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REPORT OF RECEIPTS
FEC
AND DISBURSEMENTS
FORM 3X For Other Than An Authorized Committee
Office Use Only

1. NAME OF TYPE OR PRINT ▼ Example: If typing, type


COMMITTEE (in full) over the lines. 12FE4M5

South Dakota Democratic Party

PO Box 1485
ADDRESS (number and street)

Check if different
than previously Sioux Falls SD 57101-1485
reported. (ACC)

▼ CITY STATE ZIP CODE


▼ ▼ ▼
2. FEC IDENTIFICATION NUMBER

3. IS THIS NEW AMENDED


C C00160937
REPORT ✘ (N) OR (A)

4. TYPE OF REPORT (b) Monthly Feb 20 (M2) May 20 (M5) Aug 20 (M8) Nov 20 (M11)
Report (Non-Election
(Choose One) Year Only)
Due On:
Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Dec 20 (M12)
(Non-Election
(a) Quarterly Reports: Year Only)

✘ Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)


April 15
Quarterly Report (Q1)
(c)
12-Day Primary (12P) General (12G) Runoff (12R)
July 15 PRE-Election
Quarterly Report (Q2)
Report for the: Convention (12C) Special (12S)
October 15
Quarterly Report (Q3)

M M / D D / Y Y Y Y in the
January 31
Year-End Report (YE) Election on State of

July 31 Mid-Year (d)


30-Day
Report (Non-election
Year Only) (MY) POST-Election General (30G) Runoff (30R) Special (30S)
Report for the:
Termination Report
(TER)
M M / D D / Y Y Y Y in the
Election on State of


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

5. Covering Period 03 01 2019 through 03 31 2019

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Nibbelink, Bill, , ,
Type or Print Name of Treasurer


M M / D D / Y Y Y Y
Nibbelink, Bill, , ,
Signature of Treasurer [Electronically Filed] Date 04 21 2019

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109.

Office
Use
FEC FORM 3X
Rev. 05/2016
Only
Image# 201904209149574340

SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
FEC Form 3X (Rev. 05/2016 ) Page 2
Write or Type Committee Name

South Dakota Democratic Party


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

Report Covering the Period: From: 03 01 2019 To: 03 31 2019

COLUMN A COLUMN B
This Period Calendar Year-to-Date

6. (a) Cash on Hand


Y Y Y Y


, , .
January 1, 73745.95
2019 ▲ ▲ ▲
(b) Cash on Hand at
Beginning of Reporting Period.............
, , .
▲ ▲ 41335.75


, , .
, , .
(c) Total Receipts (from Line 19).............. 16363.17
▲ ▲ ▲ ▲ ▲ 52307.51

(d) Subtotal (add Lines 6(b) and
6(c) for Column A and Lines
6(a) and 6(c) for Column B)................
, , .
▲ ▲ 57698.92

, , .
▲ ▲ 126053.46

7. Total Disbursements (from Line 31)............


, , .
▲ ▲ 34956.32

, , .
▲ ▲ 103310.86

8. Cash on Hand at Close of
Reporting Period

, , .
, , .
22742.60
(subtract Line 7 from Line 6(d)).................. ▲ ▲ ▲ ▲ ▲ 22742.60

9. Debts and Obligations Owed TO
the Committee (Itemize all on

, , .
Schedule C and/or Schedule D)................. 0.00
▲ ▲ ▲
10. Debts and Obligations Owed BY
the Committee (Itemize all on

, , .
Schedule C and/or Schedule D)................. 0.00
▲ ▲ ▲

This committee has qualified as a multicandidate committee. (see FEC FORM 1M)

For further information contact:

Federal Election Commission


999 E Street, NW
Washington, DC 20463

Toll Free 800-424-9530


Local 202-694-1100
Image# 201904209149574341

DETAILED SUMMARY PAGE


of Receipts
FEC Form 3X (Rev. 05/2016 ) Page 3
Write or Type Committee Name

South Dakota Democratic Party



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

Report Covering the Period: From: 03 01 2019 To: 03 31 2019

COLUMN A COLUMN B
I. Receipts
Total This Period Calendar Year-to-Date
11. Contributions (other than loans) From:
(a) Individuals/Persons Other
Than Political Committees
(i) Itemized (use Schedule A).............
, , .
▲ ▲ 1445.00

