.93
Transaction ID : VVAHC9RPF63✘
✘ *
Stern, Michael, , ,
8502 E Chapman Ave 03 15 2018
Apt 394
Orange CA 92869-2461
Payroll
2018 2028.54
✘ Transaction ID : VVAHC9RPF71*
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663178
271 287
✘
Brian Forde for Congress
Stukkie, Heidi, , ,
823 Jonathan Ln 03 15 2018
Muskegon MI 49442-2925
Payroll
2018 543.75
✘ Transaction ID : VVAHC9RPF89
✘*
Paychex
911 Panorama Trl S 03 16 2018
Rochester NY 14625-2396
Payroll - Taxes
2018 4393.30
Transaction ID : VVAHC9RP7H4✘
Paychex
911 Panorama Trl S 03 16 2018
Rochester NY 14625-2396
Payroll - Invoice
2018 63.95
✘ Transaction ID : VVAHC9RP7P4
4457.25
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663179
272 287
✘
Brian Forde for Congress
Pereira, Rons, , ,
855 10th St 03 11 2018
Santa Monica CA 90403-1653
0.68837148 Bitcoins Received, Not Liquidated
2018 498.37
✘ Transaction ID : VVAHC9RPW95
Pereira, Rons, , ,
855 10th St 03 12 2018
Santa Monica CA 90403-1653
1.41400000 Etherium Received, Not Liquidated
2018 988.34
Transaction ID : VVAHC9RTJ35✘
Pizzeria Amore
24338 El Toro Rd 01 29 2018
Laguna Woods CA 92637-2776
Meal
2018 42.89
✘ Transaction ID : VVAHC9RN955
1529.60
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663180
273 287
✘
Brian Forde for Congress
Pizzeria Amore
24338 El Toro Rd 03 12 2018
Laguna Woods CA 92637-2776
Meal
2018 47.48
✘ Transaction ID : VVAHC9RP2H2
Pizzeria Amore
24338 El Toro Rd 03 19 2018
Laguna Woods CA 92637-2776
Meal
2018 123.27
Transaction ID : VVAHC9RP301✘
Political Data, Inc.
12501 Imperial Hwy 02 13 2018
Ste 200
Norwalk CA 90650-8352
Consulting - Research
2018 4000.00
✘ Transaction ID : VVAHC9RNQR5
4170.75
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663181
274 287
✘
Brian Forde for Congress
Political Data, Inc.
12501 Imperial Hwy 03 06 2018
Ste 200
Norwalk CA 90650-8352
Consulting - Research
2018 2000.00
✘ Transaction ID : VVAHC9RP1V9
Portillo, Alexia, , ,
1056 Trestle Glen 03 23 2018
Oakland CA 94610-2547
0.28250000 Bitcoins Received, Not Liquidated
2018 2508.45
Transaction ID : VVAHC9RTJ27✘
Priceline Hotels
800 Connecticut Ave 02 20 2018
Norwalk CT 06854-1631
Travel
2018 435.44
✘ Transaction ID : VVAHC9RNSK9
4943.89
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663182
275 287
✘
Brian Forde for Congress
Priceline Hotels
800 Connecticut Ave 02 21 2018
Norwalk CT 06854-1631
Travel
2018 437.97
✘ Transaction ID : VVAHC9RNYN5
Priceline Hotels
800 Connecticut Ave 02 21 2018
Norwalk CT 06854-1631
Travel
2018 151.97
Transaction ID : VVAHC9RNYR9✘
Ramirez, Melody, , ,
2016 S Sierra Vista Ave 01 02 2018
Alhambra CA 91801-5723
Consultant - Fundraising
2018 5000.00
✘ Transaction ID : VVAHC9RN3F1
5589.94
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663183
276 287
✘
Brian Forde for Congress
Roszack, Katherine, , ,
250 White Oak Ln 01 18 2018
Winnetka IL 60093-3630
0.24 Bitcoins Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RTJ43
