Aga Midyr Fec 2015

07/30/2015 22 : 53
Image# 201507309000468659
PAGE 1 / 21
REPORT OF RECEIPTS
AND DISBURSEMENTS
FEC
FORM 3X
For Other Than An Authorized Committee

Office Use Only
1.
TYPE OR PRINT
NAME OF
COMMITTEE (in full)
Example: If typing, type

over the lines.
12FE4M5
ARIZONA GRASSROOTS ACTION PAC
228 S WASHINGTON ST STE 115
ADDRESS (number and street)

Check if different
than previously
reported. (ACC)
2.
VA
ALEXANDRIA
CITY
FEC IDENTIFICATION NUMBER
4. TYPE OF REPORT
(b) Monthly
Report
Due On:
(Choose One)
(a)
STATE
3. IS THIS
REPORT
C00558445
22314
NEW
(N)
ZIP CODE
AMENDED
(A)
OR
Nov 20 (M11)
Feb 20 (M2)
May 20 (M5)
Aug 20 (M8)
Mar 20 (M3)
Jun 20 (M6)
Sep 20 (M9)
Dec 20 (M12)
Apr 20 (M4)
Jul 20 (M7)
Oct 20 (M10)
Jan 31 (YE)
(Non-Election
Year Only)
(Non-Election
Year Only)
Quarterly Reports:
April 15
Quarterly Report (Q1)
(c)
12-Day
PRE-Election
Report for the:
July 15
Primary (12P)
General (12G)
Convention (12C)
Special (12S)
Runoff (12R)
October 15
M
January 31
Year-End Report (YE)
in the
State of
Election on
July 31 Mid-Year
Report (Non-election
Year Only) (MY)
(d)
30-Day
POST-Election
Report for the:
General (30G)
Termination Report
(TER)
Runoff (30R)
Special (30S)
in the
State of
Election on
M
5.
Covering Period
01
01
2015
through
06
30
2015
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
Lisa Lisker
Lisa Lisker
[Electronically Filed]
Date
07
30
2015
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
Office
Use
Only
FE6AN026
FEC FORM 3X
Rev. 12/2004
Image# 201507309000468660
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
Page 2
FEC Form 3X (Rev. 02/2003 )

Write or Type Committee Name

M
Report Covering the Period:
01
From:
01
2015
To:
COLUMN A
This Period
6.
(a) Cash on Hand

January 1,
30
2015
10470.42
210500.00
220970.42
105161.30
115809.12
2015
10470.42
(c) Total Receipts (from Line 19) .............
210500.00
(d) Subtotal (add Lines 6(b) and

6(c) for Column A and Lines
6(a) and 6(c) for Column B) ...............
220970.42
7.
Total Disbursements (from Line 31) ...........
105161.30
8.
Cash on Hand at Close of

Reporting Period
(subtract Line 7 from Line 6(d)) .................
115809.12
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) ................
101994.52
.
.
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
FE6AN026
COLUMN B
Calendar Year-to-Date
(b) Cash on Hand at

Beginning of Reporting Period ............
9.
06
.
.
.
.
Image# 201507309000468661
DETAILED SUMMARY PAGE

of Receipts
Page 3
Write or Type Committee Name

M
Report Covering the Period:
From:
01
01
2015
To:
COLUMN A
Total This Period
I. Receipts
11. Contributions (other than loans) From:
(a) Individuals/Persons Other
Than Political Committees
(i) Itemized (use Schedule A) ............
30
2015
COLUMN B
,
,
,
,
,
210500.00
,
,
,
,
,
210500.00
,
,
0.00
06
.
0.00
.
210500.00
.
0.00
.
.0.00
,
,
,
,
,
210500.00
,
,
,
,
,
210500.00
.
0.00
.
,
,
0.00
,
,
.0.00
0.00
.
.0.00
210500.00
.
.0.00
.0.00
(ii) Unitemized .....................................

(iii) TOTAL (add
Lines 11(a)(i) and (ii) .................
(b) Political Party Committees ..................

(c) Other Political Committees
(such as PACs)....................................
(d) Total Contributions (add Lines
11(a)(iii), (b), and (c)) (Carry
Totals to Line 33, page 5) ..............
12. Transfers From Affiliated/Other
Party Committees ........................................
13. All Loans Received .....................................
,
,
14. Loan Repayments Received .......................