, , . 5535.00

(ii) Unitemized......................................
, , .
▲ ▲ 1977.00

, , .
▲ ▲ 7949.00

(iii) TOTAL (add
Lines 11(a)(i) and (ii)..................
, , .
▲ ▲ ▲
3422.00
, , .
▲ ▲ 13484.00

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


, , .
▲ ▲ 12941.17

, , .
▲ ▲ 38823.51

(c) Other Political Committees
(such as PACs).....................................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

(d) Total Contributions (add Lines
11(a)(iii), (b), and (c)) (Carry
Totals to Line 33, page 5)...............
, , .
▲ ▲ 16363.17

, , .
▲ ▲ 52307.51

12. Transfers From Affiliated/Other


Party Committees.........................................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

13. All Loans Received......................................
, , .
, , .
0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲

14. Loan Repayments Received........................


, , .
, , .
0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲
15. Offsets To Operating Expenditures
(Refunds, Rebates, etc.)
(Carry Totals to Line 37, page 5)................
, , .
, , .
0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲
16. Refunds of Contributions Made
to Federal Candidates and Other
Political Committees.....................................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

17. Other Federal Receipts
(Dividends, Interest, etc.).............................

, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

18. Transfers from Non-Federal and Levin Funds
(a) Non-Federal Account
(from Schedule H3)..............................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

(b) Levin Funds (from Schedule H5)..........


, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

(c) Total Transfers (add 18(a) and 18(b))...

, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

19. Total Receipts (add Lines 11(d),


12, 13, 14, 15, 16, 17, and 18(c))..........

, , .
▲ 16363.17
, , .
▲ 52307.51

▲ ▲ ▲ ▲
20. Total Federal Receipts
(subtract Line 18(c) from Line 19)..........

, , .
, , .
16363.17
▲ 52307.51

▲ ▲ ▲ ▲ ▲
Image# 201904209149574342

DETAILED SUMMARY PAGE


of Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 4

II. Disbursements COLUMN A COLUMN B


Total This Period Calendar Year-to-Date
21. Operating Expenditures:
(a) Allocated Federal/Non-Federal
Activity (from Schedule H4)
(i) Federal Share..............................
, , .
▲ ▲ 44.67

, , .
▲ ▲ 1457.77

(ii) Non-Federal Share.......................
, , .
▲ ▲ 79.40

, , .
▲ ▲ 2663.95

(b) Other Federal Operating
Expenditures........................................
, , .
▲ ▲ 25549.11

, , .
▲ ▲ 70555.66

(c) Total Operating Expenditures
(add 21(a)(i), (a)(ii), and (b))..............
, , .
▲ ▲ 25673.18

, , .
▲ ▲ 74677.38


22. Transfers to Affiliated/Other Party
Committees..................................................
23. Contributions to
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

Federal Candidates/Committees
and Other Political Committees..................
, , .
, , .
0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲
24. Independent Expenditures

, , .
, , .
(use Schedule E)........................................ 0.00 0.00
25. Coordinated Party Expenditures ▲ ▲ ▲ ▲ ▲ ▲
(52 U.S.C. § 30116(d))

, , .
, , .
(use Schedule F)........................................ 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲


, , .
, , .
26. Loan Repayments Made............................. 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲


, , .
, , .
27. Loans Made................................................. 0.00 0.00
28. Refunds of Contributions To: ▲ ▲ ▲ ▲ ▲ ▲
(a) Individuals/Persons Other

, , .
, , .
Than Political Committees.................. 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲


, , .
, , .
(b) Political Party Committees.................. 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲
(c) Other Political Committees
(such as PACs)....................................