Roszack, Katherine, , ,
250 White Oak Ln 01 18 2018
Winnetka IL 60093-3630
0.24 Bitcoins Received, Not Liquidated
2018 2700.00
Transaction ID : VVAHC9RTJ51✘
Schmidt, Ben, , ,
1450 Market St 03 15 2018
Apt 532
San Diego CA 92101-4163
4.45251 Etherium Received, Not Liquidated
2018 2685.88
✘ Transaction ID : VVAHC9RPWM2
8085.88
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663184
277 287
✘
Brian Forde for Congress
Selkis, Ryan, , ,
800 Madison St 03 29 2018
Apt 238
Hoboken NJ 07030-6493
0.06732465 Bitcoins Received, Not Liquidated
2018 500.00
✘ Transaction ID : VVAHC9RPWB1
State Farm Insurance
1 State Farm Plz 02 22 2018
Bloomington IL 61710-0001
Insurance
2018 500.00
Transaction ID : VVAHC9RP088✘
Stern, Michael, , ,
8502 E Chapman Ave 01 11 2018
Apt 394
Orange CA 92869-2461
Reimbursement (Vendors that aggregate over $200 listed below)
2018 262.96
✘ Transaction ID : VVAHC9RPMP9
1262.96
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663185
278 287
✘
Brian Forde for Congress
Stern, Michael, , ,
8502 E Chapman Ave 01 25 2018
Apt 394
Orange CA 92869-2461
Reimbursement (Vendors that aggregate over $200 listed below)
2018 125.41
✘ Transaction ID : VVAHC9RP8F9
Sullivan, Nick, , ,
340 S Lemon Ave 01 18 2018
# 1508
Walnut CA 91789-2706
0.08572099 Bitcoins Received, Not Liquidated
2018 990.09
Transaction ID : VVAHC9RPWC9✘
Taylor, Eric, , ,
353 E Bonneville Ave 03 28 2018
Unit 353
Las Vegas NV 89101-6634
Reimbursement
2018 804.24
✘ Transaction ID : VVAHC9RP8K1
1919.74
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663186
279 287
✘
Brian Forde for Congress
Courtyard by Marriott
27492 Portola Pkwy 03 28 2018
Foothill Ranch CA 92610-2815
Travel
2018 214.12
✘ Transaction ID : VVAHC9RPTZ3
✘*
Southwest Airlines
2702 Love Field Dr 03 28 2018
# CO
Dallas TX 75235-1908
Transportation
2018 531.96
Transaction ID : VVAHC9RPV01✘
✘ *
The Feldman Group, Inc
1990 M St NW 01 29 2018
Ste 510
Washington DC 20036-3474
Consulting - Research
2018 16300.00
✘ Transaction ID : VVAHC9RNEW7
16300.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663187
280 287
✘
Brian Forde for Congress
The Feldman Group, Inc
1990 M St NW 02 16 2018
Ste 510
Washington DC 20036-3474
Consulting - Research
2018 7700.00
✘ Transaction ID : VVAHC9RNRJ8
UHaul
2182 Alton Pkwy 01 08 2018
Ste 2
Irvine CA 92606-5061
Transportation
2018 140.15
Transaction ID : VVAHC9RN6Q0✘
UHaul
2182 Alton Pkwy 01 08 2018
Ste 2
Irvine CA 92606-5061
Transportation
2018 36.57
✘ Transaction ID : VVAHC9RN6S6
7876.72
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663188
281 287
✘
Brian Forde for Congress
UHaul
2182 Alton Pkwy 01 08 2018
Ste 2
Irvine CA 92606-5061
Transportation
2018 74.95
✘ Transaction ID : VVAHC9RN6T4
United Custom Prints
16 Hughes 01 17 2018
Ste 104
Irvine CA 92618-1944
Printing of Campaign Materials
2018 1127.83
Transaction ID : VVAHC9RPSJ0✘
USPS
15642 Sand Canyon Ave 01 03 2018
