14020142105 wee on SAB) Tah eeetee L REPORT OF RECEIPTS AND DISBURSEMENTS FORM 3 For An Authorized Committee fics Use On 1 yan oF TYPE OR PRAT Bam: go. pe COME Gn over ines Annette Bosworth MD for U.S. Senate Peder 1h FEB-7 ANID 33 Locooretiec ieee 2601 5, Minnesota Avenue AQPRESS tnenber ang steed CP | Suite 105-179, ; od hock i erent than prevusy Siow Fats sD) 5710s rmpotee oC) LEP LP) Ld a a 2, FEC IDENTIFICATION’ NUMBER ¥ ony“. STATE zp cone“ STATE ¥ DISTRICT 0587558 sms By New ‘AMENDED REPORT OR 8 4, TYPE OF REPORT (Choose One) (a) uartery Reports: ©) 12.087 PRE-Sacton Report fr te OD rrnay zm cancer 126) EC] aura ny 16 cue Fear (0 Ue aaeeneet D1 cemenion tzar sera 28 ieee TD cn wouncrrnsien | — casonn Co) aww CE] BG swenrr21 veartnd Resor) | Ge) SoiDay POST clon apat fhe D1 cnet (2003) (0 uno aor — ] species 205) ao) eee 4 og wom GE} Ee) Ces] ‘eerily that | hove examined this Report and to the best of my knowledge and belle It ls tue, corect and complet, Ta Pp rrr one Lat 28 204 n slaring tis Repor to the penalties of 2 USC. $4979 for Us FEC FORM 3 EE ‘ype or Print Name of Treasurer Nancy H. Watkins Signature of Treasurer14020142106 T SUMMARY PAGE FEC Form 9 Revised o2zcng _of Receipts and Disbursements pacer ze ‘rite oF Type Commitee Name Annette Bosworth MD for U.S. Senate rect egw es ton 203 Te: COLUMN A COLUMN B This Period Election Cycle-to-Dato 6, Net Contributions (other than loans) (@) Total Contributions {other than loans) (om Lino 11(@). neteetentiet anc 365549.45 (Tt Conon Rens “= hom tine 200) : eee eee oo.a {c) Net Contributions (other than loans) (evoret Lino 6) tom Une Ba) eee Net Operating Expenditures (@ Total Operating Expenditures (om Line 17). 9429198 i 185788 28 {b) Total Offsets to Operating Expense Le nae Soo : foo (2) Net Operating Expensitures (subtract Line 7(b) om Une 7) 94291. 195796 28, 18 Gash on Hand at Cse of Reporting Period {rom Line 27). 249645.18 9. Debts and Obligations Owed TO the Committe (temize all on Schedule © andlor Schedule 0) ‘ 2 10. Debts and Obligations Owed BY : the Commitee (temize all on ale Schedule © and/or Sehedt#e D) msn i For further information contact: Federal Election Commission 999 E Street, NW Washington, DC 20463 Toll Free 800-424-9530 Local 202-694-110014020142107 r Wate or Type Committee Name Annette Bosworth MD for U.S. Senate FEC Form 3 Revised 122000) DETAILED SUMMARY PAGE of Receipts 5 PAGES 122 hig Cova te Plot Fo: CE) Cesc] |. RECEIPTS, COLUMN A Total This Period [toeeeomtee " 12 18, 16, 6 CONTRIBUTIONS (other than loans) FROM: (@ IndivduaisPersons Other Than Poitical Commitoes (9) Memized (use Schecu A). 0) Unitemized. o {TOTAL of contrbutions ‘rom indivicuals (®)_Pottical Panty Committees (©). Other Poitical Committees (Guch as PACS) (The Candidate (@ TOTAL CONTRIBUTIONS {other tran ioans) (ade Lines 110i, (), (©), ane (8 TRANSFERS FROM OTHER. AUTHORIZED COMMITTEES. LOANS: (a) Mace oF Guaranteed by the Cancisate ae (b) At Other Loans. @ TOTAL LOANS (ea Lines 1348) and (6) OFFSETS TO OPERATING EXPENDITURES (Retunds, Rebates, etc) ‘OTHER RECEIPTS (Dividends, interest, etc). TOTAL RECEIPTS (add Lines He), 2, 19, 14. and 15) > {Cary Total te ine 28, page 4 7799500 20131540 300004 Ce] Pisce) | , «0 0.00, 00000 2.00, 309, Too 3.00) 2.00) 0.00, 31257814 tn é 234538.40, 2476.54 2.00, 00000, il 3.09, = o Sel 2%, ia aie ms | Le L14020142108 fe DETAILED SUMMARY PAGE FEC Form 3 ovsod 02/2009) of Disbursements PAGE 41122 COLUMN A 1, DISBURSEMENTS: ‘Total This Period COLUMN 8 Election Cycle-to-Date orenamie arenes ” 1, TRANSFERS TO OTHER AUTHORIZED COMMITTEES boa eee enema 19. LOAN REPAYWENTS (@) Of Loans Made or Guaranteed by the Candi é Pa i 2.00, (0) Of All Other Loans: é 2.00, 2.00 (c) TOTAL LOAN REPAYMENTS: (eds tines 1) and 300 , 09 20. REFUNDS OF CONTRIBUTIONS TO: (a) nvidvasPeeons Other = — Tan Poa! Commas. : (0) Pottical Party Committees. i 9.09, 2.00, (c) Other Polincal Committees: (tuo oe PACE) ee 7 (¢) TOTAL CONTRIBUTION REFUNDS (ad Une 200) and ee 09 21. OTHER DISBURSEMENTS 8 : 10309, 22, TOTAL DISBURSEMENTS (edd Lines 17, 18, 19{6, 200), and 21) D> Leia cae, tn, CASH SUMMARY 23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD. a Bre 24 TOTAL RECEIPTS THIS PERIOD (from Line 18, page 3}. {btn ee 25 STOMA ad ne 2 nd 2h Css] * 26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22)... 0 Esti 27. CASH ON HAND AT CLOSE OF REPORTING PERIOD (subtract Uno 26 from Line 25)... 2685.18 ie a14020142109 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) for ech category of te Detaled Summary Page FOR LINE NUMER: {check ony ore) Plo As Ass Ast rie [Any information copiod from euch Reports and Statements may not be a0} or used by any person for the purpose of salcting cntriutions ‘or for commercial purposes, other than using the name and acces of ny poltical commtoa to salt coninbuons fom such eommitee. NAME OF COMMITTEE (h Full Annette Bosworth MD for U.S. Senate Fa Name (last, Fst, Mido ita ‘a, Hugh Aderholt Mating Adress goer 20m St ate of Receet Ce) Fe)‘ Ca) a Sa ape “ransacion D728. 00801 ‘Morehead City NC 20557 6.008 FC rob ot conto ica peru of Each Reco hs Per teapot! conte ts Pod 00 Rae oo Oaatar eee ian ror Panay [7] ener Ome ee Tat Nome Cast Fa, Maas Ta) a. John Alogna Maling Aaires5 1654 Lancings ve €locton Cie to Date c=] ww Sas ip oar Sarasota Feat FEC 0 nanber of eomivang fel pote connate Chirieiiins| Tame ol Enoe Ceasar tia ees Fac Far Hive cen ORS oes Hx] Pray] Gener ter (pee zsi00" |] Date of Recelot Ca) C2) Ce) ‘Transaction 1D: C-73-005)0% ‘Amount of Each Receipt hs Porioes 250.00 Tartare ae Pret Meee Pea Richard Bandy ling Fa638 799 5, Covel Avenue sy gage Ber la Cae reece Sioux Fats 80 sri04 FEC 10 rumbor of eontouing federal paca commie, Name of Eraleyer ne ‘OBeupaIION retea Recoil For 2074 Pimay [7] General ther (speci Elocion Cycle te Date 53.00 SUBTOTAL of Receipts This Page (optional TOTAL This Porod fast page ths tne umber on Date of Receot “Transaction 1D -272-000802 ‘Amount of Each Raceit this Period 30.00 FEC Schedule A (Form 3} Revised 02/208)14020142110 SCHEDULE A (FEC Form 3) Une saparto sree) | chek ony one ITEMIZED RECEIPTS cach toon li ne [fie Fe Oita sec noe so [liso Cle [he Os FOR LINE NUMBER: PAGE 6 OF 1 ‘Any information copied trom such Reports and Statements ray not be eold or used by any pereon forthe purpose of soicting contibuons for commertial purposes. other than using the name and adsress of any polleal committee fo sob Gontibubons ftom such commitee, [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate For Name (cast Fret Middle tay Richard Bandy ” Waling Aaste55 7096, Covel Avenue Dete of Receipt Ce) Gy Car] chy ‘State 2 Code Transaction 10 : C-273-000st Stour Falls oe 57104 7 FEC ID number of contributing 7 ‘Amount of Each Receipt this Period tego posted cotton it 0 as o Era annie ani Me ewe Raa rae ae Bacio Gren Pray] Goma Ee] Other (specify) bss a ae a FP, aS paeeadae B. Ray Barrett Date of Receipt " Waking Address nC 34 Box “Transaction 1D: €-307-00890% ‘Amount of Each Recelot ts Paro oF Se Rp Oo cin ™ Tree 0 © pmbe of conurg fer pote! commie [eee eee Nae oT Ear OSGI sstanpbyee fame Fassbt For ra Toston ato Pimay — [[] General ter toe 0000 Fai Name Wat FIST Mae TST Ray Barrett sing Adress po bond Date of Receipt Amount of Each Receipt this Period 500.00" ionats Som Cone es a = = pert =D ‘SUBTOTAL of Recsipts This Page (optional TOTAL This Period fast page this ne rember ony "90000 FEC Schedule A (orm 3) Rove 027200)14020142111 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules} for each category ofthe Detalog Surwmary Page FOR LINE NUMBER: PAGE TOF 122 (eneck ony one) Flo Hz Ass Ass Du [Any Inormation copied from such Repors and Statements may not be sal or used by any person forthe purpose of salting contributions ‘or for commercial purposes cher than using the name and adess of ary poltical committee 10 solct cootutions fom such commie NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Far Nome (ast Fret Midelo Tota ‘a, Kimberly Bellissimo ling Ad6re35 +165 15% Sveet. NW, HaIO ores oa as Wana ces FC 0 now ot eons Eaessena fee one come pea ‘Tey’ saction 1D + 6-384-001NO1 ‘Amount of Each Recelnt his Pavod ‘aine of Erpiover ‘Ocaupition fara Comet raking excetve Fooapt For 24 Faction Oyseso Date Primey [1] Genet Other (specityy ae Fal Name (Last Fret, Meda Ia p, Donald Benson Valing Adsess 19550 Ceaarhurt St ay Weyzata FEC ID numberof contributing ‘ederalpettical commits. Date of Recopt “Transaction 1D: €-407-002601 ‘Armount of Each Recebt this Peroo a = Primary [7] General ieee “HT Name (an Pree Was PST c. Dwane K. Blachowske Date of Receipt See nee ca ss gc I ee Cece oe Tame or Employer ‘Cea i 250.00 ae Sen Se Seer (own poe de Ce] SUBTOTAL of Receipts This Page (ostionl TOTAL This Period fast page this ne number on FEC Sehedule A Form 3) Rovins 02/200)14020142112 [pace “oF 722 ] SCHEDULE A (FEC Form 3) ie ae Pipe ae [PAGE 8 OF 122 ITEMIZED RECEIPTS Dees oat rage ta Fj re Faro Deteed Summary Pape et Hie Hee He, ‘Any information coped from such Reports end Statements may not be sod or used by ary person for the purpose of salting contbullns ‘or for commercial purposes, cher than using the rame and address of ary pollcl commiteo to sol sonibutlens tem euch commites. NAME OF COMMITTEE fo Ful) Annette Bosworth MD for U.S. Senate For Name (st Fre, Middle Fray Jerome Bleeg | ate 0! Receipt iMaling AASeSS 1969 Campbel Ave Fe , Fal : ei hsp taa salon ID €02-00807 FEC ID number of contributing [oleaeaeaa ade) ‘Amount of Each Receipt this Period teceral poiicl comites. 