, , .0.00
, , .
▲ ▲ 0.00

(d) Total Contribution Refunds


, , .
, , .
(add Lines 28(a), (b), and (c))............ 0.00 0.00

▲ ▲ ▲ ▲ ▲ ▲
29. Other Disbursements (Including
Non-Federal Donations)....................................

, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

30. Federal Election Activity (52 U.S.C. § 30101(20))
(a) Allocated Federal Election Activity
(from Schedule H6)


, , .
, , .
(i) Federal Share................................. 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲


, , .
, , .
(ii) "Levin" Share................................. 0.00 0.00
▲ ▲ ▲ ▲ ▲ ▲
(b) Federal Election Activity Paid


, , .
, , .
Entirely With Federal Funds...............
▲ ▲ 9283.14
▲ ▲ ▲ 28633.48

(c) Total Federal Election Activity (add


, , .
, , .
Lines 30(a)(i), 30(a)(ii) and 30(b))...... 9283.14

▲ ▲ ▲ ▲ ▲ 28633.48

31. Total Disbursements (add Lines 21(c), 22,


, , .
, , .
23, 24, 25, 26, 27, 28(d), 29 and 30(c))...
▲ ▲ 34956.32
▲ ▲ ▲ 103310.86

32. Total Federal Disbursements
(subtract Line 21(a)(ii) and Line 30(a)(ii)


, , .
, , .
from Line 31)...............................................

▲ ▲ 34876.92
▲ ▲ ▲ 100646.91

Image# 201904209149574343

DETAILED SUMMARY PAGE


of Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 5
III. Net Contributions/ COLUMN A COLUMN B
Operating Expenditures Total This Period Calendar Year-to-Date

33. Total Contributions (other than loans)


(from Line 11(d), page 3)...........................
, , .
▲ ▲ 16363.17

, , .
▲ ▲ 52307.51

34. Total Contribution Refunds
(from Line 28(d)).........................................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

35. Net Contributions (other than loans)
(subtract Line 34 from Line 33).................
, , .
▲ ▲ 16363.17

, , .
▲ ▲ 52307.51

36. Total Federal Operating Expenditures
(add Line 21(a)(i) and Line 21(b))..........
, , .
▲ 25593.78
, , .
▲ 72013.43

▲ ▲ ▲ ▲
37. Offsets to Operating Expenditures
(from Line 15, page 3)...............................
, , .
▲ ▲ 0.00

, , .
▲ ▲ 0.00

38. Net Operating Expenditures

, , .
, , .
25593.78 72013.43
(subtract Line 37 from Line 36).................

▲ ▲ ▲ ▲ ▲ ▲
Image# 201904209149574344

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 6 OF 20


Use separate schedule(s) (check only one)
ITEMIZED RECEIPTS for each category of the
Detailed Summary Page
✘ 11a 11b 11c 12
13 14 15 16 17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
A. Daschle, Tom, , , Date of Receipt
Mailing Address 1155 23rd St NW
M M / D D / Y Y Y Y
03 29 2019
City State Zip Code Transaction ID : VR028S7YRZ3
Washington DC 20037-3307 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ ▲
250.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


The Daschle Group Consultant
Receipt For: 2016 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 750.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
B. Knecht, Deborah, J., , Date of Receipt
Mailing Address 40193 112th St
M M / D D / Y Y Y Y
03 04 2019
City State Zip Code Transaction ID : VR028S4DYT6
Houghton SD 57449-6000 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ 150.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item
Retired Retired
Receipt For: 2014 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 450.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
C. McKellips, Gary, , , Date of Receipt
Mailing Address PO Box 281
M M / D D / Y Y Y Y

PO Box 281 03 21 2019


City State Zip Code Transaction ID : VR028S6MB58
Alcester SD 57001-0281 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
200.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


State Bank of Alcester President
Receipt For: 2018 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▲
, , .
▲ ▲
600.00

SUBTOTAL of Receipts This Page (optional)............................................................................. , , . 600.00


