Minnesota " Campaign Finance and 16! ant 32 ie) Public Disclosure Board “eet ‘wt0 wea ose ny 8 hd St, I PALL SESE. wer (GH FIRLAN 2016 Disclosure Statement for Corporations dikd'dthér Ghreyistered ABsociations Contibuting to duiapender Expenditures Committees and Funds + This statement must be provided to indepondent expenditure commitiees and funds prior to the date ‘on which the recipient committee or fund intially roports the contribution to the Board, PRONE ao Sara Tw STINT ublizan State Leadership Computtteer | Mattie 'C. wal Pot Fst NW, Sute 09 | hiutaeP rele. gop eNigi DC 20004 | (don) 18° 5160 INFORMATION ON CONTRIBUTION 70 INDEPENDENT EXPENDITURE COMMITTEE ‘ORFUND: Plnccitt be Colin gishtie FM gioge [oT] 4% Street eact, Suite, A se gf00 000. 5 ara Sf.Pavl, MN G6I0l _ [peer heck one of the Boxes below. If both the first and second check boxes apply to your contribution check only ‘the frst box. 4. Only business revenue was used to fund the contribution. Check his box fonly business revenue was Used forthe contibution, Only this page ofthe statements provided tote recipient ifthe contribution was derives from business revenue, 2. The donor has not contributed $5,000 or more to Independent expenditure committees or funds this talondar year. Check his boxif te donor has contrbuted less than $5,000 in aggregate to al independent ‘xpenditufe committees and funds in Minnesota in 2018, Only the disclosure infomation on this page of the ‘statement Is provided tothe recipient if aggregate contributions are les than $8,000. 3, The donor used membership fees, membership dues, or contributions received from individuals oF other corporations and associations to fund the contribution. Check tis box f aggregate cantibutions to Independent expenedture committees and funds in Minnesota equal $5,000 or more, and business revenuo ‘was not used asthe Soutee of funding forthe contibutlon, Schedule At ofthis statement must be completed ‘and proved tothe recipi commie. Ma catty hat tis statement is complet, ru, and corect. aE jb 025 /Mp = ‘Signature of Officer ‘Any person who signs and certifies to be true a statement which the person knows contains false information, fF who knowingly omits required information, fe subject to a clull ponalty imposed by the Board of up to $3,000 and fs subject to criminal prosecution fora gross misdemeanor. This documents avaliable in sltemaie formate to indviduas wih debits by eating 851-536-180; 800-857-0989; or rough the Minnesota Relay Service at 800-627-3528,Make photocopies ofthis page If ational space Is needed rae | oft ‘Assigned Share] Amount to of MN __Name and full address of itemized sources of funding Donor 3M Company / Building 225-1S-15 3M Center St. Paul, MN 55144 25,000.00 340.04 Advanced Supply Chain International, LLC / 3201 C Street, Suite 308 lanchorage, AK 99503 20,000.00 272.03 AGC PAC / 6070 Poplar Avenue Sulte 750 Memphis, TN 38119 1,000.00 13.60 Aircraft Owners and Pilots Association / 421 Aviation Way Frederick, MD 21701 25,000.00 340.04 Airlines for America/Air Transportation Association of America Inc. /1275 [Pennsylvania Ave NW Suite 1300 Washington, DC 20004 75,000.00, 1,020.13, Alliance of Automobile Manufacturers, Inc. / 803 -7th Street NW Suite 300, lWashington, DC 20001 50,000.00 680.09 Allstate Insurance Company / 2775 Sanders Road_Northbrook, 1. 