15. Offsets To Operating Expenditures
(Refunds, Rebates, etc.)
(Carry Totals to Line 37, page 5)...............
16. Refunds of Contributions Made
to Federal Candidates and Other
Political Committees ....................................
17. Other Federal Receipts
(Dividends, Interest, etc.) ............................
18. Transfers from Non-Federal and Levin Funds
(a) Non-Federal Account
(from Schedule H3) .............................
0.00
0.00
0.00
0.00
0.00
0.00
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
210500.00
210500.00
210500.00
210500.00
19. Total Receipts (add Lines 11(d),

12, 13, 14, 15, 16, 17, and 18(c)) .........
20. Total Federal Receipts
(subtract Line 18(c) from Line 19) .........
FE6AN026
.
.0.00
.
.
.
.
.
.
.
Image# 201507309000468662

of Disbursements
II. Disbursements
21. Operating Expenditures:
(a) Allocated Federal/Non-Federal
Activity (from Schedule H4)
(i) Federal Share .............................
,
,
.0.00
.0.00
,
,
,
,
,
,
,
,
,
,
105161.30
.
105161.30
.
.0.00
0.00
.
0.00
.
,
,
,
,
,
,
.
0.00
.
0.00
.
,
,
,
0.00
.
0.00
.
0.00
.
,
,
,
0.00
0.00
,
,
,
0.00
,
,
,
0.00
105161.30
105161.30
26. Loan Repayments Made ............................
27. Loans Made................................................

28. Refunds of Contributions To:
(a) Individuals/Persons Other
Than Political Committees .................
(b) Political Party Committees .................

(c) Other Political Committees
(such as PACs)...................................
23.
24.
25.
(d) Total Contribution Refunds

(add Lines 28(a), (b), and (c)) ...........
29. Other Disbursements .................................
30. Federal Election Activity (2 U.S.C. 431(20))
(a) Allocated Federal Election Activity
(from Schedule H6)
(i) Federal Share ................................
(ii) "Levin" Share.................................
(b) Federal Election Activity Paid Entirely
With Federal Funds .................
(c) Total Federal Election Activity (add ..
Lines 30(a)(i), 30(a)(ii) and 30(b)) ....
31. Total Disbursements (add Lines 21(c), 22,
23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..
32. Total Federal Disbursements
(subtract Line 21(a)(ii) and Line 30(a)(ii)
from Line 31) ..............................................
FE6AN026
COLUMN B
,
,
(ii) Non-Federal Share......................

(b) Other Federal Operating
Expenditures .......................................
(c) Total Operating Expenditures
(add 21(a)(i), (a)(ii), and (b)) .............
Transfers to Affiliated/Other Party
Committees .................................................
Contributions to
Federal Candidates/Committees
and Other Political Committees .................
Independent Expenditures
(use Schedule E) .......................................
Coordinated Party Expenditures
(2 U.S.C. 441a(d))
(use Schedule F)........................................
22.
Page 4
COLUMN A
Total This Period
,
,
,
,
.
0.00
.
,
,
,
,
,
,
,
,
,
,
105161.30
,
,
,
,
,
,
.
0.00
.
0.00
.
,
,
,
0.00
,
,
,
0.00
0.00
.
0.00
.
0.00
.
,
,
,
,
,
,
.0.00
.0.00
.0.00
0.00
0.00
0.00
.
105161.30
.
0.00
.
0.00
.
.0.00
0.00
.
0.00
.
0.00
.
.
.
105161.30
105161.30
Image# 201507309000468663

of Disbursements
III. Net Contributions/Operating Expenditures

33. Total Contributions (other than loans)
(from Line 11(d), page 3) ..........................
34. Total Contribution Refunds
(from Line 28(d)) ........................................
35. Net Contributions (other than loans)
(subtract Line 34 from Line 33) ................
36. Total Federal Operating Expenditures
(add Line 21(a)(i) and Line 21(b)) .........
37. Offsets to Operating Expenditures
(from Line 15, page 3)...............................
38. Net Operating Expenditures
(subtract Line 37 from Line 36) ................
FE6AN026
Page 5
COLUMN A
Total This Period
COLUMN B
210500.00
,
,
,
,
,
,
,
,
.
210500.00
.
105161.30
.
0.00
.
105161.30
0.00
210500.00
,
,
,
,
,
,
,
,
.
210500.00
.
105161.30
.
0.00
.
105161.30
0.00
PAGE 6 / 21
Image# 201507309000468664
)(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21

