DEC-15-2011 15:11 FromiMPRK SIMMONS

30386559S2

To:lE0EEig0174

P a g e : 1-^6

FEC F R 9 OM
24 H U NOTICE OF DISBURSEMENTS/OBLIGATIONS FOR OR ELECTIONEERING COMMUNICATIONS
1. P e r a o n M a k i n g the D i s b u r s e m e n t s / O b l i g a t i o n s

(a) N m a e

cr

(b) Address (number and street)

Q check if diflerent than previously reported

llo\

f^t^t^ctj/v^ioia Ai^nL/g KM,

So,yg

l o o
(e) Occupation

2. F E C Identification N u m b e r

(c) City, State and ZIP Code (d) Name of Employer or'^Principal Place of Business

hJ/A
New 3. Is T h i s Statement Amended 4. C o v e r i n g P e r i o d through

1-214 f-z- ^ / "a

I Cst I'Z.o | I i (b) Communication Title

5. (a) Date of Public D[stribution(s) 11 '2.1 6. T h e filer is a(n): (a) Q Individual (b) Q

Unincorporated Organization (c) [^iOualified Nonprofit Corporation (11 CFR 114.10)

(d) ^^Corporation, Labor Organization or Qualified Nonprofit Corporation making communications under 11 CFR 114.15 (e) |[^J Other, specify: 7. If the filer i s a n i n d i v i d u a l , u n i n c o r p o r a t e d o r g a n i z a t i o n o r qualified nonprofit c o r p o r a t i o n , w e r e t h e d i s b u r s e m e n t s m a d e e x c l u s i v e l y f r o m d o n a t i o n s to a s e g r e g a t e d b a n k a c c o u n t ? 8. C u s t o d i a n of R e c o r d s (a) Name (b) Address (number and street) (c) City. Slate and ZIP Code (d) Name of Employer or Prindpai Place ot Business (e) Occupation ^ p'l 0 | -^^Ss.

IV M
9. Total D o n a t i o n s T h i s Statement

JL

71^ V51C5^

10. Total D i s b u r s e m e n t s / O b l i g a t i o n s T h i s Statement

Under penalty of perjury, I certify that this statement is true, correct and complete. TYPE OR PRINT NAME OF PERSON COMPLETING FORM j [ A ^ ^ 1^ * S t v^>v1 o ^

SIGNATURE

DATE

NOTE: Submission of falsa, erroneous or incomplete inlormaiion may subject the person signing tiiis statement to tlie penalties ot 2 U.S.C. 437g.

FEC FORM 9 (REV. 12/2007)

DEC-15-2011 17:26

3038655962

3sy.

P.01

DEC-15-2011 15:12 From:MPRK SIMMONS

3038655962

To:12022190174

Pa9e:2/6

List of Person(s) Sharing/Exercising Control (use additional pages as necessary) 11. Person(s) Sharing/Exercising Control
a) Name b) Address (number and slreetL

PAGE

OF

|IO(
c) City, state and ZIP Code

reni5uj/>rn>ti.^ Avenwe, KJU/, Si^.Ve. T O O

(e) Occupation

d) Name of Employer or Principar Place of Business Principi oyer

a) Name b) Address (number and street)

A>>L^, S>u.4
;c) City, State and ZIP Code ;d) Name of Employer cr Principal Piace of Business (e) Occupation

a) Name b) Address (number and street)

||0[
c) City, State and ZIP Code

V^^^S^L^KA^IC^

A-^e,viut^

KJ^,

S ^T e "7^!30 c. ^

!d) Name of Employer orr Principal Plac of Business

(e) Occupation

a) Name b) Address (number and street) c) City, State and ZIP Code :d) Name of Employer or Principal Place of Business (e) Occupation

E.

a) Name b) Address (number and street) ;c) City, State and ZIP Code d) Name of Employer or Prindpai Place of Business (e) Occupation

FE3AN038.PDF

FEC FORM 9 (REV. 12/2007)

DEC-15-2011 17:26

3038655962

96%

P. 02

DEC-15-2011 15:12 From:MfiRK SIMMONS

31338655962

To:12022190174

Pa9e:3/6

SCHEDULE 9-A Donation(s) Received

A. Full Name of Donor

PAGE

OF

Date of Receipt

3.
T o City

Tee
ISc.^

^oke^Hs
' ^ Z O , 6 0 7 Uv^^rstate / 4 > U c ^ Zip
iiLiiuffium mil. fr>.'"Ti"fiaBafl

Mailing Address of Donor t o a j Amount

B.

Full Name of Donor

Date of Receipt

Mailing Address of Donor

City

State

Zip

C.

Full Name of Donor

Date of Receipt

Mailing Address of Donor

City

State

Zip

D.

Full Name of Donor

Date of Receipt

Mailing Address of Donor

8rriirBrrriw-fl

Kmrrlh-rBS

SssaiSaamfi

Amount

City

State

Zip

E.