60062 25,000.00 340.04 Altria Client Services, Inc, / 6601 West Broad Street_Richmond, VA 23230 100,000.00 1,360.17 ‘America's Health Insurance Plans (AHIP) / 601 Pennsylvania Ave. NW Suite JS00_Washington, DC 20004 12,000.00 163.22 Line A Total of itemized sources of funding 4,529.38 Line B - Amount of contribution that Is attributable to underlying sources that are not required to be itemized : Line ¢- Amount of contribution derived from business revenue Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 4,529.38"Make photocopies of this page if additional space is needed L oft Assigned Share| Amount to of MIN fe Name and full address of itemized sources of funding Donor Expenditure ‘American Beverage Association / 1275 Pennsylvania Ave NW Ste 1100 washington, DC 20004 60,000.00 816.10 ‘American Chemistry Council / 700 Second street NE Washington, DC 20002 25,000.00 340.04 ‘American Coalition for Clean Coal Electricity /1152 15th Street NW, Suite |400_ Washington, DC 20005 13,000.00 176.82 ‘American College of Cardiology Foundation / 2400 N Street NW washington, DC 20037 15,000.00 204.03 “American Express Travel Related Services, Inc. / 20002 North 19th Avenue Phoenix, AZ 85027 12,000.00 163.22 ‘American Fuel and Petrochemical Manufacturers / 1667K Street NW Sulte [700 Washington, DC 20006 100,000.00 4,360.17 American Transmission Company /PO Box 47 Waukeshe, Wi 53187 50,000.00 680.09 ‘Amgen Inc. State Political Contributions Account / 5845 Richmond Highway, [ste 820 Alexandra, VA 22303 12,000.00 163.22 Anthem Inc. PO Box incinnat, OH 45206 210,000.00 2,856.37 Line A - Total of itemized sources of funding 6,760.07 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized = 5 Line ¢- Amount of contribution derived from business revenue -. [OTAL AMOUNT OF CONTRIBUTION 6,760.07 Line A+ Line B+ Line ¢ | | |‘Make photocopies ofthis page if addtional space is neeced ote ‘Assigned Share| Amount to of MIN Name and full address of itemized sources of funding Donor Expenditure ‘Ascher Daniels Midland Company / PO Box 1470 Decatur, IL 62525 12,000.00 163.22 ‘Ashford Hospitality Advisors LLC / 14185 Dallas Parkway Sulte 1100 Dallas, x 75254 50,000.00 630.09 Association of Dental Support Organizations / 1235 S Clark St Ste 1210 JAriington, VA 22202 25,000.00 340.04 Astellas Pharma US, Inc. / 1 Astellas Way Northbrook, It_ 60062 145,000.00 4,972.25 AstraZeneca/Zeneca Services / 1800 Concord Pike Wilmington, DE 19850 125,000.00 4,700.22 Asurion / PO Box 140656 Nashville, TN 37222 32,000.00, 163.22 AutoZone / PO Box 2198 Memphis, TN 38101 10,000.00 136.02 Bayer Corporation / 1720 Spinaker Drive Woodbury, MN 55125 25,000.00 340,04 Best Buy Purchasing LLC / PO Box 9331. Minneapolis, MN 55440 25,000.00 340,04 Line A - Total of itemized sources of funding 5,835.15 Line B - Amount of contribution that Is attributable to underlying sources that are not required to be itemized : Line C - Amount of contribution derived from business revenue : 1¢ A+ Line B + Line C= TOTAL AMOUNT OF CONTRIBUTION 5,835.15Make photocopies ofthis page if additional space Is needed race 4 oft ‘Assigned Share Line A+ Line B+ Line Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Biogen Inc. / 225 Binney Street Cambridge, MA 2142 25,000.00 340.04 Biotechnology Innovation Organization / 1201 Maryland Ave. S.W. Suite 900 Washington, DC 20024 _ 42,000.00, 163.22 Blackridge / 919 Congress Avenue, Suite 950 Austin, TX 78701 50,000.00 680.09 Blue Cross Blue Shield of Michigan / 600 Lafayette East Detroit, Ml 48226 25,000.00 340.04 | Brinker International / 6820 LB) Freeway Dallas, TX 75240. 