200.00 Name of Employer ‘Geeupation Fecemt For 2518 Primary [7] General ne pet Fa SH Jerome Bleeg Malling Address 1999 Campbell Ave ow San one Fe © amber a conrirg as Teel pic! conten [Le ‘runt of Each Rao Name of Employer pation inte ae Team Te Boston Gye te Panay] Gene ter Bee) ae Far Rams (hast Frat, Neda Tay Sandra Boyd Maing Assess or19 ta Ra ae 6 Code Meade ks ‘7064 0 nae’ ot contig 7 ter plied conn. cscraaeeaeay Amour of Each eo his Pace (eceeerierce mt} Focaiat For 2014 Primary enaral ‘other (peciyT Becton Oyeiete Date 500.00 SUBTOTAL of Recupts This Page (ptonap. TOTAL This Peiod (ast page this ne number nt. FEC Sehedle& (Form 3) vies 0272008)14020142113 SCHEDULE A (FEC Form 3) Uso separate schecuicts) | (check ony ore) ITEMIZED RECEIPTS fo each category ol the ta [Jie One One cneeea etc 12 [Ira Fre Fe Cs FOR UNE NUMBER: PAGE 9 OF 122 ‘Any information copied fom auch Report end Statements ay nat be eld or usod by any perean forthe purpose of sofcting contbuions ‘or Tor commer purposes, other than using the name and adcress ct any poltcal commie to sole contnbutons Wom such Commitee [NAME OF COMMITTEE dn Ful) Annette Bosworth MD for U.S. Senate Far ame (cas Fret, Mido Tay James A. Breit “Transaction 1D €-847.009001, ‘Amount of Each Receipt ths Period 250.00, a 7 eee ee Sioux Fate 80 $7109 seams gene fairey palpeet eo ar ar Seen a Primary ([] General ee] Other (specity) — For Name (as Fret Mido Ita , Elizabeth Bryden Healing Adress 4 67m Stapler Date of Receot ‘Amount of Each Recep this Period 208.00" oy Sa a ose Naw Yor wr ‘tos FEC 10 mabe of conning ter pot conte [CO] see ae | TET apa oa era Fecait For 2078 Primay [Genera tar pet Evecton Cycle to-Dato 70500 Fal re (ast Fea, Was tay ©. Robert Buchanan Date of Receipt [Ee] Pueblo co 81008 Transaction 10: ot oes inna naar aes Name oF Boyar supator ,. oe a —_ SL =o SUBTOTAL of Receipts Ths Page (options, umber on). 58000 FEC Seneaue A Form 3 (Revs 0272000)14020142114 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate scheduio(6) fer each category ofthe Dotalod Summary Page FOR UNE NOMBER [PAGE 10_OF 122 (creck ony ona) Pls Ae Ass Ae" as ‘Any Information copied ftom such Repors and Steterents may #ot be sod cused By ary person for the purpose of soleting contrbutons of for commercial purposes, cer than using the name and adress of ary political cormitiee to sot contutons from such commen NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Fal Ware at, Fret Wide eal ‘a, Robert Buchanan J sere ce oy = eee Transaction 1D : C-740-00Eu01 eee = soars fame mn oo Primary [7] Genera Otter pect "2800 aS Eldon Buckner Date of Raceipt ating Adress 13967 Hani Mountain in C2) Ce) Cast] “Transaction 1D: €.745-006701 Amount of Ech Receio this Period 2501 aa on arene FEO 0 nuke of combuirg - ted pote! connie iC Leraeserese) Rae ERT Seaton sar reenoe Reece Fo We Eecion GvieioOae Primary [7] Gane Other (specify) : hin or Far ae (CaS. FIR Med TT c. W. P. Buckthal Date of Receipt Eee ‘Te Ee) “Amaro 1x 79101 SOF 11 eo me oo fe ene EE) tose Name of Employer ‘Occupation 500.00 ae fsa SUBTOTAL of Receipts Ths Pug (optional, TOTAL This Period fast page this line number ony FEC Senedte A form 3} ovina 2/200)14020142115 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) for each category ofthe Detaled Summary Page FOR LINE NUMBER: or (cheek only one) ta Ar 2 hie PASE Ars ha op [Ie Chis ‘ay Information copied fom such Reports and Statements may not Be Sol er used by ary person for the purpose of saleting contributions cr for commercial purposes, oer than using the namo and address of any political commits to soft contmutlons fem such commie. [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Fo Nome (ast Fret, Mito Tota a, &-R.Budge (ato of Receipt fctitetiataa EG) ow Care Zp Cae Sa ote : i. ne ‘Transaction 1D :6-748-406201, FEC 10 nambor of conitoutng Eaeeeens Amount of Each Receipt his Period tesa pores conmtoo rea cept Tame of Employer Oecipaton pitts we ewes Recut For 207 Erection GycietoDale 7 Primey —[] General Othe see a Fur Name (las, Fret, Mdao fa John Buh! aling Aastes5 1304 Sever Way Ste F a Teo ‘Seong Die FE 0 aber ol cong ‘Sm sel Sonos anna eu Ech Pact is Pred Tae oe Daapaar ao bun ere Co ons TE Receipt For: 2014 Election Cycie-to-Oate FEC 1D numberof contributing federal pobiical common. Cnnnneens Date of Receipt aoe ‘Transaciion 1D €-762-008FO% ‘Amount of Each Receipt his Paved ee ane of Empioyer CERN nla homemaker Fcaat For De Gleton Gyeate Date Genera! ‘Other pect SUBTOTAL of Recspts Ths Page (opting. TOTAL This Povod fast page this tne number ony) 7250.00 7 ‘i FEC Senedle A Form 3) Rovio 02/200)14020142116 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schacults) for each category of tho Detaled Summary Page FOR LINE NUMBER: PAGE 12 OF 12 {eneck ony ono) Be He As Ast ny ‘Any inormation copied fom such Reports and Statemorts may net be sold or used by any perean forthe purpose of socing contbutions or for commercial purposes, oer than using the name and adress of any poltcal commas to sol eantibutons fom suc comntoe. NAME OF COMMITTEE in Ful) Annette Bosworth MD for U.S. Senate POT Name (ast Pea, Mate ay) Mary Buol Waiing Adress 1008 Dunveasn Rd oust at CG) Ca) ‘Transaction 1D €.786-00FG01 ‘Amount of Each Roceit tha Petod % =—aar a Cd pope rem = 500.00, api For OTe Bison Cycl-to-Date Bq] Pinay] Gare Other speci : seb. a) Sue Cannon Date of Reco 8. Malling Address 6420 W | eee CC) te eee 1m 10: €a6racGwor Lakewood co 80227 rensacton tetsu une omer ‘Amount of Each Receipt this Period Name of Employer ‘Cceupation Kia oe rete eee Fact For 2014 Becton Gyaetobate Primary [1] Genera Over ec Lee] Far Name (FR, WAS TAT ©. Sue Cannon Date of Receipt ae Ce)’ aie sap ‘ranssten 9 6968006701 FEC 1D numberof eating ‘eceral poteal committer. ‘Amount of Each Receipt tis Period fame oF Epo Raa Fa ae Bz Primary] Genoat ter sce SUBTOTAL of Recelbts Tis Page (ptionad. 1050.00 ft ite TIA Pt et ton Eases oe) FEC Sahedle A (Form 3 (Revised 62/2008)14020142117 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules} for cach catogery ofthe Detaled Summary Page FOR LINE NUMBER: PAGE 13 OF 122 (check only ore) Pre A tie Fn wz J ise Fhisp Fhe Os NAME OF COMMITTEE fn Fl) Annette Bosworth MD for U.S. Senate ‘Any information copied fom such Reports and Statements may not be sOid or used By any pereon for te purpose of soliting contibuions ‘or for commer! purpescs, other thar using the name and adores of any pallial committee to slot contributions fom such commitae, Fon Name (ast, Fst, MiG tay Jack Carmichael eling Aaseess 6307 Quebec Or ow Sais Tip Coos San rion e238 FEC 1 numberof combing coca foal polis coraen Fave o Ereaper Dosiaten a isos acai Fore Tecton Ole ate Primay Gore tre Spach 76000 Ful Name (ast, Frat Wade Fa James Cassan Cy Gy “Transaction ID: €-897-006)01 ‘Amount of Each Roceipt tis Period Date of Races “Transaction IO: €-341-00He0% ‘Amount of Each Recelbt this Period "256.00 B. Halng AGHOSS 2737 Tain ve Be Si 201 oy Sais ——“Bp toe Motor sand wa seco FEC nonber of cowbare Ter pac! conratee. elect Aare a er aaa ola Deveapment soveoprent Fait For 2014 ection Gao-Dee fxmary[) Genrat Other (specity) faaad Fat Rare Cast Fs Misa . Michael Centanni Waling ASS 995 5m Sa NBD a ae 2 Washington oC 20008 FEC 10 numberof contbuing federal potical commitee Name of Empbeyer pata Base Comect marketing execute Receipt For: 2014 Becton OyelntoDate 5 Primary [7] Gonoral 7 [ 500.00 Other (epoety Amount of Each Recoipt his Peron 0000 SUBTOTAL of Receists This Page (optona. FEC Senedl A form 3 (Rove 0272008)14020142118 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate eoneauais) | foreach category ofthe Detaled Summary Page FOR UNE NUMBER [PAGE 14 OF 122 lchack only ona ve He lite [7119 ve [hssa [lip [ls Dis ‘any inormation copied from such Reports and Statements may not bo col or used By any person forthe purpose of solting contbufions| ‘of for commecil purposes, cher than using the name and address ol any polkical commtee to sok Gonbultns fom such Gomunton NAME OF COMMITTEE fh Ful) Annette Bosworth MD for U.S. Senate Fal Name (last, Frey, Middle Pay Alexander K. Chung A ity Ars 207 n Karson Seo! a Sats Zp Cate ma xs eves FEC ID numbor of contributing 7 fede patel conte ; Rare of ero aa Papel Ral spl phyican Fost For 207 Becton Grea ate Pinay [7] Gene Ober Gee) - eo) Fab Nae (a Fr WES TA p, Loretta Clark iting Atos 677 capo oy Sait 2p Coe Wyoming ny tset FEC 0 nur of consbang fer pote conto cisteamnnet ‘Naina of Employer ‘Occupation Reema Boston Cy D8 Primay [7] Goat tor pe Far Rare Tat FR WOES William H. Clark Wallng FEae=> 3716 vepiowocd Avo 57 Dales FEC 1D number of eonirbuing ‘eda political comma. [SUBTOTAL of Receipts This Page (optional, TOTAL This Porod fast page ths line Number One Date of Receit saction 0 :C-1001-003101 ‘Amount of Each Receipt this Period “000.00 Date of Receiet “Transaction 10 :€-1018-00In01 ‘Amount of Each Receipt his Perec 250.00 Date of Recoigt ‘Fey Ce] “Transastion 1D 6-1023.001601, “Amount of Each Receipt tis Poiod 50000 ed Cd FEC Schedule A (Form 2) Raid! cz)14020142113 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedults) {or each eategary of the Dotales Summary Page FOR LINE NUMBER: (check enly one) PAGE 18 OF 1 118, He Hrs 110 iz io Tlie Tia Fis ‘Any Information copied om suoh Reports and Statements may nat be E01 or used by any person forthe purpose of sotcing cortabuions ‘for commorcial purposes, oer than using the name and aderess of ay polBcal committe to soko contbutons from such commiin. NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Fall Rare (ast, Fray Widde htay Alan Cobb A iating Adress 77 Wendover Way a Sai ip Cae Beds Nooo FEC 1D rumber of contributing fea taal poles core : are of Eye ‘ecpaton wa rates ooo For 2070 Becion Gycieto-Dato Primary] Genera ) eee Date of Receipt C3) Ce) Ca) “rangacton 10 = €:4051-00,101 ‘Amount of Each Receipt this Petod 700.00 For Name (ose Fret, Mid Ta Alan Cobb ” Maling AdGie55 77 Wendover Way Oy wate Bectore Nt FEC 1D numberof conbuting cinerea canes] feceral pottical committee Zip Coe 03110 Naw oT Ena Ceca a tes east For” ave Eecion Gysleto Doe Panay] Gano tne (specif 3000 Date of Recent isa wesssal Transaction 1D €-1052.004104 ‘Amount of Each Receipt tis Peiod "25000 J Ra aire (at FRU Masia ay Bert Condie Wing REGe35 645 Cocana Palm Re 3 i 030 ero Beach FL 32963, moma came eersencon scion Oyeleto Date 75100 [1 ener (ter (speciy) ‘SUBTOTAL