Full Name of Donor

Maiiing Address of Donor

City

State

Zip

SUBTOTAL of Donations This Page (optional)

TOTAL This Period (last page this line number only) (carry total from last page to Line 9)

FE3AN03S.PDF

FEC FORM 9 (REV. 12^007)

DEC-15-2011

17:27

3038655962

965J

P. 03

DEC-15-2011 15:13 From:MfiRK SIMMONS

3038655962

To:12022190174

Pa9e:4''6

SCHEDULE 9-B Disbursement(s) Made or Obilgation(s)

A . Full Name (LasL First, Middle Initial) of Payee

PAGE

OF

Date of Disbursement or Obligation "oTTB"

Maiiing Address of Payee

City

State

Zip Code Communication Date

Name of Employer

Occupation

Purpose of Disbursement (Including title(s) of communication(s))

Name of Federal Candidate

IM. -rv

KJfA
Q t ^ I State: District: State: District: State: District: House Senate 'Primary Other (specify) ^

1 "^o I I
'ilie. \ r a A Disbursement/Oblioation For Disbursement/Obligation For General ScWi<^ y

Office Sought:

Name of Federal Candidate

Otfice Sought:

President House Senate President House Senate President

Disbursement/Obligation For: I^^Primary I | | General

I Other (specify) ^

Name of Federal Candfdate

Office Sought:

Disbursement^Obligation For [2!Primary I [ Z ] General

I Other (specify) ^

B . Full Name (l^st, First, Middle Initial) of Payee

Date of Disbursement or Obligation

Mailing Address'of Payee Amount City state Zip Code

Name of Employer

Occupation

Purpose of Disbursement (Induding title(s) of communication(s))

Name of Federal 'Candidate

Office Soughi:

House Senate

State: District: State: District: Stete: District

niehiirQompnt/Dhlinalinn For Disbursement/Obligation F n r

M
Name of Federal Candidate Offioe Sought: Name of Federal Caitdidate Office Sought:

rimary

L J General

H J President
House Senate President House Senate

Olher (specify) ^ Disbursement/Obligation For: P^jprimary I | | General

I Other (specify) ^

Disbursement/Obligation For ^jprimary Q General I 1 Other (spealy) ^

a
SUBTOTAL of Disbursements/Obligations This Page (optional) TOTAL This Period (last page this line number only) (carry total from last page to Line 10)

President

>

3.5:7.5-'j.saol
g w u " ef"v"-ir'~V' y fll^nii flr-rTV-ife8a&gc!gg &

FE3AM038.POF

FEC FORM 9 (REV. 12/2007)

DEC-15-2011

17:27

3038655962

96JJ

P. 04

DEC-15-2011 15:14 From:MPRK SIMMONS

3038655962

To:12022190174

Pa9e:5''6

Schedule 9-B Disbursement(s) Made or Obligation(s) A. (continued)

Page 2 of 3

Name of Federal Candidate

Office Sought:0 House Q Senate

State: District:

Gary Johnson

[If^President

Disbursement/Obligation For: Primary Q General Other (specify)

Name of Federal Candidate

Office SoughtiQ House Senate

State: District:

Ron Paul

Disbursement/Obligation For: B^Primary Q General Other (specify)

Name of Federal Candidate

Rick Perry

Office Sought: House State: I Senate District: j3P''65ident

Disbursement/Obligation For: CS^Primary Q General Other (specify)

Name of Federal Candidate

Mitt Romney

Office Sought:p House State: Q Senate District: JjE^President

Disbursement/Obligation For: tS^umary General Other (specify)

Name of Federal Candidate Rick Santorum

Office Sought:Q House State: O Senate District: {^President

Disbursement/Obligation For: l3[Primary O General Other (specify)

DEC-15-2011 17:28

3038655962

36'4

P. 05

DEC-15-2011 15:14 From:MPRK SIMMONS

3038655962

To:12022190174

Pa9e:6^6

Schedule 9-B Disbursement(s) Made or Obligation(s) B. (continued)

Page 3 of 3

Name of Federal Candidate

Office Sought:Q House Senate

State: District:

Gary Johnson

(president

Disbursement/Obligation For: Primary General Other (specify)

Name of Federal Candidate Ron Paul

Office S o u g h t Q House State: Q Senate District: jgPresident

Disbursement/Obligation For: ISK^Primary General Other (specify)

Name of Federal Candidate

Office Sought:Q House O Senate

State: District:

Rick Perry

CSlPresident

Disbursement/Obligation For: ISLPrimary General Other (specify)

Name of Federal Candidate Mitt R o m n e y

Office Sought:Q House State: Q Senate District: ElPresident

Disbursement/Obligation For: H^^rimary Q General Other (specify)

Name of Federal Candidate Rick Santorum

Office Sought:Q House State: Q Senate District: President

Disbursement/Obligation For: ^^Primary Q General Other (specify)

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

357,545.00

DEC-15-2011

17:29

3038655962

965i

P. 06

Federal Election Commission

ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS

The FEC added this page to the end of this filing to indicate how it was received. Date of Receipt Hand Delivered Postmarked USPS First Class Mail Postmarked (R/C) USPS Registered/Certified Postmarked USPS Priority Mail Delivery Confirmation Label f Postmarked USPS Express Mail Postmark Illegible No Postmark Shipping Date Overnight Delivery Service (Specify): Date of Receipt Received from House Records & Registration Office Date of Receipt Received from Senate Public Records Office Date of Receipt Received from Electronic Filing Office Date of Receipt or Postmarked Other (Specify): The document preceding this page was received by FAX at the FEC. The receiving FAX machine has printed at the bottom of each page the date and time of receipt, the phone number of the transmitting machine and the sequential page numbers. N/A PREPARER (5/2004) N/A DATE PREPARED