5,000.00 68.01 Caidan Management Company / 1 Campus Martius Ste 700 Detroit, Ml 148226 50,000.00 680.09 CashAmerica / 1600 W 7th Street_Fort Worth, TX 76102 10,000.00, 136.02 Celgene Corporation / 86 Morris Avenue Summit, NI_ 7901 12,000.00 163.22 Centene Management Company, LLC/ 7711 Carondelet Avenue St. Louis, Mo 63105 125,000.00 1,700.22 Line A Total of itemized sources of funding 4,270.95 Line 6 - Amount of contribution that is attributable to underlying sources |that are not required to be itemized : Line C- Amount of contribution derived from business revenue : OTAL AMOUNT OF CONTRIBUTION 4,270.95‘Make photocopies ofthis page if addtional space Isneeded rage 5 Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Charter Communications, Inc. / 12405 Powerscourt Drive St. Louis, MO 63231 = 5,000.00 | 68.01 Check Into Cash, Inc, / PO Box 550 201 Keith Street, SW Suite 800 (Cleveland, TN 37364 12,000.00, 163.22 Chevron Policy Government and Public Affairs / PO Box 9034 Concord, CA 94524 _ 50,000.00, 680.09 CNA/Continental Casualty Company / 1.CNA Plaza_Chicago, IL 60685 75,000.00 1,020.13, Coca-Cola North America / 2500 Windy Ridge Parkway Atlanta, GA 30339 30,000.00 408.05, Community Choice Financial / 424 Church Street Suite 2000 Nashville, TN 37219 ___25,000.00 340.04 ConservAmerica / $715 Centerville Road_Sturgis, MI 49091 10,000.00 136.02 Cook Group Incorporated / PO Box 488 Bloomington, IN 47402 12,000.00, 163,22 Croplife America / 1156 Fifteenth Street, NW Suite 400 Washington, OC !20005 12,000.00 163.22 Line A- Total of itemized sources of funding 3,142.00 Line B - Amount of contribution that is attributable to underlying sources that are not required to be itemized : Line C- Amount of contribution derived from business revenue E Line A+ Line 8 + Line C= TOTAL AMOUNT OF CONTRIBUTION 3,142.00‘Make photocopies of this page if addtional space is needed ml ots ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Crown / 1.Crown Way Philadelphia, PA 19154 0,000.00 | _ 680.09 Dallas Fort Worth Metropolitan / New Car Dealers Association 5215 N lo'connor Blvd, Suite 665 Irving, TX 75039 415,000.00 208,03, Delta Air Lines, In. / P.O, Box 20706 Atlanta, GA 30320 12,000.00 163,22 Diageo North America, Inc. / 801 Main Street Norwalk, CT 6851 15,000.00 204.03, ‘eBay Ine. /2145 Hamilton Avenue San Jose, CA 95125 25,000.00 340.04 Edison Electric Institute / 701 Pennsylvania Ave, NW Washington, DC 20004 35,000.00, 476.06 Election Systems & Software, LLC / 11208 John Galt Blvd. Omaha, NE 168137 10,000.00, 136.02 Energy Future Holdings Corporate Services Company / 1601 Bryan Street Suite 27052 Dallas, TX 75201 40,000.00 548.07 Expedia, Inc, / $000 W Kearney Street Springfield, MO_ 65803, 30,000.00 408.05 Line A Total of itemized sources of funding 3,155.60 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized c Line C- Amount of contribution derived from business revenue : Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 3,155.60‘make photocopies of this page faddtlonsl space is noaded Pago] ort ‘Assigned Share] Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Express Scripts, Inc. /8931A Springdale Ave_Saint Louis, MO 63134 25,000.00, 340.08 Exon Mobil Corporation / PO Box 2519 Houston, TX 77252 100,009.00, 41,360.17 Farmers Group, Inc. / 6301 Owensmouth Ave. Woodland tills, CA 93367 100,000.00 1,360.17 Ford Motor Company / One American Road Room 418 Dearborn, Mi 48126| 10,000.00 136.02 Friedkin Business Services /P.0. Box 441887_Houston, 1X 77244 5,000.00 68.01 Genentech, Inc. /11 DNA Way South San Francisco, CA 94080 100,000.00 1,360.17 General Electric Company /P.0. Box 