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


, , .
▲ ▲

FEC Schedule A (Form 3X) Rev. 06/2016


Image# 201904209149574345

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 7 OF 20


Use separate schedule(s) (check only one)
ITEMIZED RECEIPTS for each category of the
Detailed Summary Page
✘ 11a 11b 11c 12
13 14 15 16 17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
A. Nibbelink, Bill, A., , Date of Receipt
Mailing Address PO Box 62
M M / D D / Y Y Y Y
03 28 2019
City State Zip Code Transaction ID : VR028S7ANQ4
Flandreau SD 57028-0062 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ ▲
100.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


Self Employed Consultant
Receipt For: 2016 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 300.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
B. Roebuck-Pearson, Jo, , , Date of Receipt
Mailing Address 36 Lincoln Ave
M M / D D / Y Y Y Y
03 13 2019
City State Zip Code Transaction ID : VR028S64CP8
Deadwood SD 57732-1453 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ 400.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item
Retired Retired
Receipt For: 2018 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 1200.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
C. Walsh, William, E., , Date of Receipt
Mailing Address 36 Lincoln Ave
M M / D D / Y Y Y Y
03 01 2019
City State Zip Code Transaction ID : VR028S4AAG0
Deadwood SD 57732-1453 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
100.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


Retired Retired
Receipt For: 2018 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▲
, , .
▲ ▲
300.00

SUBTOTAL of Receipts This Page (optional)............................................................................. , , . 600.00


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


, , .
▲ ▲

FEC Schedule A (Form 3X) Rev. 06/2016


Image# 201904209149574346

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 8 OF 20


Use separate schedule(s) (check only one)
ITEMIZED RECEIPTS for each category of the
Detailed Summary Page
✘ 11a 11b 11c 12
13 14 15 16 17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
A. Weaver, Keith, , , Date of Receipt
Mailing Address 224 E Sawgrass Trl
M M / D D / Y Y Y Y
03 15 2019
City State Zip Code Transaction ID : VR028S69JA5
North Sioux City SD 57049-5242 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ ▲
20.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


USD School of Medicine Professor of Microbiology
Receipt For: 2018 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 310.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
B. Wicks, Travis, , , Date of Receipt
Mailing Address 1025 NW 7th St
M M / D D / Y Y Y Y
03 27 2019
City State Zip Code Transaction ID : VR028S79J09
Madison SD 57042-1930 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
▲ ▲ 200.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item
Oldham-Ramona School District Teacher
Receipt For: 2020 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▼ ▲
, , .
▲ 250.00

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
C. Wicks, Travis, , , Date of Receipt
Mailing Address 1025 NW 7th St
M M / D D / Y Y Y Y
03 28 2019
City State Zip Code Transaction ID : VR028S7B049
Madison SD 57042-1930 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
25.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item


Oldham-Ramona School District Teacher
Receipt For: 2016 Aggregate Year-to-Date ▼
✘ Primary General
Other (specify) ▲
, , .
▲ ▲
275.00

SUBTOTAL of Receipts This Page (optional)............................................................................. , , . 245.00


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


, , .
▲ 1445.00

FEC Schedule A (Form 3X) Rev. 06/2016


Image# 201904209149574347

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 9 OF 20


Use separate schedule(s) (check only one)
ITEMIZED RECEIPTS for each category of the
Detailed Summary Page 11a ✘ 11b 11c 12
13 14 15 16 17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
A. Democratic National Committee Date of Receipt
Mailing Address 430 S Capitol St SE
M M / D D / Y Y Y Y
03 27 2019
City State Zip Code Transaction ID : VR028SARHE3
Washington DC 20003-4095 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C C00010603

, , .
▲ ▲ ▲
10000.00

Name of Employer (for Individual) Occupation (for Individual) Memo Item

Receipt For: 2018 Aggregate Year-to-Date ▼


Primary ✘ General
Other (specify) ▼ ▲
, , .
▲ 35882.34

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
B. Democratic National Committee Date of Receipt
Mailing Address 430 S Capitol St SE
M M / D D / Y Y Y Y
03 31 2019
City State Zip Code Transaction ID : VR028SANM96
Washington DC 20003-4095 Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C C00010603
, , .
▲ ▲ 2941.17