of Receiots This Page (optional, TOTAL This Period fast page this ine number ony Cy’ remem cae a ‘Amount of Each Receit this Paod Ee] FEC Schedule A orm 2) Paved 22208)14020142120 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS se separate schedule) for each category ofthe Detatod Summary Page FOR UNE NUMBER: PAGE 16 OF 122 (check only one) Bs 1% Ar: ft wo lis Fm ha Fis [any iormaton copied trom euch Reports and Statements may not ba 60d oF used By ary parson forthe purpose of soliting contabutons t for commercial purposes, cher than ushg the name and address of ary poltical cxntiee to solicit conibutions tem such exertion NAME OF COMMITTEE fn Ful) Annette Bosworth MD for U.S. Senate Fal Namo (ust, Fre, Middle Fata ‘a, Joseph Corso inating AGre35 116 Howard St oy Sate iveton No ace {earl poltcal commies. Zp Coe 02077 Date of Recent rE Amount of Each Receipt ths Period 25000, ame of Empyer ‘Oxeipaion sot-employed engineer Fecaot For: 208 eecion Oyelto-Date Primary] Gera ter pei ED Fa Na a FST B. Nancy Cox ian ABs 2500 Daron rok Ova 2205 ww Tae Bs Oo ‘nn 798 FEC D runter ot conibarg gees teaa te et tates patel covet. iC) rncay frailties Wiame of Employer ‘Gecupation aetna ee ole homenar Rae For BE Election Gyaete ala Prey") Goer ow ton “at Nas (ast, Far, Mise Fa Jean Craemer alg Faae=3 59 boy Woy ys rs 08588 $$] ‘San Rall cA. FEC 1D rumber of cortibutng Co ‘4904 Date of Receipt C2) Fe) Ces") ‘Transaction I= C-1164-001601, ‘Amount of Each Recelpt this Pevod federal pobiical commites. ae oF ERT ‘CasapRIT ne homemaker 00.00 Recapl For 2014 Erocton Gycec Date Primary [7] General omer (spect 390.00" SUBTOTAL of Receipts This Pape (plone. ‘TOTAL This Pevod (ust page the tne number oi). Y000.00 Eee) FEC Senedd A Form 3) ovis 27200)14020142121 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use soparate sonoautste) | ( for each category ofthe Dotaled Summary Page FOR LINE NUMBER: PAGE 17 OF 122 (ereek only one) Bs Hw xe [ira v2 Tse Chie Fhe ‘oF for commercial purposes other than using the name anc adcess of ay poltcal commute ‘Any lormation cop tom such Reports and Statements may not be eld or used By any perean forthe purpose of soliciting contabusions i sole contributens fom sven committe, NAME OF COMMITTEE (n Ful) Annette Bosworth MD for U.S. Senate Fa Namie Wat, Frat Modo ital Marjorie Crump ciation EI 7 ‘i foe Reais ‘Transaction ID: C-1234-90L101 ai = bed 7 umber of, erring Op setaesae aaa] ‘Amount of Each Receipt this Period maueoee mae aa Primary [[] General B. Ralph Crump Date of Receipt es Sai rae rae Transaction 1D : €-1235-00Lu01 is ee FR] | conn nn : a 2 ad Pinay [7] General Other (specify) 500.00, ©. Maxine Dacumos Date of Receint ‘Maling Address 3115 wellington Pkwy 1 7 [xs7] pa ‘Transaction ID : C-1272-00MPO1 a FEC 10 number of eontrbuting teoalpaltical commitos. ane oF ployer Cee a retired Recap For TF Becton Oyete { Primary [] General Other (speci "29000 ‘Amount of Each Receipt tis Period 250.00, SUBTOTAL of Recopts Ths Page (optional, TOTAL This Period fast page this ine number on) FEC Schedule A (Form 3) Ravins 02/200914020142122 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schodults) for each category of the Detaled Summary Page PAGE 18 OF 122 As A FOR LINE NUMBER: (check only one) Bieter or for commercial puposes, cher than using the name and adtess of ary polical commitee [Any information copied trom such Repos and Statements may not be sold or used by ary person forthe purpose of soliting contibutions to solet controutons from such commites. NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate Fal Rome Gat, Fra, Wide W Richard Davis A Haling Adstess 7565 Saccicbook OF oy Salo Zp Code Pont Sain use RR 34906 FEC 1D number of contributing {edealpeleal commitos. CRRaReaea Dato of Recoit Ca Ce] “Teansaction 1D: €-1318-00N801 ‘Amount of Each Receipt this Pered Fame of Employer ‘Decupation a roteee "25000 Foca Far econ Oye Die Primay [1] Gener! Other ech iene] Tat Ware tan Fre Weds PST a. Terry Davis ialng Adcress 1308 ode along Averve, NW wy 3 Washington Ea FEC 1D numberof contibutng cea fexeral pobical commer. i Oa 20008 Date of Reesipt ‘Amount of Each Receipt his Povod 500.00 Name o mpyer Dem snason & Johnson account manager Recopi For 2074 Election Cyeleto Date Prmay (Geral Othe feeb 500.00 Far Norse (ast, Frat Mga Tia Date of Reooipt “Transaction 1D C1348.00NZ01 ‘Amount of Each Receipt his Prod 25000 ¢. Paul Decleva aE ieee oma cee a oan Sosanan conn gees ee com Primary [[] General [SUBTOTAL cf Receipts This Page (optona TOTAL This Period (ost page this ine number ony. 7000.00 eee) FEC Sone A (Form 3) Paves 02/200914020142123 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) for oach categery ot the Detaled Summary Page FOR LINE NUMBER: PAGE 19 OF 122 leneck only one) ia Ce Fre Fina 12 Hz sao [he Dis ’Any blormation copied (rom such Reports and Statements may not be sold or used by ary parson for the purpose of salting contrbutons or for commercial purposes, ater than using the name and adsress of ary politcal commie to salt contusions from such comanteo, [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Fa Name (cast, Fret, Wada a a, ine Dilaon tao eset falling Adress 2005 Dickson Or a i al} Gy” ‘State ‘Bip Code “Transaction #0 : C-1420-000Z01 Sheva nis FEC ID number of contributing [ise ec ire eee sue m ach is Se eae Amount of Each Receipt this Period a cepa [eee eon] a ete Racaer Fe OTE Secon Ga Pray — [7] General Other (spect hasan Fal Name (asi, Frat, Wade Ita . Paul Dinofrio Tialing Aces 7798 Bhar Ln Date of Receipt C3) Ea) Ces") Transaction 1D: ¢.1440-00070% ‘Amount of Each Receipt this Peo ow 3 Teta Bare M8 FEC 10 ruber of conouing fede plte conten Clee aaa Tame oF Eas aT wa tes Facip For ae Election Cpelote ate frmary—[] Gover ‘mer trey 7500 25.00 Fat nie (los, Frat, Waa a Paul Dinoftio Shy sasssraesserar essen eae eae mte eae Mb. Code aera Bele MI 49015 FEC 1D rumber of contributing federal potical commitee. eG tetes Hiacton Oyeleo-Date Riana of Brplever la Fecal For 2014 Primary (C] General mer (spect 700 ‘SUBTOTAL of Rocoits This Page (optional, ‘TOTAL This Period (ust page this tne number ony. ato of Rocoipt “Teansaciion 1 c-1441-200704, ‘Amount of Each coipt his Paros 50.00 FEC Sched A Form 3) ovina 02/200)14020142124 Teac 20 oF 122 ] SCHEDULE A (FEC Form 3) ve rt pean oat eee ITEMIZED RECEIPTS lor each category ofthe ie F]s re ne tease Stinayrer_| Foe Hos As Fs" [Any information copied trom such Reports and Statements may not be $514 oF Used by ary person forthe purpose of solicting contibutions| or for commerie purpeses. othr than using the name and adotess of ay pelical commie to sol Corson trom such commit eee [NAME OF COMMITTEE (In Ful Annette Bosworth MD for U.S. Senate Fal Hare (ast, Frat, dee Ta Paul Dinofrio aling Aastess 7798 Bear tn Date of Recapt Ce) Ga) Car) ae Lionel bibs Transaction ID : €-1442.000r02 Bale wi _a616 FEC IO numberof ening [ecceeaaaceer| Amount of Each Roc hia Pa fede! tl coe as — 7500 ame of Erpirer Deanaion aru oa iid Recap For Oe Becton Cylete Dae Pemay [7 Gone! Other ‘specity) oo Fat Nar a FR, WAS ay Donald Duncklee Date of Reset * Wing Adsress 6267 Sradow Treo tn w Tae Ts oe ae Worn fl sue FEC 0 number of commune {earl peal com Eee Wane of Employer ‘Occupation sia ered Fecal For Hira Eaton Gyles Primary] Genet a oeeonn| Maes “000 Oter oe) eee Fat Name (Last, Fret Midas aT Wesley Eaton Wilieg A035" a9¢ Brooksby vitogo Dr Unt 308 Ce) Cay Ces] ransaction 10: C-1546-000N04 ‘Amount of Each Racebt this Period Eee eee) Dato of Recap: Ge) Fe) Cas") vy “ste oe Transaction ID : C-1581-00Qs01 = =a ae leer pots! cone. Chere eee a ear ot En Reco ta Peto ‘Name of Employer ‘Gecupation . 250,00 ' = = Primary [7] Genoa ‘ al [SUBTOTAL of Receipts This Page (optional, TOTAL This Pevod fast page this line number ony). FEC Schedule A Form 3) Revised 0272008)14020142125 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schoduts) tor each category ofthe Detaled Summary Page FOR UNE NUMBER: PAGE Fi OF ia {check only ona) Bs Hz Ass Bi Dis NAME OF COMMITTEE (i Ful) Annette Bosworth MD for U.S. Senate Fa Nae (cat, Fei, Mido Fa a, John Eccles ling AdSress G41 Chatham Ct. oy Sate Zip Code Neenah wa 54956 FEC 1D numberof contributing Pay ‘oe ate! eo : ‘Any Information copied fom such Repors and Statements may not be eold or used By any paren forthe purpose ofsoisting contabutions ot for commercial purpose, cher than using tha namo and acess ol any poltical commitiee to solet contibutons tom such commiton. “Transaction 1D :€-1585-000V01 ‘Amount of Each Receipt ts Period eres ane o Eee eee me reed Fecapi Fox 207 loci Oeeie Dae rmay [1] Geren Other (specity) ao Fo Name (ust Fst, Mage Pita John Eccles. imaiing Aasress 69% Chatham CL ow Noonan FEC 1D rumber of contributing fecal politcal commtos. Dato of Recsipt “Transaction 1D: €-1586.000V01 ‘Amourt of Each Receipt this Period Namo Enper ‘Caspar batt oa fr ecat For 30% Election Cyto te Dato Primary [7] Gonerat (ter spect a Fal Ware ast, Frat Wade Tita Helen Eckrich Maling ABGeS5 2956 Praviowood Drive Dato of Receipt Gey Cay Ces") wd e Transaction iD : C-1590-002q01 ma as oo oe eee ‘Name of Emaloyer Cecupation aa es Lad bs co aaa ean era oe ee eee ara oo SUBTOTAL of Recspts Ths Pago (option. TOTAL This Poriod fast page this tne Rumbor ony FEO Sehedue A Form 3 (Reveed 6272000)14020142126 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) {or each category ofthe Detaled Summary Page FOR UNE NUMBER: PAGE 2 OF 12 jee Fe A As Fs Ps ‘Any information copied fom such Reperts and Statements may not be Sok or used by any person forthe purpose of soloing contibvions ‘of for commecil purposes, oter than using the namo and adress ct any poltcal committee to sole conbuions fom such comnt NAME OF COMMITTEE (i Fulh Annette Bosworth MD for U.S. Senate For Noro [cast Fret, Midas Tata Wilma Edwards ialing Aatess pO pon 2048 fe cae FEC ID number of contributing anaes ‘Amount of Each it this Period eb tc — a — — aaa : a a oo