982332_EI Paso, TX 79998 0,000.00 1,088.14 GEO Group Inc, Political Contribution Account / 621 NW 53rd St_Boca Raton, FL 33487 25,000.00 340.04 GMAI, Inc, /PO Box 695012 Orlando, FL 32869 300,000.00 1,360.17, Line A Total of itemized sources of funding 7,812.95 Line B - Amount of contribution that Is attributable to underlying sources that are not required to be itemized : Line C- Amount of contribution derived from business revenue cS Line A+ Line B + Line C= TOTAL AMOUNT OF CONTRIBUTION 7,812.95"Make photocopies of this page Hf addtional space is needed rage ote ‘Assigned Share| ‘Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Google, Inc. / 1600 Amphitheatre Parkway Mountain View, CA 94043 | __ 25,000.00 340.04 Great Lakes Dredge and Dock Company / 2122 York Road Oak Brook, Il j60523 _ 115,000.00 204.03, Hernco / 17080 N Dallas Parkway Dallas, TX 75248 25,000.00 340.04 Hubbard Broadcasting, Inc. / 3425 University Avenue St. Paul, MN 55114 50,000.00 680.09 Hunt Consolidated, Inc. / 1900 North Akard Street_Dallas, TX 75201 25,000.00 340.04 Integrity Texas Funding, LP / 84 Villa Road Greenville, SC 29615 25,000.00, 340.04 International Council of Shopping Centers, Inc. / 1221 Avenue of the Jamericas New York, NY 10020 _ __ 40,000.00 $44.07 International Franchise Association / 1900 K Street NW Ste 700 |Washington, DC 20006 80,000.00 1,088.14 Istation,com / 8150 N. Central Expwy Suite 2000 Dallas, TX 75206 37,000.00 503.26 Line A - Total of itemized sources of funding 4,379.76 Line B - Amount of contribution that is attributable to underlying sources lthat are not required to be itemized : Line C - Amount of contribution derived from business revenue : Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 4,379.76Imake photocopies ofthis page W addtional space is needed race 4 ort ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Jani-King International, Inc. 16885 Dallas Pkwy Addison, TX 75001 12,000.00 163.22 JM Family Enterprises, Inc. / 100 Jim Moran Blvd. Deerfield Beach, FL 33442 25,000.00 340.04 Johnson & Johnson / 13501 Street NW Suite 1210 Washington, DC 20005 25,000.00 340.04 Johnson Controls / Controls Group SSA - JCI Inc. PO Box 22012 Milwaukee, lwi 53202 35,000.00 476.05 Judicial Confirmation Network / 2710 N Street, NW_Washington, DC 20007| 240,000.00 3,264.42 k12 Management Inc. / 2300 Corporate Park Drive Herndon, VA 20171. 50,000.00, 680.09 Koch Industries, Inc. / 4111 E. 37th Street North Wichita, KS 67220 100,000.00 1,360.17, Kraft Heinz Company / 801 Waukegan Rd_Glenview, IL 60025 10,000.00 136.02, Kum & Go / 6400 Westown Pkwy West Des Moines, IA 50266 25,000.00 340.04 Line A Total of itemized sources of funding 7,100.11 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized - Line C - Amount of contribution derived from business revenue a 7,100.11 Line A+ Line 8 + Line C= TOTAL AMOUNT OF CONTRIBUTIONneeded [Make photocopies ofthis page If additional spac rege 1D oft ‘Assigned Share Line A + Line B + Line € = TOTAL AMOUNT OF CONTRIBUTION Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Kwik Trip, Inc / 1626 Oak Street P.0, Box 2107 Lacross, WI 54603, 25,000.00 340.04 LegalZoom .com, Inc. /101.N Brand Blvd Ste 1100 Glendale, CA 91203 5,000.00 68.01 LKQ Corporation / 655 Grassmere Park Drive Nashville, TN 37211 50,000.00 680.09 Lyft, Ine. 185 Berry St_San Francisco, CA 94107 _ 44,500.00 197.23 Marathon Petroleum Co LP / 539 S Main Street_Findlay, OH 45840 100,000.00 1,360.17 MAXIMUS / 11419 Sunset Mills Road_Reston, VA 20190 50,000.00, 680.09 Melane