Irvine CA 92619-5478
Postage
2018 6.65
✘ Transaction ID : VVAHC9RN5H2
1209.43
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663189
282 287
✘
Brian Forde for Congress
USPS
15642 Sand Canyon Ave 02 02 2018
Irvine CA 92619-5478
Postage
2018 6.70
✘ Transaction ID : VVAHC9RNPV6
USPS
15642 Sand Canyon Ave 02 22 2018
Irvine CA 92619-5478
Postage
2018 6.70
Transaction ID : VVAHC9RP0C9✘
USPS
15642 Sand Canyon Ave 03 15 2018
Irvine CA 92619-5478
Postage
2018 63.00
✘ Transaction ID : VVAHC9RP2T4
76.40
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663190
283 287
✘
Brian Forde for Congress
USPS
15642 Sand Canyon Ave 03 30 2018
Irvine CA 92619-5478
Postage
2018 24.70
✘ Transaction ID : VVAHC9RP6R7
Wachsman, David, , ,
75 Wall St 03 29 2018
Apt 29M
New York NY 10005-3161
0.68075836 Bitcoins Received, Not Liquidated
2018 2700.00
Transaction ID : VVAHC9RPWV7✘
Wachsman, David, , ,
75 Wall St 03 29 2018
Apt 29M
New York NY 10005-3161
0.68075836 Bitcoins Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RPWW5
5424.70
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663191
284 287
✘
Brian Forde for Congress
Wong, Brian, , ,
54 Kennedy Road, Ewan Court, Apt 1 03 26 2018
Hong Kong
0.00248 Bitcoins Received, Not Liquidated
2018 20.00
✘ Transaction ID : VVAHC9RPVW2
Wong, Brian, , ,
54 Kennedy Road, Ewan Court, Apt 1 03 26 2018
Hong Kong
0.24552 Bitcoins Received, Not Liquidated
2018 1980.77
Transaction ID : VVAHC9RPWH8✘
Wong, Jason, , ,
1229 Florida St 03 23 2018
San Francisco CA 94110-4112
5.7 Etherium Received, Not Liquidated
2018 2700.00
✘ Transaction ID : VVAHC9RPWQ6
4700.77
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663192
285 287
✘
Brian Forde for Congress
Wong, Jason, , ,
1229 Florida St 03 23 2018
San Francisco CA 94110-4112
5.7 Etherium Received, Not Liquidated
2018 300.99
✘ Transaction ID : VVAHC9RPWR4
Wyndham Hotel Group
22 Sylvan Way 02 26 2018
Parsippany NJ 07054-3801
Travel
2018 2121.52
Transaction ID : VVAHC9RP115✘
Wyndham Hotel Group
22 Sylvan Way 02 27 2018
Parsippany NJ 07054-3801
Meal
2018 58.00
✘ Transaction ID : VVAHC9RP173
2480.51
271445.71
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663193
286 287
✘
Brian Forde for Congress
Boring, Perianne, , ,
443 New York Ave NW 01 29 2018
Washington DC 20001-4694
Contribution Refund
2018 1500.00
✘ Transaction ID : VVAHC9RN939
Cantrell, Colin, , ,
6835 E Camelback Rd 01 18 2018
Scottsdale AZ 85251-3119
Contribution Refund
2018 438.34
Transaction ID : VVAHC9RTJ01✘
Long, Marshall, , ,
175 Blossom St 03 05 2018
Unit 306
Boston MA 02114-2625
Contribution Refund
2018 20.31
✘ Transaction ID : VVAHC9RT8W1
1958.65
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201809109121663194
287 287
✘
Brian Forde for Congress
Williams, Antonio, , ,
236 E St NE 01 08 2018
Washington DC 20002-4923
Contribution Refund
2018 250.00
✘ Transaction ID : VVAHC9RN6Y6
250.00
2208.65