Primary] General ‘Other (specify) i He a ———— Martin Eltbogen Date of Receipt Maling Adoress 1429 Brookview Dr fz] 1 f]) ' (es7) ‘State Zip Gt a Gy Suet Fransaction IO : C-1629-00RX01 a Ss ane Scum aec [| mrt n ne re a — aeanec” oe ae Primary (7) Gover (ter (spac bala Fal Name (ast Frat Miedo PAT Mike Ferris Date of Receipt: Sect eee Tey Te) Cas] al a a ction ID : C-1781-00TS01 ee = Eos | Name of Employer ‘Occupation ee igeu ieee = mee = ee ll ot CE] pleted etna eee Name of Epler Cea : £00.00 nena Srcton OREO ey] oo (thor tpecif Seco SUBTOTAL of Receipts Ths Page (optional, ‘TOTAL This Period (ost page this tne number ony) FEC Sehedte A form 2) Pins 027200)14020142141 SCHEDULE A (FEC Form 3) Uso separate schedules) for each category of the ITEMIZED RECEIPTS Detatos Summary Page FOR LINE NUMBER {check only ore) (PAGE ST OF 122 Fle Az Ass Ass Dis "any information copied Yom such Reports ana Statements may at be 601d or used By any parson foc the purpate of eolcting contabuions oF for commercial purposes, other than using the name and address ol any poltical commie NAME OF COMMITTEE (on Full Annette Bosworth MD for U.S. Senate Fal Name (ast, Fest Made Tia Arthur Latno A Maing Access 7 Convent ay Saw tp Coe San Roto! FEC 1 numberof conbtng federal pote! sorte ame of Ere Dearaton o* teed Foxit For elon Cpe e {Pray (7) General Otrer tect) tious Soe 8. Arthur Latno- ialing AGS 67 CononGr ow Sak) Zp Coa ‘San tol cA sor EC 10 number ot conrbing federal poe! conte Cl rscrit| Rane oe aaa va red Focabt For Zora acion Oeto bate Perey [1] Gene! ter frac) : oe | 19 soliet contibtions fom such Commit Date of Receipt Ce) Ga) Cae] Transaction 10: €-3341-00q01 ‘Amount of Each Receipt this Period 200.00, oa et C5) Ca) Ces") jansaction 1D: C-3342-009P01 ‘Amount of Ech Recelt thi Period "20000 Far Name (oat Fret, Mada Ta Patrick J. Lawler ing AdrORS 130) w, Ralph Rogers Root Seana orm FC D amber ol conbihg Teal poten connate fof iiiesieniceainatnt ‘Ramo of Employer ‘Gecupaiion rasstiony Atos ryan Giecien Cycler bate SUBTOTAL of Recoipis This Page loptiona, TOTAL Tis Period fast page tis ne number on) at of Recep! “Transaction ID C-9361-002204 ‘Amount of Esch Receipt tis Psiog (aeons Leet) FEC Sehedle (Form 2) ovsea 0/200)14020142142 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS zo coparato schodutte) for each category ofthe Detaled Summary Page FOR LINE NUMBER: PAGE 3B OF 122 (erect only one) Bi Hes Ass Ast ‘Any Fomation copied kom such Repos and Statements may not bo ead or used by ary person forthe purpose of soliting contibulors ‘or commercial purposes, other than vsing the name and adress of ary plical commitee to soit contaalons fom sven comma, NAME OF COMMITTEE dn Full Annette Bosworth MD for U.S. Senate Fol Name (las, Fest, Magis Tita ‘a, Alice Lebewoh! ‘Waling Aeess 6500 Gate Raa # A129 one rece Tey’ a Transaction 10: €-3382-0 ‘Amount of Each Receipt this Povo 1000.00 aw Sais a ass ‘Santa Barbera ii a FEC 10 mabe fenton acct i es te ‘Name of Employer Gamal ie rea acon Far 8 Becta Oysevo Dae Pemay — [] General One tm Eee) Farha ast Frat Neda Tita Marie Leseth aling Address 1491 Colabroton Ave Ast206 Dato of Recapt CF] Transaction D 3419-00901 ‘Amount of Each Recebpt this Petog 750,00 a 5 Tp Ooi Mesto ae FEC 0 nanbe 0 conniving ter! pial conic [Ld Tans Te TET sie rates Fan FTE Becton Gylets ate Xx] Pima) Genes Other (specify) oe Far fame ast Fest Woda tay Harold Lippert Haag AabiesS po Box 965 1012 20m Steet 7 ae 2 For Bonn MT soeaz FEC 1D numberof eontibuing feral potical commit. Resaot For DT Primary [7] Genera ter fpr ection Cyeieto-Date [SUBTOTAL of Receipts This Pago (optional TOTAL This Pariod ast page tis tine number on Date of Receipt ‘Ee Ce) ‘Transaction 10: C-3477-405.01 ‘Amount of Each Recep tis Period 735000 FEC Schade A Form 3} vised 0272009)14020142143 SCHEDULE A (FEC Form 3) PAGE 30 OF 122 FOR LINE NUMBER: Use sopra screits) | feneck ony one} ITEMIZED RECEIPTS Pee camo oie na []ie Fite Fe pedi sono 2 hes ep Cle Chis “ay Information coped fom eudh Reports and Statements may not be sold or used by any perzon forthe purpose of eolcting contrbions of for commercial purposes, cer than usng the name and adores of any polteal committe to sol contnbutions fom euch commas [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate For Name (ast, Fre, Mido Fea Harold Lippert ete of Recapt “Tanssetion 10: €-3478-005L01 ‘Amount of Each Racipt tis Poviog , a eee seems dea ramennen an saa 7 7 25000, Fecapt For 2074 x Primary [7] Genera ‘other (spe) ation Cyeleto Date "35000 Fal Name (ast, Fra, Miadle ay p. Dire Lonry ate of Peeeot Maling Adcress 417 Lakeshore Drive : : 7 a as — neo isa | att Transaction eu cae on 17 6-9306202001 fever pola! commie. Clee aeerarcrac) ‘Amount of Each Rect ihis Period Ramo of Employer ‘Desupation '500.00. NuveFico. eset Receipt For: 2014 Election Cycle-to-Dato Primary — [] General Oe et ee | Fat Name (as Frat, Mae ta Richard Lynch’ Wang Ado g42 Comyn Howson FEC ID numberof coniabating fedora patties! commitoe. Date of Reesipt ‘Amount of Each Roccipt his Paro Tame of Enporer na 25000 Facer Foe Te Primary) Genera ter ips SUBTOTAL of Rocopts This Page (option, 250.00 TOTAL This Period fest page ths ne umber On FEC Schedule A (Form 3} Rein 0272000)14020142144 SCHEDULE A (FEC Form 3) van epee wonsion | PRN NaMBER TENGE OF ITEMIZED RECEIPTS ty sch ates of he eee cee Se NAME OF COMMITTEE (in Ful) Fal Name (ost, Frat Wado ta ‘a, Daniel Lyons aling Aacress 6610 Haven Ave ‘Any Information copied tim such Repors and Statements may net be 651d or used by any pereon forthe purpose of solisting contibutons| or for commercial purposes, cther than using the name and adress of ary polical omit to solct eontnbutions tom such commie. Annette Bosworth MD for U.S, Senate ata of Receipt ET Gy Cay lan besafismie Transaction ID : C-3571-000I01 iS2omen seme pesssens ee oan Tame cman meee ne Primary — [[] General (ther (speci ee —_—__ B. Robert Malone Date of Receipt " Malling Address 78721 € Bucksxin Or fh e cla cS Rio Verde Az 85263 Seteer ee eam) nn es Pb sao oar See 7 be Seaacm a Primary [7] General Fal ame Cast FL Mae TAU William Martz, e ie : acne ma mie ora mae qd a — SOLUTIA.ING, cept Far OTE Pimary ‘Other speci Coeneral SUBTOTAL of Recents This Page (ontona. TOTAL This Period (est page this tne number ony) : CHEMICAL ENGINEER Ebocton Cyeieto-Date Ce] Date of Receipt too “Transaction 10 = 6-3693-007207 ‘Amount of Each Receipt this Period 250.00 FEC Senet A form 2) Pood 0/209)14020142145 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedbiels) for each category of the Detaiod Summary Page FOR UNE NUMBER: (eheck ony one) PAGE Ass At ri a OF a Pre A mcs [Any information copied rom such Reports and Statements may not be sold & used by ary person forthe purpose of solling contibutlons or for commercial purposes, otter than using the rama and adress of ary poliical comics to tlt contibutions from such conmites NAME OF COMMITTEE (hn Fulp Annette Bosworth MD for U.S. Senate Fol Name (las, Fret, Midas Fa Charles Malthews Malling Address 321 Grand Ave = aie fecal plea conten m ee oe Cos] a= ‘Receipt For: a Election Cycle-to-Date ee mca ae B. Allan Mayer: Date of Receipt ‘Malling Adéress 23005 N 74th St Unit 4036 ’ uae eat Geet Transaction ID : C-3742-00wM01 Siocon | aa st a oe =m : Es Pray [7] Genera ‘ther pee 2acD c. John Mccormick Date of Receipt Mailing Address 26 Of¢ Nutt Farm Ro , ~ cz ae aes ‘watancon 10 76-302.05601 ems federal pallial commatee. (| Hicaeeaeantaeaeaetsy ‘Amount of Each Receipt this Period = =a = Sere a =o es 2 SUBTOTAL of Recast his Page (optional. TOTAL This Period fast page ths ne number ony). FEC Senedute A (orm 3) (ews C2209)14020142146 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate senocults) for each category ofthe Dotalod Summary Pose FOR LINE NUMBER: PAGE @ OF 12 {heck only one} Be Ht As Axo, ‘Any ieformation coped fom such Reports and Statements may not be G01 or used by any person forthe purpote of soicing contabutons or for commercial purposes. other than using the name ard accross of any poical committee to sali contbutons trom such commits NAME OF COMMITTEE (h Full Annette Bosworth MD for U.S, Senate Fat Name (last Fist, Wade Way William Mcleod Valing Ase33 140 Tomahawk TH “Transaction 10 ¢-388s ‘Amount of Each Recap this Period 5 =a ine a eater oa Fleceipt For 2014 Ren em ‘tne pect 250.00, Fa Name (ast Feet Middle rad p, Joyce Memahon ang Ads 7855 W Got Or “Transaction 10: €-3886-00y008 ‘Amount of Each Recap this Period 255.00 i. a Sas ae Pals Heth Lees FC ranow conning {don poles conten ed mre aa a eked ara lecion Oyeeto le Primary [1] ener te (sec 7200 THT Nao (ast, Fra, Mido a Lucille Mellish Wiating Raeress 2244 Woteetey St m7 ip Cae Palo Ato cA 94308 FEC 10 rumber of contributing federal pobiical comitoe. fevtirepanaic| Recelot For 254 Pimay ote esc Elocion Gyelete-Date General [TOTAL TNs Pet fast page this Ine number ony) ‘Transaction ID: €-3857-002607 Amount of Each Receipt this Porod 50000 00000 itt FEC Sehedule A Form 3) Reve 0272008)14020142147 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedue(s) for each catogory ofthe Detatoa Summary Page FOR LINE NUMBER: {eneck only ore) Pr eredeye eet PAGE «3 OF 122 Cis ‘any elormation copied Vom such Repos and Slatements may sot be 851d 0 used by any person forthe purpose of eoleking caniabullons ‘or for commercial purposes. other than using the name and adsiess of any poltical committe to solic contbaions Wom such eomeitee NAME OF COMMITTEE (in Ful Annette Bosworth MD for U.S. Senate. Fat Name (ast Fist, Medco Tita Mary Meltzer ‘ling AdaresS +4 Eagecomo Rd ‘Sate ip Cae Binghomton Ny 13005 FEC 10 numberof coneouiing federal potical commite. ciaaaeaee Date of Receipt Amount of Each Receipt this Periog eee ame of Empaper Deaton Ps romemster Fesaet For Becton Gydaro bee Primary] Conor Other (specity) hatha Fai Name (last Fe, Mido nia) Mary Meltzer ing AdTEHS 14 Eagecom® Re oy Binghamton FEC 1D number of eonnauing [] ‘oderal polical comtoe