Company, inc. /PO Box 6115 Temple, TX 76503, 50,000.00, 680.09 MCNA Health Care Holdings, LLC/ 200 West Cypress Creek Road Ste. 500 Fort Lauderdale, FL_ 33309 10,000.00 136.02, Medtronic, inc. /710 Medtronic Parkway Minneapolis, MN 55432 32,900.00 163.22 Line A - Total of itemized sources of funding 4,304.95 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized : Line C- Amount of contribution derived from business revenue : 4,304.95 |‘Make photocopies of this page if additional space Is needed Page || ote Amount to Name and full address of itemized sources of funding Donor Meljer / Offices Box x Grand Rapids, Mi 49502 50,000.00 680.09 MGT of America, Ine. / 8800 Esplanade Way Suite 210 Tallahassee, FL 32311 - 10,000.00, 136.02 Michael Best Strategies / 100 East Wisconsin Ave _Millwaukee, Wi 53202 15,000.00 208.03 Microsoft Corporation / One Microsoft Way Redmond, WA 98052 15,000.00 208.03 MillerCoors, LLC/ P.O. Box 482_ Milwaukee, Wi 53201 25,000.00 340.04 Molina Healthcare, Inc. / 200 Oceangate Suite 100 Long Beach, CA 90802 25,000.00, 340.04 Monsanto Company / 800 North Lindbergh Boulevard_St. Louis, MO 63167 25,000.00 340.04 | Motion Picture Association of America, Inc. / 15503 Ventura Boulevard Encino, CA 91436 25,000.00 340.04 Motorola Solutions Inc, / PO Box 68429 Schaumburg, I 60168 25,000.00 340.04 Line A - Total of itemized sources of funding 2,924.37 Line 8 - Amount of contribution that is attributable to under that are not required to be itemized E Line C- Amount of contribution derived from business revenue E Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 2,924.37'Make photocopies af this page i additonal space Is needed Page 2 ofa ‘Assigned Share| ‘Amount to of MN ‘Name and full address of itemized sources of funding Donor Expenditure NAIOP / 2201 Cooperative Way Woodland Park Herndon, VA 20171, 32,000.00, 163.22 National Federation of Independent Business NFIB / 53 Century Blvd Nashville, TN 37214 12,000.00, 163.22 National Restaurant Association / 2055 L St. NW, Ste 700 Washington, DC 20036 32,000.00, 435.26 National Rifle Association - Institute for Legislative Action / 11250 Waples Mill Road - North Tower_ Fairfax, VA 22030 25,000.00 340.04 National Seating & Mobily, Inc. / $959 Shallowford Road Suite 443 chattanooga, TN 37421 20,000.00 272.03 Navient / 2001 Edmund Halley Dr, APIST Reston, VA 20192 12,000.00 163.22 Navigant Consulting / 30'S, Wacker Drive Suite 3100 Chicago, I 60606 15,000.00, 204.03 Nevada Corporate Headquarters, Inc. / 4730'S. Ft, Apache Rd. #300 Las Vegas, NV 89147 15,000.00 208.03 New Jersey Dental Association / One Dental Plaza P.O, Box 6020 North Brunswick, Ws 8902 12,000.00 163.22 Line A- Total of itemized sources of funding 2,108.27 Line 8 - Amount of contribution that is attributable to underiying sources that are not required to be itemized 7 Line C- Amount of contribution derived from business revenue : Line A+ Line 8 + Line C= TOTAL AMOUNT OF CONTRIBUTION 2,108.27, |‘Make photocopies of this page if addtional space is needed Page \3 ofte ‘Assigned Share] Amount to of MN [Name and full address of Itemized sources of funding Donor Expenditure Novartis Pharmaceuticals Corporation/Novartis FSC / 6201 South Freeway lwr-57_Fort Worth, TX 76134 30,000.00 408.05 Novolex/ 101 E. Carolina Avenue Hartsville, SC 29550 25,000.00 340.04 Nuclear Energy Institute / 1201 F Street, NW Suite 100 Washington, DC 20008 50,000.00 680.09 Ohio Chamber of Commerce / 230 € Town Street_Columbus, OH 4325 200,000.00 2,720.35 Pandora Media / 2101 