Name of Employer (for Individual) Occupation (for Individual) Memo Item

Receipt For: 2018 Aggregate Year-to-Date ▼


Primary ✘ General * In-Kind:
Other (specify) ▼ ▲
, , .
▲ 38823.51

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
C. Date of Receipt
Mailing Address
M M / D D / Y Y Y Y

City State Zip Code


Amount of Each Receipt this Period
FEC ID number of contributing
federal political committee. C
, , .
Name of Employer (for Individual) Occupation (for Individual) Memo Item

Receipt For: Aggregate Year-to-Date ▼


Primary General
Other (specify) ▲
, , .
▲ ▲

SUBTOTAL of Receipts This Page (optional)............................................................................. , , . 12941.17


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


, , .
▲ 12941.17

FEC Schedule A (Form 3X) Rev. 06/2016


Image# 201904209149574348

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 10 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Action Network Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 106 W 145th St 03 26 2019

City State Zip Code


FEC Identification Number
New York NY 10039-4138
Purpose of Disbursement
Emails 001
C
Transaction ID : VQZ30AJ06E0
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
Senate
, , .
▲ ▲ 80.00

✘ Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. American Ink Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 125 N Marion Rd 03 06 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57107-0545
Purpose of Disbursement
C
Transaction ID : VQZ30AJ06F8
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 360.98

Senate ✘ Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Bucklin, Grace, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 03 11 2019

City State Zip Code


FEC Identification Number

Purpose of Disbursement
C
Transaction ID : VQZ30AJ07C5
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 534.00

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 974.98

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574349

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 11 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Bucklin, Grace, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 03 29 2019

City State Zip Code


FEC Identification Number

Purpose of Disbursement
C
Transaction ID : VQZ30AJ07D3
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 378.00

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Democratic National Committee Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 430 S Capitol St SE 03 31 2019

City State Zip Code


FEC Identification Number
Washington DC 20003-4095
Purpose of Disbursement
In-Kind Voterfile. 001
C C00010603
Transaction ID : VQZ30AJ0860
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 2941.17

Senate Primary ✘ General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Democratic National Committee Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 430 S Capitol St SE 03 31 2019

City State Zip Code


FEC Identification Number
Washington DC 20003-4095
Purpose of Disbursement
C C00010603
Transaction ID : VR028SANM96I
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 2941.17

Senate Primary ✘ General * In-Kind Received
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 6260.34

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574350

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 12 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. First Data Merchant Services Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1307 Walt Whitman Rd 03 04 2019

City State Zip Code


FEC Identification Number
Melville NY 11747-4819
Purpose of Disbursement
Credit Card Processing Fees
C
Transaction ID : VQZ30AJ06N5
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 96.14

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. First Data Merchant Services Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1307 Walt Whitman Rd 03 04 2019

City State Zip Code


FEC Identification Number
Melville NY 11747-4819
Purpose of Disbursement
Credit Card Processing Fees C
Transaction ID : VQZ30AJ06P3
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 119.27

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. First Data Merchant Services Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1307 Walt Whitman Rd 03 04 2019

City State Zip Code


FEC Identification Number
Melville NY 11747-4819
Purpose of Disbursement
Credit Card Processing Fees
C
Transaction ID : VQZ30AJ06Q1
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 85.30

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 300.71

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574351

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 13 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Forster, Megan, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1700 E Fair Ln 03 15 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57105-1237
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ07J2
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 1387.17

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Forster, Megan, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1700 E Fair Ln 03 28 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57105-1237
Purpose of Disbursement
Telephone Reinbursement 001
C
Transaction ID : VQZ30AJ07M8
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 300.00

Senate ✘ Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Forster, Megan, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1700 E Fair Ln 03 29 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57105-1237
Purpose of Disbursement
Salary
C
001
Transaction ID : VQZ30AJ07K0
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1387.17

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 3074.34

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574352

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 14 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Gaughen, Sunny, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 514 Vliff Street 03 15 2019

City State Zip Code


FEC Identification Number
Deadwood SD 57732
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ07Z5
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 1441.65