Sate Zp Cee NY 19905 Ome of Receet C27 Cay Ces) ‘Transaction 1D: ¢-3841-002907 ‘Amount of Each Receipt tis Poriod 250.00 Rae oF Epon Occupation 0 romero ieaab For Bova Eecton Cysete baie Primary [[] Gener ter ipso a FOr Ware Can FAL WSO TST cc, Douglas A. Miller sing 40555 7625 aren Sveat Date of Receipt ‘mount of Each Receipt ths Period Pacers rnatpete a 5 oo oncee ee E610 mabe of cooing anil {edo ota sont, [Te | mana ET fat. Cooect sce neve Fac Far De Becton Cyce Primary [] Gene Other (specify arta [SUBTOTAL of Receipts This Page (cptiona TOTAL This Period (ast page this ine number ony. FEC Seheae A Form 3 eves 0272008)14020142148 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedults) for each category ofthe Detaled Summary Page FOR LINE NUMBER: — [PAGE 7 (check eyo) ne Fee Fe Ase je hes Fics Ch Ds | ‘Any inlormation copied fam such Reports and Statements may not be sold or used By any person forthe purpose of sofciing contabuions ‘or for commecia purposes, cer than using the name and accros of any polteal commtse to solct eonoutions Hom such common, NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Ful Name (ast, Fret Waddle Fay Durando Miller Date of Receit “Transaction 1D: €-3998-010001, ‘Amount of Each Receipt this Period A inane 7708 Fen Gr wr Sas ap aie = re FO 0 wun o cone cnn ea pad ‘Name of Employer eae ‘Shore Engineering Co, ne eunoyer Fast For 2004 Prmery [7] Gero Other (specity) Evecvon Cyeleto Dato Fal Na (bast Fret, Neda al Vicki Mitzel B. Maling Asdress 96391 US. Highway 12 or ‘Sale Zp Code Abordoon so srt FEC 1D numberof conbuing federal polical commite. Transaction 1D + €-4053-003004 ‘Amount of Each Receipt this Period Nana of Esper 200.00 i saat For va Primary [7] Genera ther (spec Fal Rae Cat, Fra Wo TST Wayne Monson Election Cycleto-Date "50000 c Malia Raa po Box eee = = 28 Relance 057560 FEC ID ramber of contibuing {eeoralpelcal committe. Cea Transadtion 1D 6-4073-071701 ‘Amount of Each Reccipt tis Period ‘Oss CONTRACTOR Rane ot rpare TIP TOP ROOFING CO INC 25000 Receipt For 2078 Primary ‘ter (speci ction Oye te Date 250.00 General SUBTOTAL of Receipts Tis Pago (optional, ‘TOTAL This Poros (ost page this line number ois) 25000 FEC Senet A Form 3) eins 027200)14020142149 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate echeduie's) for each categery ofthe Detaled Summary Pegs FOR LINE NUMBER: {check nly one) TE OT] Bs He Ar: 16 2 [tse Flip [hse Dis ‘Any iormation copied from such Reports and Statements may not be sold or used by any person forthe purpose of saiing contabutions ‘oF for commercial purposes, oer than using the name and adress of any pollical crates to tale contbutons from such conten NAME OF COMMITTEE (i Ful) Annette Bosworth MD for U.S. Senate Fai Name (ast, Fre, Midas ia Dan Moody apa Date of Receipt Waling Acres 2009 Atbare St : : ae Satine eee “Transaction 10; 64082-01904 Houston 1% 77098 FEC 1D numberof contbutng eaaceenaaa ‘Amount of Each Petod tne pes corm . cee, 23.0 Naw of Employer Cecio aren MOODY. RAMGIN INTERESTS stata Feat For 201 Becton Oye Dale Primary [[] General ther (ope [ 23000 Far Naw Was, Fret Wide Ta , Virginia Moretto Date of Recent ating Adress 476 Gion Rd : a Cel (CET) ww Sa ip Code aaa na 7 ne “Transaction :¢-4140.014404 feo poe ete. A pahatichiclinid Rane o apy apa S000, a totes Fecal For 27a Primary] Gert ‘ther psy Far hae (cas, Frat Weal tay ©. Virginia Moretto Tig RO a Gad 3 ct 200 ——— ‘aw Casto tes Feo amber cowearg tes pit cones. aaa ‘Name of Employer ‘Occupation om teed Receist For: 2014 lection Cycle-to-Dato Primy [Genet Over bes 72500 SUBTOTAL of Receipis This Page (pio 7 TOTAL This Petod fast page tis ine qumber ony. Date of Receipt Cay Ca) Cee) Trangaclon 1D C-A111 01104 ‘Amount of Each Receipt this Period 200.00 - 50000, ERera need) FEC Sehaduo & (Foxm 3) ais 02200)14020142150 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) for each category ofthe Detaled Summary Page FOR UNE NUWBER: PAGE 46 OF 122 (enecic ont ono) Pls Ais Ass Ast ie [Any information copied from such Reports and Statements may not be sald or used by any per or or commercial purposes, other than using the name and adstess of any politic! commities to soust contibutons om sush commie, eon for the purpose el eoltng contbutons NAME OF COMMITTEE (h Ful) Annette Bosworth MD for U.S, Senate Fa Warne at, Fest, Wao ay Pata Morns ing Aas ab Woo oR ay saa apo anon Nome FEC 0 ruber a onouing Eiaseons tect telco Ossian action Gycieto-Dae 250.00 ‘Name of Employer eae Primey [1] Genera ter free “Transaction ID €-4126-011501, ‘Amount of Each Recent ths Parod "80.00 Fal Nar (ast, Frat, Neda tay Patricia Mors aling Ascress 726 wou Hore RS a ‘Sule Zp Coe 6-4127-011501 Transact ‘umount of Each Receipt this Period waren mW _o038 FEC 0 rune ot coming tec poten conmiten ichiaticianiana| ane EROR CET ian Primay(] Geer Oe pet Fai Name (east Frat Wide italy Francis Morse Faling Adeie55 4759 Fon Jim RO ER ETE Piacorito cA, 95607 FEC 1D pamber of contibuing Aeceral pettcal comnts. Chia ‘Oasupatn ao of Eplover Election Cyeieto-Date SUBTOTAL of Receipts This Page (optional, TOTAL This Poiod fast page this tne number Onn nnnn ate of Recoit Ce) Ca) Eee") Trangedlon 1D G-4130-072401 ‘Amount of Each Receipt this Prod “00.00 FEC Sahedule A (Form 3) Govind 62/2000)14020142151 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schodtiels) for each categoy of the Detaled Summary Page [Any information copied om such Reports and Statements may not be ol) or used by any person for the purpose of soling contributions oss of any political commatce to aoBct contributions fom auch omit oF for commarial purposes, other than using the name and a NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate FOR UNE NOMBGR [PAGE 67_OF 122 (check only one) Pls Az Ass Ast co Far Ram (at, Frat Weaaie rte Francis Morse A ig Mao «1s Fora ay Sas a os Plconte cn sear #0 10 umber conntrg ESGaeeea fee otal saree ame of Eployer Ceernation Ramet For ie emery [caret Over tps iscion Oyeleto-Date Fo Nano (ues, Fra, Meade Tita Robert G. Moss Date of Receipt Ce) Gy Cae] “Trangacton 1D: €-4140-092401 ‘Amount of Each Receipt tis Period ‘Amount of Each Racelpt his Peo B. iain oes 10 Seo RE oy Sates Coe Washington nc 70009 FEO D ruber of ootbuirg frcom pote conte, le) ei sient) Rane oa Tecan fate connect raring exec Facet For 204 Eiecon Oye Date Priray (Gaver oo oa Fa Nae Can FS WP ¢. John Murphy Waling AGGIES 7 Spocnoi Re vata tome FEO 0 nmbe ol cowbuirg ‘er! patel ere. aes TET aon tone red Pa FRE Tlcion Gio Do overt Piney) (tere 25000 a. SUBTOTAL of Rocsits This Pago (optional, TOTAL This Period (st page this tne number Onn C2) Ce] ‘Amount of Esch Receipt tis Period 250.00 FF Senate A form 8) eos 02/209)14020142152 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedules) for each catogory of the Detaid Summary Page ‘ny information copied from such Rapors and Statements may noi be soX er used by ay par FOR UNE NUMBER, [PAGE #8_OF {eneck ony one) Be Ae Ass A a son fr the purpose of soleing contributions ‘or lor commecial purposes. other than using the name and address of ey pallial commitee to tale contributions from such commie NAME OF COMMITTEE (In Ful) Annette Bosworth MD for U.S. Senate Fat Namo (last, Fret, Midas aT ‘a, Ellis F. Naegele Moling Address 7995 Via Vecchia oy opies FEC 1D nunber of eontiouing federal poltical comitee ae of Ene i Fase a BO Panay] Gens One oes) Dato of Receipt ‘Transaction 1D = €-4202-002101, ‘Amount of Each Receipt this Period S| Fat Ramo [oat Fst, Nodal Tay p, Robert 0. Naegele ‘ting Ascress 799 Via Vacca oy Nps FL FEC 1D number of contributing federal potical committee. Nave of Employer a ecaanFo OE Toston OySetw Dale Primay (7) Genet = 7 Ober owe : Fae CR SSE aT ©. Robert Naro ‘Mailing Ad3re5s 19791 § Cedar Niles Cir 7 0 —2F Cite *s_ eter FEC 0 nba of contra feces otal cone, jo) Sd aT nia sree aco FDOT Becton Gyo wate rime) Gen 00 Ot toe cae SUBTOTAL of Recoots Tis Page (optional. Date of Recent Cy Ce) Ces) Transaction 1D €-4203-002K01 ‘Amount of Each Receipt tis Period 250.00 rar area Date of Receipt Ey Ee) Transaction 1D: C-4241-043301 Amount of Each Receipt ths Period 25000 TOTAL This Period fast page this ne umber ony) FEC Szhedle A Farm 3} eins 6272008)14020142153 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use soparate schodults) ‘or each extogory ofthe Detaled Summary Page FOR LINE NUMBER; [PAGE 49 OF 122] (heck only ore) Bis Hz Ass As Ou ‘Any oration copied tom auch Reports and Statements may not be 301d 0: used by any person forthe purpose of solicing cantibulons rare and address of any polical commitee to colt canirbuions fom such eomenites. ‘or Tor commercial eurpoees, other than using t NAME OF COMMITTEE dn Ful) Annette Bosworth MD for U.S. Senate Far Ram (ast, Fst deo a) ‘Stephanie Neuenschwander A bate ot Restst ling Adcre8= 195 Maple Path PL fel i oir Salo Z Code acion D7 ct ale ae Transaction 107 6248-03001 FEC ID number of contributing [FRE EEaeae aE RHB ‘Amount of Eact is Per fer poten conte, shill on Tae of Engr Oasis uteok Heat advise LE scm Facog For 2078 Becton Gye Dato Re Peray 7) cer Other (specify) heneae Far Rano ak Fr, WIS B. Stuart Nickerson Date of Receipt ee ce) ay Se a a ae sraneacion Dente. 