Form/Schedule: F3XN
Transaction ID :
All expenses reported are operating expenses of the PAC. There have been no disbursements in support of or
opposition to any candidates for federal office.
Form/Schedule:
Transaction ID:
Image# 201507309000468665
SCHEDULE A (FEC Form 3X)

ITEMIZED RECEIPTS
Use separate schedule(s)

for each category of the
Detailed Summary Page
PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
12
13
14
15
16
21
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)

Full Name (Last, First, Middle Initial)
A. Sam Fox
Date of Receipt
Mailing Address 7701 Forsyth Blvd.
City
St. Louis
State
MO
FEC ID number of contributing

federal political committee.
Zip Code
63105
Occupation
Chairman
Harbour Group
Receipt For:
Amount of Each Receipt this Period
Name of Employer
Primary
Other (specify)
05
12
2015
Transaction ID : SA11AI.4246
Ste. 600
100000.00
Aggregate Year-to-Date
General
100000.00
B. James B. Nicholson
Date of Receipt
Mailing Address 10900 Harper Ave.
03
City
State
MI
Detroit

Name of Employer
PVS Chemical Inc.
Receipt For:
Primary
Other (specify)
Zip Code
04
2015
48213
10000.00
Occupation
President/CEO
General
10000.00
C. Nu Image Inc.
Date of Receipt
Mailing Address 6423 Wilshire Blvd.
05
City
Los Angeles
State
CA

Zip Code
90048
28
2015
500.00
SUBTOTAL of Receipts This Page (optional) ............................................................................
,
,
110500.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Receipt For:
Primary
Other (specify)
FE6AN026
Occupation
General
500.00
.
.
FEC Schedule A (Form 3X) Rev. 02/2003
Image# 201507309000468666
SCHEDULE A (FEC Form 3X)

ITEMIZED RECEIPTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
12
13
14
15
16
21
17

A. Paul Singer
Date of Receipt
Mailing Address 1 West 81st St.

City
New York
State
NY

Zip Code
10024
Occupation
Principal
Elliott Management Corp.

Receipt For:
Name of Employer
Primary
Other (specify)
04
22
2015
100000.00
General
100000.00
B.
Date of Receipt
Mailing Address
City
State
Zip Code

Name of Employer
Receipt For:
Primary
Other (specify)
Occupation
General
C.
Date of Receipt
Mailing Address
City
State
Zip Code

SUBTOTAL of Receipts This Page (optional) ............................................................................
,
,
,
,
Name of Employer
Receipt For:
Primary
Other (specify)
FE6AN026
Occupation
General
.
.
210500.00
.
100000.00
FEC Schedule A (Form 3X) Rev. 02/2003
Image# 201507309000468667
SCHEDULE B (FEC Form 3X)

ITEMIZED DISBURSEMENTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. 5th Principle LLC
Date of Disbursement
M
Mailing Address 1121 N. 44th St., Unit 1053

City
Phoenix
Purpose of Disbursement
Strategic Consulting
State
AZ
Zip Code
85008
State:
Disbursement For:
Primary
Other (specify)
03
2015
Amount of Each Disbursement this Period
Category/
Type
House
Senate
President
District:
Transaction ID : SB21B.4280
001
Candidate Name
Office Sought:
06
5225.00
General
B. 5th Principle LLC
M
Mailing Address 1121 N. 44th St., Unit 1053

City
Phoenix
State
AZ
Zip Code
85008
State:
Disbursement For:
Primary
Other (specify)
21
2015
Category/
Type
House
Senate
President
District:
001
Candidate Name
Office Sought:
06
3750.00
General
C. Jason Bontrager
M
City
Phoenix
06
Mailing Address 1121 N. 44th St. Unite 1053

State
AZ
Zip Code
85008
2015
001
Candidate Name
03
Category/
Type
2500.00
SUBTOTAL of Disbursements This Page (optional) ..................................................................
,
,
11475.00
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
FEC Schedule B (Form 3X) Rev. 02/2003
Image# 201507309000468668


PAGE 10 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Jason Bontrager
M

City
Phoenix
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
1250.00
General
B. Jay Dosad
M
Mailing Address 1121 N. 44th St. Unit 1053

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
360.00
General
C. Jay Dosad
M
City
Phoenix
Canvassing
06

State
AZ
Zip Code
85008
21
2015
Candidate Name
Category/
Type
386.25
,
,
1996.25
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468669


PAGE 11 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. East Meridian Strategies LLC
M
Mailing Address 219 East Taylor Run Pkwy

City
Alexandria
Strategic Consulting/Polling/Direct mail
State
VA
Zip Code
22314
State:
24
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
04
Disbursement For:
Primary
Other (specify)
37994.07
General
B. Jared Gorshe
M
Mailing Address 19627 N. 15th Pl

City
Phoenix
Canvassing
State
AZ
Zip Code
85024
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
277.50
General
C. Sheri Heywood
M
City
Phoenix
Canvassing
06
Mailing Address 19627 N. 15th Pl.