Webster Street, #1650 Oakland, CA 94612 11,000.00 149.62 Paypal inc / 18200 NE Union Hill Road Suite 250 Redmond, WA 98052 25,000.00 340.04 Pharmaceutical Care Management Association / 601 Pennsylvania Avenue, INW, Suite 740 Washington, DC 20004 12,000.00 163.22 Pharmaceutical Research & Manufacturers of America / 950 F Street, NW [suite 300 Washington, DC 20008 235,000.00 3,196.41 Plaid Pantres, inc. 10025 SW Allen Bivd_Beaverton, OR 97005 5,000.00 68.01 Line A - Total of itemized sources of funding 8,065.83 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized : Line C - Amount of contribution derived from business revenue : Line A+ Line B + Line C= TOTAL AMOUNT OF CONTRIBUTION 8,065.83[Make photocopies ofthis page If additional space is needed rage IA oft ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure PLS Financial Services, Inc. / 15 Wacker Dr, 36th Floor Chicago, IL 60606 12,000.00 163.22 Purdue Pharma LP. / One Stamford Forum Stamford, CT 6901 25,000.00 340.04 Renovate America / 15073 Avenue of Science Suite 200 San Diego, CA 92128 10,000.00 136.02 Republic Silver State Disposal Inc / 770 € Sahara Avenue Las Vegas, NV 39104 41,000.00 13.60 Rescare, Inc, / 9901 Linn Station Road Corporate Office Louisville, KY 40223) 22,000.00 299.24 Reynolds American / RAI Services Company PO Box 2990 Winston Salem, INC 27102 275,000.00 3,740.48 Select Management Resources LLC / 3440 Preston Ridge Road Suite 500, Alpharetta, GA 30005 50,000.00 1680.09 Southwest Airlines / 2702 Love Field Drive P.O. Box 36614 Dallas, TX 75235 25,000.00 340.04 ‘Southwest Regional Council of Carpenters Political Action Fund / 533 South Fremont Avenue 10th Floor Suite 501 Los Angeles , CA 90071 5,000.00 68.01 Line A - Total of itemized sources of funding _ 5,780.74 Line B - Amount of contribution that is attributable to underlying sources that are not required to be itemized . Line C - Amount of contribution derived from business revenue 5 Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 5,780.74‘Make photocopies ofthis page If addtional space is needed rage = 15 ofa ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure _ Sunovion / 84 Waterford Drive Marlborough, MA 1752 25,000.00 340.04 Switch, LTD. / P.O. Box 400850_Las Vegas, NV 89140 25,000.00 340.04 ‘T-Mobile USA, Inc, / 12920 SE 38th Street Bellevue, WA 98005 25,000.00 340.04 Takeda Pharmaceuticals U.S.A, Inc, / One Takeda Parkway Deerfield, IL j60015 25,000.00 340.04 Teladog, Inc. / 1945 Lakepointe Drive Lewisville, TX 75057 75,000.00 3,020.13, Teva Pharmaceuticals USA, Inc. /1090 Horsham Road North Wales, PA 19454 12,000.00, 163.22 ‘Texas Automobile Dealers Association / 1108 Lavaca St Suite 800 Austin, TX 78701 _ 10,000.00 136,02 The Anschutz Corporation / $55 Seventeenth Street Suite 2400 Denver, CO 130202 35,000.00 476.06 The Dow Chemical Company / Dow International Finance S.a.r|, 2511 E Patrick Road Midland, Ml 48641 25,000.00 340.04 Line A - Total of itemized sources of funding 3,495.65 Line B - Amount of contribution that is attributable to underlying sources that are not required to be itemized Line C - Amount of contribution derived from business revenue Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 3,495.65Make photocopies of ths page if edstional space is needed Page | ott ~ — ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure _| ‘The Public Policy Fund, Inc. d/b/a Alliance for American Manufacturing / 72 D Street NW 3rd Floor Washington, DC 20004 12,000.00 163.22 The Scotts Company and Subsidiaries / 14114 