07300 FEC 19 numberof contributing fegeral pottcal commits. cera) Rane oT Oa es ives Face BE Sesion Gye vo Be Pray [_] Goer Other (specify) ae ‘Amount of Each Receipt this Perog 25000 FoR Name dat Fret Maa a Arthur O'hara alng RSG685 96 Cariape Dr irc e ee aegerae Be ce Coe eee] comet ran FEC arbor ot conrbatrg Tel pote corte (Clee tl Name oF EOF ‘econo a rete eos For 20a Becton Cyclo Dae 8 Pamary (Gener Other eect : a Date of Receit Transaetlon 1D: €-4362-015601 ‘Amount of Each Receipt tis Period Coes] SUBTOTAL of Receipts This Page (optional. TOTAL This Period fast page this tne number on. 7000.00 ji [ee ete FEC Schedule & (Form 3) Pesan 02/200)14020142154 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS ‘ay information copied fom such Reports and Statements may nat be sald or usad by any person forthe purpose of song contusions for commercial purposes, other than using the name and adress of ay political comms to solct contibutons fom such committee Use separate schedules) for each category ofthe Detaties Summary Page Annette Bosworth MD for U.S. Senate NAME OF COMMITTEE (Ful) Far name (east Fe Waals Ta) Shaun O'malley ‘ealing Aséess go00 Seminole St A oy Philodoiphio FEC 10 numberof controuting federal polical commas PA s918 FOR UNE NUMBER: 7 (check ony ore) Ais Hew Ass A, PAGE 8 OF Transaction 1D: €-4364-01 [Amount of Each Receipt his Period Name of Emplover nla retked 250.00 acai Fa Primary [[] Gane te eek Election Oycleo-Date Foi Name Rast Ft, Medea) a, Christopher J. Paa alg A889 7104S. Honors Ove oy Siow Falls FEC 1D ruber of eontibuting ‘edorl petal commits. Zp Cae 8D 37108 cieneEeed one ct ‘Tey ‘Amount of Each Recobp ths Perod ane of Employer ‘Avera Heart Hosptial Caesar pryeician "25000 Fai Name (oes, Frat, Mid italy ¢, John Pagin ing RASCH BO Boxee ection Gyciio-Date Date of Recaot Tf Ca 7 5 cael neue reer mma anata eon eee eee ee Name of Employer ‘Decupation : an 00 = a a ‘Raceipt For 2014 Election Gycle-to-Date. yD) cow Oe bose aa a SUBTOTAL of Receits This Page (options, TOTAL This Period fast page this ine number on). FEC Senate (orm 3) Powe 02/200914020142155 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Uso soparato schedule) for each category ofthe Detaled Summary Page FOR LINE NUMBER: (cheek any one) PAGE 51 OF 12 2 re hie hse Mu ‘Any information copia ftom such Reports and Statements may not be 3old or used By any pereon forthe purpose of solting cantbutons arm ae acess of ary pollcal commites to solct contains fom such coamaten for for comarca purposes. other than using t [NAME OF COMMITTEE (In Ful) Annette Bosworth MD for U.S. Senate Fal ame (ast, Fst, Wide tay Paul Peeler A ‘Maling Address 11649 Leopard St Ste 3 a Baia oa rps crt no feel pos ao. eae) feel pes camo Tame of Erpioyer ‘Oocation SELF CPA ection Oye te bate Recopt For. 7014 BK Panay [7] Genera tne (see) Fal Name (ast Frat Mado Tad William Peeples 8. ang Adress 677 Guy Ave ay Sate Tip Oo Santa Barbra cA soit FEC ID number of connbutng federal patel connie. [eee ae aruEE | mae OE Community West Bank eran iecobt For 2014 Trecien Ovseto Date rary [_) Gone ote owe) sno Fae Ca ROT David Price Maling Adcress 21657 Dodds Rd i a a can cA ei FEC 10 nt ot conning ‘eer tes! conte. deficit Election Cyeieto-Dale SUBTOTAL of Receipts This Page (optional, TOTAL This Period fast page this line number On. Dato of Recaigt Eye “Transaction 1D; €-4511-017KO1 ‘Amount of Each Receipt ths Period 250.00, ‘Amount of Each Recelst his Period "sod 00 Dato of Receipt Gey Fe) Fas) “Transaction 1; C-4692.07A201 ‘Amount of Each Fecaipt tis Period 001 Jt FEC Sehedlo (orm 3) ovo 02/200)14020142156 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS for each category ofthe Detaled Summary Pago FOR LINE NUMBER: Use separate schecule(s) | (heck ony ono} PAGE 62 OF 122 Ft oy tia [im Fre 2 isa Fs NAME OF COMMITTEE fin Fuld Annette Bosworth MD for U.S. Senate Fa Nava Wash, Fat, Mdaie Pio) James Remington ‘Maling Acar 2300 Gedartilé Ply Apt 263 oy Salo Zp Coss Rictnond VA 23283 FEC 10 nurmbor of contouring [eee eeaeeeeaee| (rego come Name of Employer ‘Goamnatn aa rete Becton Cyok-to-Date Fearon S)rimy Son Fal Name (last Fret, Neda aly James Remington ‘ating Asdress 2300 Cogarfod Phy Ap 263 cay s Zp Code Rictmond vA 23253 FEC 1D number oF conouting . ‘eal pote ro ce | Tame ERAT aaa a rare est For ota Tecton Gye Owe Panay [] Gener! ‘Otner (specify) Hasrta ‘Any Inormation coped from such Reports and Statements may not be sod or used By any person fot the purpose of eacing contributions for commercial puposes other than using the name and acess of any poltical commit to salt contiButons tro such commit, vast ‘Cal Cas7] ransaction 1D: €-4855.04CL01 ‘Amount of Each Recelat tie Period 300.00 Date of Receipt Ga) Ea) Ces") ‘Transaction 1D: C4856-01CL01 ‘Amount of Each Recelt this Period s00.00, sat, Naas aay inia Rezetko Waling AGES 7005 Nina TTueson FEC 1D numberof eontouting ‘eral politcal commits, BOTT SELF EMPLOYED SUBTOTAL of Receipts This Page (option, Date of Receipt GT Transaction 1D» 4874.070801 ‘Amount of Each Receipt this Period 7500.00 ‘TOTAL This Period fast page this tne numbr oni. | Cd FEC Senecule A (Form 3) eves 02/200)14020142157 FOR UNE NOWBER, [PAGE 53 OF 122 SCHEDULE A (FEC Form 3) Use separate scraaves) | eck ry en ITEMIZED RECEIPTS ieee ores rae sta Fe fire ire Detstos Summary Page ie Chan Fle hie hs Any ection cpied om soch Reports and Siateventa may nat be sod or used by any person fore puspore of slcing conrouons, oor comenel purposes other than using the hare ard assess ot ay pal commbtee to sock conbtors em atch common [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate For Name [ua Fret Midcle Fvay Monte Richardson ling Asress 29 Highorge King Apt 390% ay Saie_——“Zip Code Ashowle ili Somaass a — Tame of Employer ala retos Rocopl For 28 Becton Gyeleto-Date Primary [7] Gonoral . enh Far Nave [ast Fs, Middl Pita , Robert Rogers ling Address 1630 31a Ave E oy Seatte FEC 1D rumber of contributing federal poltical commitee. ar os la rotked Recep For Sora lection Cyclo Date Pinay [7] Con ie re ercn| Fur Ware ast Frat Wade tay “Amount of Each Receipt the Peiod Sanat ened ane Malling Address +630 43rd Ave E ’ TZ id a Transaction | 1990-01ECO1 Seattle WA 98112 + teal pore! omni [ae maTeT a ean WORD CO ecave Recap Far 207 sin SSO e Pinay) Gane ter ch 0 ate of Receiot EV {Waneaetion 107 6-6407-012,04 Amount of Each Receipt this Period eres [SUBTOTAL of Receits This Page (optional TOTAL This Period fast page this tne number ony) FEC Schedule A (Form 3} Ravine 027208)14020142174 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use separate schedule) {or each catogory ofthe Detaled Summary Pege FOR LINE NUMBER: {check only one) Pept PAGE 70 OF 122 Ais Ais Css [Any etormation copied rom such Reports and Statements may not be sold or used by any poreon for the purpose of sobing centabutons to sole contributions tom such comme for commer purposes, ether than using the name and address of any poical committee NAME OF COMMITEE (hr Ful) Annette Bosworth MD for U.S. Senate Fal Name (ast. Fs, Md Way Richard Witt Date of Recest fe) Te] “Transaction ID; C-6512.010401 ‘Aomount of Each Receipt this Period 35.00 , m oe eee wena = : = Pairary— [[] General Other (speci : ze | FoR Name fost Fret, Mido a Date of Recent ‘Amount of Each Receipt tis Peslod 8. Richard Wulff iting aes 2200 Spare a Sas er Gunbotend we eae FEC 10 naber ol cooing = Isl ote conte Chai TTT TS nie eed 0.00 aca Fae ate Primary [-] Gone Pome tose Fol Rare Cast Fest Wale nts) Election Cyeleto Date "22000 Richard Wulff, Maling Address 2249 Superior Ave es Conborae Ces E60 ponaro conn > Isl pot cont china Namo oT Easier Texan no sseea Fecopt For, 2014 Election Cycle-to-Date Panay [7] Gana! ‘Other (specity) rintaac Date of Receipt Cay Tey Ces") ransacton 1D C-6515-075403 ‘Amount of Each Receipt this Period 10000 SUBTOTAL of Receipts This Page (entora). TOTAL This Period (ast page this ne number ony. seat FEC Sched A Form 3} Revised 0272009)14020142175 SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use soparto schodute) for each category ofthe Dotaiod Summary Poge FOR LINE NUMBER: PAGE TT OF 122 {check onty one) Pl Ae Ass At oy NAME OF COMMITTEE (he Ful Annette Bosworth MD for U.S. Senate ‘any information coped fom such Reports and Statements may rt bo Sold or used by any person forthe purpaxe of eocking contburions lr for commercial urposes. other than using the name ard access of any poical commites to eli contrbwons from such commie, Fal Name (ast Fret, Mid Tia Richard Wuift ate of Receit ‘Transaction 1D = 6-8516.010¢06 ‘Amount of Each Receipt tis Period Sy A ialing Aces 2290 Spater ve = Sate Tp Coe Cumbariand a) FEC 0 numberof eonmbving {edo ota conto, [[) ame of Empioper Desai tie rare Room For 24 Becton Cyeete be Paimay Gene! ‘Other (speci) hisnpe Fat Wee las, Fret Meda B. David Zinn Date of Receipt eeieneveeens Cy Ee) Ces] Gly biel bead Transaetior C-6576-01aw01 nals melee es Same a) mem arry meat rs Name of Empeyer solkomployed Casa ptysiian 250.00 Fecit For- 78 Priray—) Gare Ctr tps Fat Name (cat, Frat Mod Wty ction Cyeie to Date "250.00 ling Rares 7 sate B FEC 1D rumber of contibuing federal poltical commtes. Bicton yest Date cxnerat ‘ote pect) SUBTOTAL of Recepis Tis Page (optional, TOTAL This Pelod (ast page this Ine number on aoc ‘Amount of Each Receipt this Pei [a aia Ee) i 23500 77905.00 FEO Schedule term 3) Raid 02/2008)14020142176 ‘SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Use soparato schoduiols) for each category ofthe Dotaiod Summary Page FOR UNE NUMBER [PAGE 72 OF 122 (check cniy one) As A Br: ta 2 [hse | tie [hse Dis ‘or for commercial purposes. other than using the name and address of any poltical comme t | NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate ‘Any stormaion copied tom auch Reports and Statements may pct be sold & Used by any pereon forthe purpose of solching contabulons io Soc cortrbutens from such eorvmite, FOP Namo (ast, Fret, Midas Fa) Freedom's Defense Fund allng Adoee35 2776 S, acington Ml Drive, #606 A iy ‘Sate —Zp Coe Arigton vA 2206, FEC 10 numberof contouting federal potical commer. ssp Fame oF Employer asa Far Tecion Gyato bee 3d Primary [7] Corr Bonner psc South Dakota Medical Association PAC ating Adress 2600 W. 40% Street #200 a Sais Wo toe Sion Fete ae FE 1 nmber ol conrbung feel pole corniton Fame oF Bpaper pao Recap For ta Teton Geo bate Primary] Goal Other (specity) : 100009, J Fa Narwo (ast, Fs, Mice Pata ang Rea 7 ae ip Come od FEC 1D numberof contributing federal policl corites. Recast For Bocton CyeistoDate Primary [[] General ‘ter (speci) Jao SUBTOTAL of Fecopts This Page (optional ‘TOTAL This Period fast pago ths line eumber oni. rece ssn ‘Amount of Each Receipt tis Period Date of Recoict