State
AZ
Zip Code
85024
21
2015
Candidate Name
Category/
Type
390.00
,
,
38661.57
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468670


PAGE 12 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Tenille Heywood
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85024
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
390.00
General
B. Huckaby Davis Lisker Inc.
M
Mailing Address 228 S. Washington St., Ste. 115

City
Alexandria
Compliance Consulting
State
VA
Zip Code
22314
State:
24
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
04
Disbursement For:
Primary
Other (specify)
2126.89
General
C. i360
M
City
Baltimore
Web Services
06
Mailing Address PO Box 37046

State
MD
Zip Code
21297
2015
001
Candidate Name
21
Category/
Type
2500.00
,
,
5016.89
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468671


PAGE 13 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Whitney Lawrence
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
105.00
General
B. James Malone
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
292.50
General
C. Richard Moorhead
M
City
Phoenix
Canvassing
06

State
AZ
Zip Code
85008
03
2015
Candidate Name
Category/
Type
522.50
,
,
920.00
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468672


PAGE 14 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Richard Moorhead
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
393.75
General
B. John Moser
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
202.00
General
C. John Moser
M
City
Phoenix
Canvassing
06

State
AZ
Zip Code
85008
21
2015
Candidate Name
Category/
Type
142.50
,
,
738.25
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468673


PAGE 15 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Diana Nielsen
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85024
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
367.50
General
B. Luke Palmer
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85005
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
267.50
General
C. Luke Palmer
M
City
Phoenix
Canvassing
06

State
AZ
Zip Code
85005
21
2015
Candidate Name
Category/
Type
77.50
,
,
712.50
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468674


PAGE 16 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Benjamin Silva
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
360.00
General
B. Benjamin Silva
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
517.50
General
C. Elliott Smith
M
City
Phoenix
06

State
AZ
Zip Code
85008
03
2015
Candidate Name
Category/
Type
2500.00
,
,
3377.50
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468675


PAGE 17 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Elliott Smith
M

City
Phoenix
State
AZ
Zip Code
85008
State:
Disbursement For:
Primary
Other (specify)
21
2015
Category/
Type
House
Senate
President
District:
001
Candidate Name
Office Sought:
06
1250.00
General
B. Will Smith
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
03
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
285.00
General
C. Brandon Stevenson
M
City
Phoenix
Canvassing
06

State
AZ
Zip Code
85008
03
2015
Candidate Name
Category/
Type
450.00
,
,
1985.00
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468676


PAGE 18 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Brandon Stevenson
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
468.75
General
B. The Trailblazer Group
M
Mailing Address 901 King St. Ste. 400

City
Alexandria
Strategic Consulting/Travel
State
VA
Zip Code
22314
State:
24
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
04
Disbursement For:
Primary
Other (specify)
18566.59
General
C. Tanner Urness
M
City
Phoenix
Canvassing/Mileage
06

State
AZ
Zip Code
85008
03
2015
Candidate Name
Category/
Type
426.25
,
,
19461.59
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201507309000468677


PAGE 19 OF
FOR LINE NUMBER:

(check only one)
21
21b
22
23
24
25
26
27
28a
28b
28c
29
30b

A. Tanner Urness
M

City
Phoenix
Canvassing
State
AZ
Zip Code
85008
State:
21
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
06
Disbursement For:
Primary
Other (specify)
52.50
General
B. Wiley Rein LLP
M
Mailing Address 1776 K St., NW

City
Washington
Legal Fees
State
DC
Zip Code
20006
State:
24
2015
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
04
Disbursement For:
Primary
Other (specify)
20000.00
General
C.
M
Mailing Address
City
State
Zip Code
Candidate Name
Category/
Type
,
,
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
104397.05
.
20052.50
Image# 201507309000468678
SCHEDULE D (FEC Form 3X)

DEBTS AND OBLIGATIONS
PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
OF
20
FOR LINE NUMBER:

(check only one)
21
9
10

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Nature of Debt (Purpose):

DCL Public Affairs LLC

Mailing Address
2198 E. Camelback Rd.