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Gaughen, Sunny, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 514 Vliff Street 03 29 2019

City State Zip Code


FEC Identification Number
Deadwood SD 57732
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ0803
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1441.64

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Internal Revenue Service Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 500 N Capitol St NW 03 06 2019

City State Zip Code


FEC Identification Number
Washington DC 20221-0003
Purpose of Disbursement
Federal & Fed Payroll
C
Transaction ID : VQZ30AJ07E1
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 2092.86

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 4976.15

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574353

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 15 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Internal Revenue Service Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 500 N Capitol St NW 03 20 2019

City State Zip Code


FEC Identification Number
Washington DC 20221-0003
Purpose of Disbursement
Federal & Fed Payroll
C
Transaction ID : VQZ30AJ07F9
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 2092.86

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Meat & Potatoes Marketing Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 3113 S Covell Ave 03 11 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57105-5519
Purpose of Disbursement
State Convention Invitations C
Transaction ID : VQZ30AJ07H4
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1899.96

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Mud Mile Communications Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 136 S Dakota Ave 03 07 2019


Ste M
City State Zip Code
FEC Identification Number
Sioux Falls SD 57104-6412
Purpose of Disbursement
C
Transaction ID : VQZ30AJ07N6
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 470.32

Senate ✘ Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 4463.14

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574354

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 16 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. NGP VAN, Inc. Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1101 15th St NW 03 07 2019


Ste 500
City State Zip Code
FEC Identification Number
Washington DC 20005-5006
Purpose of Disbursement
Software Fee
C
Transaction ID : VQZ30AJ07P4
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 2010.00

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Spectrum Holdings LLC Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 03 11 2019

City State Zip Code


FEC Identification Number

Purpose of Disbursement
C
Transaction ID : VQZ30AJ07Y7
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 2400.00

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Target Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 3600 S Louise Ave 03 01 2019

City State Zip Code


FEC Identification Number
Sioux Falls SD 57106-6326
Purpose of Disbursement
Office supplies
C
001
Transaction ID : VQZ30AJ0811
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For: 2018
, , .
▲ ▲ 7.44

Senate ✘ Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 4417.44

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574355

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 17 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
✘ 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 30b

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Xcel Energy Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address PO Box 59 03 27 2019

City State Zip Code


FEC Identification Number
Minneapolis MN 55440-0059
Purpose of Disbursement
C
Transaction ID : VQZ30AJ0845
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 607.88

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address

City State Zip Code


FEC Identification Number

Purpose of Disbursement
C
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address

City State Zip Code


FEC Identification Number

Purpose of Disbursement
C
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 607.88

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


, , .
25074.98

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574356

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 18 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 ✘ 30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Deverman, Benjamin, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1125 S Ebenezer Ave 03 15 2019


Apt 132
City State Zip Code
FEC Identification Number
Sioux Falls SD 57106-5779
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ06G6
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 1433.12

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Deverman, Benjamin, , , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 1125 S Ebenezer Ave 03 29 2019


Apt 132
City State Zip Code
FEC Identification Number
Sioux Falls SD 57106-5779
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ06H4
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1433.13

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Matson, Aaron, C., , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 4310 W 59th St 03 15 2019


Unit 11
City State Zip Code
FEC Identification Number
Sioux Falls SD 57108-2315
Purpose of Disbursement
Salary
C
001
Transaction ID : VQZ30AJ06C4
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1523.12

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 4389.37

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


, , .