Scottslawn Rd Marysville, OH 43040 12,000.00 163.22 ‘Time Warner Cable / 7800 Crescent Executive Drive Shared Service Center Charlotte, NC 28217 50,000.00 680.03 TitleMax / 2312 € Trinity Mills Road Carrollton, TX 75006 10,000.00 136.02 Total Renal Care, Inc., a subsidiary of DaVita / PO Box 2037 Tacoma, WA 98401 50,000.00, 680.09 Toy Industry Association, Inc. / 1115 Broadway, Sute 400 New York, NY 10010 12,000.00 163.22 Tracfone Wireless, Inc/9700 NW 112th Avenue Miami, FL 33178 110,000.00 1,496.19 Trinity Industries, inc. /2525 N, Stemmons Freeway Dallas, TX 75207 27,000.00 367.25 TruGreen / 860 Ridge Lake Blvd_Memphis, TN 38120 50,000.00 680.09 Line A- Total of itemized sources of funding 4529.38 Line 8 Amount of contribution that is attributable to underlying sources that are not required to be itemized - Line C- Amount of contribution derived from business revenue - 4,529.38, Line A+ Line 8 + Line C= TOTAL AMOUNT OF CONTRIBUTION | |take photocoples ofthis page atonal pace needed page [| ote 7 ‘Assigned Share| ‘Amount to of MIN Name and full address of itemized sources of funding Donor Expenditure US. Chamber of Commerce and Related Entities / Institute for Legal Reform 4615 H Street, NW Washington, DC 20062 1,000,000.00 413,601.74 UnitedHealth Group Inc / P.O, Box 1459 MINOO8-1459. Minneapolis, MIN 55440 _ 50,000.00 680.09 Univision Management Company / 500 Frank W. Burr Blvd Glenpointe centre West 6th Fl Teaneck, NJ 7666 5,000.00 68.01 Vensal Technologies, In. /2450 Altanta Highway #1002 Cumming, GA [30040 1,500.00 20.40, Verizon Corporate Resources, LLC/ PO Box 21075 Tulsa, OK 74124 25,000.00 340.04 Vertex Pharmaceuticals / 50 Northern Ave_Boston, MA 2210 50,000.00 680.09 ‘Volkswagen Group of Ameria, In. /2200 Ferdinand Porsche Drive Herndon, VA 20171 12,000.00 163.22 Votem Corp / 600 Superior Avenue Suite 600 Cleveland, OH 44124 15,000.00 208.03 WalMart Stores, Inc. /702.5.W. 8th Street Bentonville, AR 72736 160,000.00 2,176.28 Line A. Total of itemized sources of funding 17,933.90 line B - Amount of contribution that Is attributable to underlying sources that are not required to be itemized Line C- Amount of contribution derived from business revenue Line A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 17,933.90‘Make photocopies ofthis page If additional space Is needed Pago |g ots ‘Assigned Share| Amount to of MN Name and full address of itemized sources of funding Donor Expenditure Washington Association of Realtors / PO Box 719 Olympia, WA 98507 50,000.00 680.09 Waste Management / PO Box 3027 Houston, TX 77253 25,000.00 340.04 Wellcare Health Plans, Inc//Comprehensive Health Management, Inc, subsidiary of / PO Box 31390 Tampa, FL. 33631 100,000.00 4,360.17 Western Governors University / 4001 S, 700 E Ste. 700 Salt Lake City, UT [34107 10,000.00 136.02 Weyerhaeuser NR Company / PO Box 9769_Federal Way, WA 98063 12,000.00 163.22 Wine & Spirits Wholesalers of America, Inc. / 805 Fifteenth Street, NW Sulte |430_Washington, DC 20005 75,000.00 1,020.13 Yahoo! Inc./ 101 Constitution Ave NW Suite 800W Washington, DC 20001, 12,000.00 163,22 Yum! Brands Inc. /PO Box'32430 Louisville, KY 40232 25,000.00 | 340.04 1y Industrial Inc. / PO Box 240130_San Antonio, TX 78224 5,000.00 68.00 Line A Total of itemized sources of funding 4,270.94 Line 8 - Amount of contribution that is attributable to underlying sources that are not required to be itemized : Jne C - Amount of contribution derived from business revenue E 1@ A+ Line B+ Line C= TOTAL AMOUNT OF CONTRIBUTION 4270.94