Ce) nesta mses ‘Amount of Each Receipt his Parca 000.00 ore Date of Receipt [eer Ee [ene ‘Amount of Each Recep this Period Se) 5000.00 | FEC Sehodlo & (Form 2) asad 02/208)14020142177 SCHEDULE B (FEC Form 3) Use copa oceasogy | PORLNE NUMBER [RAGE 7S OF TE for each category ofthe : ; 7 7 ITEMIZED DISBURSEMENTS Eran bos gi 8 192 A 90 mae Jeoa__|7]200 [Joe __ [as [Any information copied fram such Reports and Statemonte may nat be aol or used by any person forthe purpose of salting contibwtons or for commercial purposes, other tran using the name and aderess of any potical committee to sollek contiautons trom such conmites NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate Fa Nemo (last, Fre, Mido Fava) 1. Advertising Arts, Inc. Date of Dabursement ing Aiea BT Toto EC] ow Sate Ye Cace Faron of Each Osburn this Prod Sux Fate 50. sree Pupose of Dabarsonent a2) ee ne (2) | eetatnssissetr ania Wane Caeser? te ice Soares oe Tabameren Fare Serato [xq] Primary [7] Gent Prescent [A omer eee sate: Sac Fal are Ta, Prt Modo Fay p, Advertsing Arts, Inc. ae of Osbasement mare armen dd ow ‘ae 2 ade “aroun of Each Osos Peed — ae =e cI ‘Transaction 1D: D&-OOOMES aa Tae Satogoy Woe ‘Dies Bough] Hose abana For 20TH Senate Primary [] Gono Prsiet ine soc Fut Nae (ast Fr, Made TST c. Advertising Arts, Inc. Date of osbureement Tag aT ah ES) Gal iy Paap oa “Amount of Each Disbursement the Period Sioux Fats so sro Purpose of DabaSSR ST 500.00 carmagn signs | Transaction ID :D5-000M05 Disbaerrart Fe SUBTOTAL of Clsbursomonts This Page (ontona. tatoos TOTAL This Petld fast page this Ine pumber on) reewors FEC Senate 8 (ox 3) Paso 0208)14020142178 FOR LUNE NUMBER: (cheek only one) i Hs 100, Ay 207200 [7 }ane__ as ‘Any information copied (om such Reports and Statements may nat be sold or used by ary person forthe purpose of sotting contibions| Cr Tor commorcial purpotes, ater than using the name and aderess of ery polteal committee to salck contnbutons fom euch committe. NAME OF COMMITTEE (Ful) Annette Bosworth MD for U.S. Senate For Name (ast Fs Mice Fea SCHEDULE B (FEC Form 3) Use separate schedule) ITEMIZED DISBURSEMENTS Race emer aa A. Ainsley Shea, LLC Date of Disbursement inary pears nae esse a Som tp oe Te ol a Danone Pod free a 3 Fp a AT ee deere | (EE pene cee coca sects ‘e ata rom | oa Serato Primary [-] General pai Oe ec feet ra a NT , Ainsley Shea, LLC Date of Disbursement Rang RSIS ape meen ver)’ Ee] sy Sate Zip Coes Amount of Each Disbursement this Period Saint Pau! uN 55101 Purpose of DsbaTsoRerT 3008.60 tevelmoass ‘Transaction 10 700402 nate We Taegan "ype ice Saupe Rose Disbursement Fara Fun Namo (last Fs, MiG i anael sate camo Daren aan mame ay cas ae Tan Ean Debane Po orem ‘stratogic planning Ee] Cte? "ibe iis Saige] Reuse] Dasara Fare senate perm lcm Preis ter sect state Da SUBTOTAL of Disbursements This Page (optiona. TOTAL This Period lst page this tne number on. si fi reso FEC Schedule & form 3) aves 02/200)14020142179 SCHEDULE B (FEC Form 3) te ee for eaen category ofthe f i ITEMIZED DISBURSEMENTS. oe Ele ee As A= ‘Any itrmation coped fiom such Repors and Statements may net be sald or used by any person forthe purpose of sofcting eontiowons ‘or for commacial purposes, other than using the name ang adsreee of any police commitee to sol contxzions trom such cements [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate al Namie ast, Fest Miedo bad A. Attitude & Experience, Inc. (Date of Disbursement itary Riess TO WaT Soak EE oy Taio ip Gato Ao tach Dabok We Pied Traverse cy wens Faroe of DESERET hon cone ates ee ara rae — tae ie Baap | roa] ia BE Senate Pray] Gow Poston te 87 ut Da ul Nam (oat Fe, Midis Fa , Annette Bosworth ising Aasross 260; 6 Minnesota Avenue, OS-120 iy doe Eaeee co “Amount of Each Disbursement this Period Sioux Fale 0 57108 Plipose of BbusereT 7635.40, ‘soo moro erinos Transaction 1D 027-900108 Canctare Name ‘Annette Bosworth Grice Sought” |} House Disbursement For 20TH { senate Present State: SO Orc Fal Warne Gast, Fret, Maate Way Primary Genera ther (epect ¢, Facebook, Inc. Date of Disbursement iy ‘State ‘Sp Code Amounit of Each Disbursement this Period Monto Par cA 94025 Purposs of Dborsonent 022 online averting Cy + ‘Canale Name Transaction 1D: 01-001801 Tatopony we _| memo rem Giiee Saar Fou sb For OTE Memo Senet Prosdone State Bias 7138.40 SUBTOTAL of Disbursements This Page (optional. é é TOTAL This Porod fost page the line number Oni) mse ws jm FEO Sehedul (Form 3) Revie 02/2008)140201421380 SCHEDULE B (FEC Form 3) Uso separate scheckées) fap PAGE 76 OF 122 ITEMIZED DISBURSEMENTS for each category of the h7 te 198 10 | Bawemeee | Ph Os Om Os ‘Any information copied fom such Reports and Statemonts ray not be sol or used by any person for the purpose of salting contibutlns ‘or for commercial purpores, other then using the name ang adsress of any poltcal committee to solic contsbuons tram such commit, ‘NAME OF COWAMATTEE (1 Ful) Fon Nae fast, Fre, Mido Fata) ‘A. Facebook, Inc. ‘aling Acres 1607 Wilon Rosa Annette Bosworth MD for U.S. Senate Date of Disbursement = oes eanena nee ce salle ee ae 2 ere = =e | sonae privay — [_] Genet = aa LEE Segre . Facebook, Inc. Date of Olsursement ani fc iy tate ip Code Amount of Each Disbursement this Period ae Silene ae Saeed Pine adersang ‘Transaction 1: 03-004008 Ganaaate Ware caper “ype” | (Memo trem) ice Sauer Tose Disbursement For 20a More Senate Primary Gover! ] Presicnt omer (speci stato: Dia Ful Namo (ast Fs, Middle Pana cc, Facebook, Inc. ‘Maing AGG2SS 469; Vilow Road Date of Debureer Ce) Ga) Fa] aa ae oom ‘Amount of Each Disbursement this Period cae ine advertising CY] ype [MEMO TEM) Se =. | fee SUBTOTAL of Oisbursemonts Ths Pago (optionay. TOTAL This Pood fast page thie ine numbor on FEC Seneauto& (oxm 3) oid 02200)14020142181 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS ‘Any information copied Yom Suh Reports and Statemonts may nat be Gold or used by any person forthe purpose of socing contibuions for commecil purposes. other than using the name and address of any posteal committe to slit Sontbutons hom such committee Annette Bosworth MD for U.S. Senate NAME OF COMMITTEE (h Full se soparate schocui(s) for each catogory ofthe Detailed Summary Page FOR LINE NuMBER: [PAGE 77_OF 12 {eheck ony one) 300 Joe 7 Pye 200 ae A ev Fat Wa Yeas, Fre, Neda Tay ‘a. Facebook, Inc, ‘Maling Adress 1601 Viton Road Date of Disbursement iy Menlo Pak Sate Zip Gods 94025 ‘evount of Each Disbursoment thie Period Purpose of Disbursemon ontine scverdsng C4 —— — ——— we Senate Primary — [_] General ‘President Other (specity) ae , Facebook, Inc. Dato of Oisbusement — 7 a oa ‘hount of Each Geren tie Pood Cn = as a crac hare atogony “ype Oiice Sea & ul Name (Last, Fst, Nigcle Fah c. Facebook, Inc. Mating ASSESS 1601 Witow Road DisaaaerTert For Te Primary General Other (spac ‘Transaction = D6-90%06 [MEMO TEM) Memo Dato of Dbureerant "Amount of Each Disbursement thie Period oy Sale Zp Code Menlo Park cA 94025 Purpose of Dbursement ‘onine advertsing Ca Canaare Name Shona “Npe Gee Soups |p Rowse Disburserent Faia ‘Sonate Primary Genera President (Over (speci ‘state: Giatet [Transaction 10: 7.201407 (ote rrEM Momo SUBTOTAL cf Disbursements This Page (ostiona TOTAL This Period (ast page ths Ine number en. FEC Schedule B Form 3 avian 0272009)14020142182 SCHEDULE B (FEC Form 3) Ue spate stats) | heck ony oe) ITEMIZED DISBURSEMENTS foreach catagory oft Kv ra sa F)r0 tater | Fe A Az Ae FOR LINE NUMBER: PAGE TE_OF ‘Any information copied fom such Reports and Statements may st be eold or used by any person forthe purpose of solcting contibutlons| ‘0: for commercial purposes, other than using the name and actress of ay Botical commutes to soit contibutons trom auch commit, NAME OF COMMITTEE {in Full Annette Bosworth MD for U.S, Senate ‘Rar Wao foat, Fest, Medale Fay ‘A. Facebook, Inc. VMaling Address 1601 Wilow Rosa Date of Disbursement 7 a Tren ol a iar Peed Cac a Re ae eer} oe er hr eo Seer ae” | wero ren Sates a wen cree ey Jeo a rer ton sxe bine Sha a Fa a p, Facebook, inc. Date of Disbursement Ta wane “ty mae Peet ‘Amount of Each Disbursement this Period an le = ee Sean sears TOTO —_— — SE” | wewomen BES RSE TOT BE ca mae vermy CJ oan oon bse exe __ bones aan a Fo c. Facebook, Inc. Date of Disbursement Ta ao Ro Ea a sas apr A Dae Pe vee ets — aa Sarees Canasaate Name a | Sonate Present Stat Sratit Transaction ID: 10-0140 atoaony Tyee _| memo rem Mame SUBTOTAL of Disbursements This Page (options TOTAL This Period fast page this tne number on reewo FE Senedo 8 (xm 8) avid 02208,14020142183 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS PAGE To_OF FOR LINE NUMBER: {eheck only one} Rl he 198 190 [20a [Jac [Joe [2s Use separate schedule) foe each catogory ofthe Detated Summary Page NAME OF COMMITTEE (hv Fuh For Narvo (ast, Fre, Mico Fit ‘A. Facebook, Inc. ‘Mating Actress 1607 Villon Road ‘Any information copied fram such Reports and Statements may not be 201d or used by any person forthe purpose of sang contributions or for commercial purposes, other tran using the name and aderes of any polical commie to salt contabutons trom such commen Annette Bosworth MD for U.S. Senate Date of Disbursement ay ‘Sate Menlo Park ca. Zp cose ‘mount of Each Oisbursernent this Period Purpose of Disbursement online edvertang Shs SS Co = ransaction 10 /11-001008 Tanaate Name Coaey: “ype | wewo rem, Gites Saag [Wows Dausoneat For 2574 ee Senate (S< Pray [7] Genera Prsisent tren (spect sit: Toe: Fal Name (ask ret, Maio Tay . Facebook, Inc. iain Rares3 603 witow Roa Dato of Osbursement iy ip Code “Amount of Each Disbursement this Pero Mento Park 94025 Papase of DRRUSemT 73976, oni osvonang reaction ID: DI2-G01d06 ‘Ganataaie Kame Tatosent Type _| (MEMO TEM ‘Siow Sova Foe Cisburserent For 2078 Mom ‘senate Primary [_] Goneral President ‘Other specif uate Dia Fai Namo las Frat, Neda ita) c. Facebook, Inc. Waling Rate35 1601 witow Road ‘ost of Disbursement Ee) Ee) Cas] By ae So discus Amount of Each Disbursement