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574357

SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE 19 OF 20


Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the 21b 22 23 26 27
Detailed Summary Page
28a 28b 28c 29 ✘ 30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
Full Name (Last, First, Middle Initial)
A. Matson, Aaron, C., , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 4310 W 59th St 03 31 2019


Unit 11
City State Zip Code
FEC Identification Number
Sioux Falls SD 57108-2315
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ06D2
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
Senate
, , .
▲ ▲ 1523.13

Primary General
President Other (specify) ▼
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
B. Parkinson, Samuel, D, , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 522 N Main Ave 03 15 2019


Apt 407
City State Zip Code
FEC Identification Number
Sioux Falls SD 57104-5981
Purpose of Disbursement
Salary 001
C
Transaction ID : VQZ30AJ07S8
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1676.00

Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
C. Parkinson, Samuel, D, , Date of Disbursement

M M / D D / Y Y Y Y

Mailing Address 522 N Main Ave 03 29 2019


Apt 407
City State Zip Code
FEC Identification Number
Sioux Falls SD 57104-5981
Purpose of Disbursement
Salary
C
001
Transaction ID : VQZ30AJ07T6
Candidate Name Amount of Each Disbursement this Period
Category/
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 1676.00

Senate Primary General
President Other (specify) ▼
Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)...................................................................


, , .
▲ ▲ 4875.13

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


, , .
9264.50

FEC Schedule B (Form 3X) Rev. 05/2016


Image# 201904209149574358

SCHEDULE H4 (FEC Form 3X)


PAGE 20 OF 20
DISBURSEMENTS FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY FOR LINE 21a OF FORM 3X
NAME OF COMMITTEE (In Full)
South Dakota Democratic Party
A. Full Name (Last, First, Middle Initial) Transaction ID : VQZ30AJ06B6 Memo Item Allocated Activity or Event:
A&B Business Equipment ✘ Administrative Fundraising Exempt
Mailing Address 1600 N A Ave
Voter Drive Direct Candidate Support

City State Zip Code Public Comm (ref to party only) by PAC
Sioux Falls SD 57104-0370
Allocated Activity or Event Year-To-Date
Purpose of Disbursement:
Copier Lease

, , . 514.39
▲ ▲ ▲
Activity or Event Identifier:
Administrative Category/
M M / D D / Y Y Y Y

Type Date 03 06 2019


Copier Lease
FEDERAL SHARE + NONFEDERAL SHARE = TOTAL AMOUNT


, , .
▲ 44.67
▲ ▲
, , .
▲ 79.40
▲ ▲
, , .
▲ 124.07

B. Full Name (Last, First, Middle Initial) Memo Item Allocated Activity or Event:
Memo Item
Administrative Fundraising Exempt
Mailing Address
Voter Drive Direct Candidate Support

City State Zip Code Public Comm (ref to party only) by PAC
Allocated Activity or Event Year-To-Date
Purpose of Disbursement:


, , .
▲ ▲ ▲
Activity or Event Identifier:
Category/
M M / D D / Y Y Y Y

Type Date

FEDERAL SHARE + NONFEDERAL SHARE = TOTAL AMOUNT


, , .
▲ ▲ ▲
, , .
▲ ▲ ▲
, , .
▲ ▲
C. Full Name (Last, First, Middle Initial) Item Allocated Activity or Event:
Memo Item
Memo
Administrative Fundraising Exempt
Mailing Address
Voter Drive Direct Candidate Support

City State Zip Code Public Comm (ref to party only) by PAC
Allocated Activity or Event Year-To-Date
Purpose of Disbursement:


, , .
▲ ▲ ▲
Activity or Event Identifier:
Category/
M M / D D / Y Y Y Y

Type Date

FEDERAL SHARE + NONFEDERAL SHARE = TOTAL AMOUNT


, , .
▲ ▲ ▲
, , .
▲ ▲ ▲
, , .
▲ ▲

SUBTOTAL of Allocated Federal and NonFederal Activity This Page


FEDERAL SHARE + NONFEDERAL SHARE = TOTAL AMOUNT


, , .
▲ 44.67
▲ ▲
, , .
▲ 79.40
▲ ▲
, , .
▲ 124.07

TOTAL This Period (last page for each line only)(Federal. share to 21(a)(i) and NonFederal share to 21(a)(ii))
FEDERAL SHARE NONFEDERAL SHARE TOTAL AMOUNT


, , .
▲ 44.67
▲ ▲
, , .
▲ 79.40
▲ ▲
, , .
▲ 124.07

FEC Schedule H4 (Form 3X) Rev. 05/2016

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