Ste. 300
State
City
Phoenix
Zip Code
AZ
85016
Transaction ID : SD10.4181
Outstanding Balance Beginning This Period
23000.00
Amount Incurred This Period
.0.00
Payment This Period
Outstanding Balance at Close of This Period
0.00
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
City
State
22314
42930.07
30064.00
Payment This Period
37994.07
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
State
Alexandria
35000.00
Zip Code
22314
VA
228 S. Washington St., Ste. 115
City

Compliance Consulting
Huckaby Davis Lisker Inc.

Mailing Address
23000.00
Zip Code
VA
219 East Taylor Run Pkwy
Alexandria

Strategic Consulting/Travel/Direct Mail
East Meridian Strategies LLC

Mailing Address
1569.92
Payment This Period
558.72
1) SUBTOTALS This Period This Page (optional)...................................................................
,
,
58558.72
2) TOTALS This Period (last page this line number only) ......................................................
,
,
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
,
,
,
,
FE6AN026
1115.69
2126.89
.
.
.
.
FEC Schedule D (Form 3X) Rev. 02/2003
Image# 201507309000468679
SCHEDULE D (FEC Form 3X)

DEBTS AND OBLIGATIONS
PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
21
OF
FOR LINE NUMBER:

(check only one)
21
9
10

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Strategic Consulting/Travel
The Trailblazer Group

Mailing Address
City
Alexandria
901 King St. Ste. 400
State
Zip Code
VA
22314
32002.39
.0.00
Payment This Period
18566.59
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
City
State
20006
20000.00
13435.80
Zip Code
DC
1776 K St., NW
Washington

Legal Fees
Wiley Rein LLP

Mailing Address
30000.00
Payment This Period
20000.00
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
30000.00
Mailing Address
City
State
Zip Code
.
Payment This Period
1) SUBTOTALS This Period This Page (optional)...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
,
,
,
,
.
101994.52
.
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
,
,
,
,
.
101994.52
.
FE6AN026
.
43435.80
0.00
FEC Schedule D (Form 3X) Rev. 02/2003

Aga Midyr Fec 2015

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07/30/2015 22 : 53

For Other Than An Authorized Committee

Example: If typing, type

ARIZONA GRASSROOTS ACTION PAC

228 S WASHINGTON ST STE 115

ADDRESS (number and street)

FEC IDENTIFICATION NUMBER

FEC Form 3X (Rev. 02/2003 )

ARIZONA GRASSROOTS ACTION PAC

Report Covering the Period:

(a) Cash on Hand

(c) Total Receipts (from Line 19) .............

(d) Subtotal (add Lines 6(b) and

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

Cash on Hand at Close of

Debts and Obligations Owed TO

10. Debts and Obligations Owed BY

For further information contact:

(b) Cash on Hand at

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 06/2004 )

Write or Type Committee Name

ARIZONA GRASSROOTS ACTION PAC

Report Covering the Period:

(ii) Unitemized .....................................

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

13. All Loans Received .....................................

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

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

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

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

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 02/2003 )

26. Loan Repayments Made ............................

27. Loans Made................................................

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

(d) Total Contribution Refunds

(ii) Non-Federal Share......................

DETAILED SUMMARY PAGE

III. Net Contributions/Operating Expenditures

SCHEDULE A (FEC Form 3X)

Use separate schedule(s)

FOR LINE NUMBER:

ARIZONA GRASSROOTS ACTION PAC

Mailing Address 7701 Forsyth Blvd.

FEC ID number of contributing

Amount of Each Receipt this Period

Full Name (Last, First, Middle Initial)

Mailing Address 10900 Harper Ave.

FEC ID number of contributing

Full Name (Last, First, Middle Initial)

Mailing Address 6423 Wilshire Blvd.

FEC ID number of contributing

Amount of Each Receipt this Period

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

FEC Schedule A (Form 3X) Rev. 02/2003

SCHEDULE A (FEC Form 3X)

Use separate schedule(s)

FOR LINE NUMBER:

ARIZONA GRASSROOTS ACTION PAC

Mailing Address 1 West 81st St.

FEC ID number of contributing

Elliott Management Corp.

Amount of Each Receipt this Period