this Period Pa A tas a [eee aaa| online eGveraeng Ca — ie inate wpe [MEMO ITEM) Office Sought: House Disbursement For 20% ‘Memo oon Siu ew oo oe em sxe bane SUBTOTAL of Disbursements This Page (optional TOTAL Tis Period fast page ths tne number ony). Eee] FEC Sehodule 8 (Form 3) evn 0272009)140201421384 SCHEDULE B (FEC Form 3) Ve spun ceca | mune ner: [EGE GP oF Tae ITEMIZED DISBURSEMENTS {or each category ofthe 7 18 ssa )s00 Detaled Summary Page AS A: As ‘Any teformation coped fom such Reports and Statements may not be bolt 6” usad by any person forthe purpote of socing certrbutons or for commercial purposes. other than using the name ard acdtess of any poical commtee to eo conten from sush commen, "NAME OF COMMITTEE th Ful Annette Bosworth MD for U.S. Senate cit Fat Nase (oes, Fe Neda ay A. Facebook, Inc. Valing Adress 1601 Wilow Road Dato of Diebureement C2) T=] a Sate Zp Goce "anon of Each Disbursenent is Paste erie Pak cA. seas Papas of OBIT a7 ic oo CD) retest Gana nam ae Type (MEMO ITEM), Bice Soa [ [Foe an For BE vam ‘senate Cerra 1 Presaen ter (vec) suo Sane Fal Nae Ua Ft, MoS TARY ip. Facebook, Inc. te of stuart Tia RS oor Wow Rand ‘ ay Pa fo ca ‘Amount of Each Disbursement this Period Menlo Park cA sueas Papas ‘ae oberg Teaascton ame Tae 7 “ye | (weMO eM) Bice Soni Haas] sere Far ae Memo Sorat Pamey — [] Cones! ter (spec Far Name (ast Fr, widdlo bay . Facebook, Inc. 9 IMalipg ACGESS +601 Wilow Roos Date of Olsbursernent Ce) Ga) Cast) oy Sai Mono Par cA Zp Come 94025 "Amount of Each Disbursement this Petod Purpose of Dabaraanant ‘ontne averting Caras Tae C4 Category "ype Office Soghe |] Howe | Dibusament For aoa Senate Primary Gover Presient (ier (speci ‘Sta Diavice SUBTOTAL of Disbursements This Page (options) TOTAL This Pera fst page this fo9 number ony) 100.00 [Transaction ID: 16-001406 (MEMO TEM) Mero Fes EC Senodule 8 (Form 3) avis 022009)14020142185 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS: for each category Detaled Summary Page ‘Any information copied from such Reports and Statoments may nat be sold or used by any person forthe purpose of solcting contrbutons oF for commercial purposes, oer than using the namo and aderess ol ary polteal corte fo sole contoutions fom such comes Annette Bosworth MD for U.S. Senate Fur Namo (ast, Fre, Middle Pata ‘A, Facebook, Inc. | NAME OF COMMITTEE (Ful) ‘Maing Acdross 1607 Wilow Road so separate schodults) ofthe PAGE 81 OF 122 = FOR LINE NUMBER" {heck only one) 7 8 190 oue [7 [20 [}o0e Dato of Disbursement ECE aay ‘Sute Zip Code ‘Amount of Each Disbursement this Period Menlo Par ca 94025; Purpose of Dabarsenent 500, ea AD) | rectatmorerronan Canaiaate WaT Cetegon7 “ype | emo remy hice Sought Fuse Disbursement For, 2014 Tiel Senate Primary — [7] General Present ‘tne (spec) state: Dit Ful Namo [ast Fret, Mido Fata , Facebook, Inc. Date of Disbursement a as ce tay iste eee cae ‘Amount of Each Olsbuaoment this Poved Nenlo Park ca 94025; Purpose of DabusoTaRT 50) nine eaverisng r Transaction 10016-00100) fRseretenee Peer eres Cetegon? "ype | emo mem Oiies Soar Fouse ‘Dabusenent For goa Meme senate Panay] Genel Present over (ect sue: Seve: Fut Namo (ast Fret Middle ia ¢. Facebook, Inc. Dato of Disbursement TF ew EJ bd Lael eee ‘Amount of Each Disbursement this Period Menlo Park cA 94025 Paps of oT ery boo abv ena Hae ‘Transaction 10: 019-00140s Casper Jee [MEMO ITEM) ‘ice Saugh Tease TREATS OTE ero Sonate Perey Come Preiont tre (see sia Bit SUBTOTAL of Disbursements This Pa (eptona. TOTAL This Poriod fast page this line number ony) reswo0 FEC Senodute & (Frm 3) Revs 02209)14020142186 SCHEDULE B (FEC Form 3) Use separate schedule) ITEMIZED DISBURSEMENTS te a cso FOR LINE NUMBER: [PAGE @2 OF 12% (check ony one) [X}17 Ax 190 A a A ‘Any inlrmation copied frm such Reports and Statements may not be sold or used by ary person forthe purpose of salting conirbutons ‘oF for commercial purposes, other tran using the name and adcress of any poltical commie to slit contlbutons fram such commiten, TNAWE OF COMMITTEE (Fuh Annette Bosworth MD for U.S. Senate Fa Nemo [ast Fret, Mido a A. Annette Bosworth Date of Disbursement ‘Amount of Each Disbursement @¥s Parod nun] ueoeennecca Transaction 1D B28-000100 ‘Maing Adaress 2601 5 Minnetoa Avenue, 05-1 oy ‘Sato Zip Code Shou Fats so 51105 Purpose of Daburearart Candia Nae eae Annette Bosworth "ype ‘Gites Soughe [| House Taaarent For FOE Senate [XX] Pray [7] Genera Prosient Otrer (pest Sate: $0 itt: Fal ame (Last, Fest, Wadia Ta) p, FedEx Office Waling Riess 3200 6, Lovive Avene Date of Disbursement EVE oy ate CS Sour Fate 80 57108 ‘Amount ot Each Disbursement tis Period Purpose oF DsbaTERTarT ‘ivory Gee Transaction ID: O7-004101 = os 7= SS a c. FedEx Office ate of Dsburoment a Peeiiti amor “Amount of Each Disbursement tis Period as seesonnecta| 2 — Bom Fjonen Soto SUBTOTAL of Disbursements Ths Pago (option). rosa TOTAL This Pored fast page this line umber Of nw a EC Schedule 8 (Frm 3) avis 02/200814020142137 SCHEDULE B (FEC Form 3) Ss ee ee | one, ae eee ITEMIZED DISBURSEMENTS for each category ofthe 7 18 108 Hse Dotalod Summary Page crt atte ssa Any intrmaion copied trom such Reports and Siements may not be sold o used by any person forthe purpose ol sokating contibulons fx for commercial purposes, other tran using tho name and acsress of any poical commie to tlic contnbutions from such commie, "NAME OF COMMITTEE (hr Full Annette Bosworth MD for U.S. Senate Fat Namo Tuas Fst, Medora A. Hy-Vee Date of Disbursement ee a es ae ica Echoes eu 3 Be Seg aoe Te i en es ac 9 EA emg en SSRs TR me Senate Prmery —[_] General a bor ese os re aa , Staples Date of Disbursement eo ae fae Lend — Amount of Each Disbursement this Period oe Ste or yan oe Ea Veco cenen ee rm eee FRSA se ~~ eto ni is tae rey El enea Be Oo ee a no Fat Nae (as Fst ace Way c, Staples ate of isoureament Se AS en sepew a — tasdhcanal ‘Amount of Each Disbursement this Periog Framingham ua __o1702 Purpose of Digbursament ee ana {transaction 1D: D15-001902 anaaate case “ype | (wemo item ‘Grice SaoaFE House Momo Senato Z Primary Conor Presont ‘other pect State: are SUBTOTAL of Disbursements Ths Page (epionl. TOTAL Ths Period fast page this line mumbor on on - Cd) reso FEC Sehedule B form 3} Rove 02/200)14620142183 SCHEDULE B (FEC Form 3) vee pune aoeaay | onuNe een [GEE oF? ITEMIZED DISBURSEMENTS ‘Gvuen Sante pice: A As Hz As [ex Information copied from such Reports and Statements may not be S0Id or used by eny person for the purpose of solicking contributions or for commercial purposes. other than using the name and auess of any polical committee to elit contabutons from such commie, | ‘NAME OF COMMITEE (hr Full Annette Bosworth MD for U.S. Senate A. Staples Date of Disbursement. Te Es paren (21) | atc ee a, Staples Dae of Dburserent eee] Es Ee ty” State Tig Code Amount of Each Disbursement this Period Par “of Disbursement 108: ‘office supplies [eee] on Sa c. Staples Date of Disbursement Cay’ ‘State be dusrazed Amount of Each Disbursement this Period _ = 35 aa ae IE Cwaaae Name ‘ategony? iad > ‘Giice Sought: House Disbursement For 2074 Momo ae: [SUBTOTAL of Disbursements This Page (optional TOTAL This Poros fast page ths tne eumber en. se en Feswore FEC Senos 8 (Form 3) ovses 02200)14020142189 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Uso soparate schedules} for each category ofthe Detaled Summary Page [PAGE 88 OF 1 98 []r90) ove Jas FOR LINE NUMBER: {ebook only one) ‘Any information copied fom such Reports and Statemorts may not be aol or used by any perzon forthe purpose ef salting contibutlons ‘of for commercial purposes, other than using the name and aderess of any poltical committee to slit eontebwons from auch commits, NAME OF COMMITTEE (in Fuh Annette Bosworth MD for U.S. Senate Fur Nema (ast Fist, Miele tay A. Staples Maliog Adress 500 Staples Dove Dato of Disbursement Ce) Ee] oe Site Zip Code ‘Amount of Each Disbursement this Period Framingham Ma 1702 036 of Sousa 00 aia [7] | reccararoerore ceaeaeae ‘ates? wwe__| memo mem Bice Boog |] ouse Disbursement For 21 — Senate Primary [_] Genera Present Other spect si Saver Ful Namo (ast, Fst, Mido Ra The UPS Store Wiaing Fares 2603 &. wonowla Avene, FOS Date of Disbursement iy aie tp Code “Amaurt of Each Disbursement this Period am SS = Fat None (as rat Made Way ¢., The UPS Store ialing Adar@35 2601 S, Minnesota Avenve, #105, Date of Disbursement ow sae Sioux Fae SD. ip Cae 51105 “Amount of Each Disbursement th Period Pupose of DRDaRETER caver, conden ice Savare ‘Disbuseront For 01a [SUBTOTAL of Disbursements This Page (optional ‘TOTAL This Period fast page this line number ony). Category 35.73 a. |Transection 1D : 022-001602 [Memo Trew) Memo FEC Sehede 8 form 3) Rovian 0/209)14020142190 SCHEDULE B (FEC Form 3) ‘Use separate schedules} ITEMIZED DISBURSEMENTS besides Pace FOR LINE NUMBER: [PAGE _66_OF 12 {check only one) 190, Hh 190 oe [Tan ‘or for commer purposes, other than using t NAME OF COMWETTEE dn Full Annette Bosworth MD for U.S. Senate FO Nome (ast Fret, Mido a A. The UPS Store Maling Adcress 2601 S. Minnesota Avenue, #105 [Any information copied fom such Repos and Statements may not be $0 or used by any person forthe purpose of salting contibutons are and adress of any policl commitee to soit cantbualors frm such commie Date of Disbursement fl aleed "Amount of Each Disbursement thie Perod ory Sate Zip Gods Sleux Fats 80 57105 ‘rpose oF DSBUrSomOT celery Category? “ype ‘Transaction 025-0 [MEMO ITEM Touts] abit For OT — Prey [] Gomnt Prsdot One sue) Ful Name (as Frat, Mido ial , The UPS Store ing AdSiesS_ 201, Mnnosota Avenue, #105 Momo Dato of Dbureament EA Ee) Eas) ow sar as ines aaneaaena "Resco = fia coer ewe Too Category ype [exo rreM) DiSGSEMET FO OOH Primary [_] Gonera ‘other epee Omics Soa Fat Nome (las Ft, wide rad c, The UPS Store Maling Ade85 2601 S, nennosota Avenve, #105, Momo Date of Disbursement Oy = ae ‘Amount of Each Disbursement this Period Sat 4) ae Office Sought ] House Disbursement For 2014 ‘Memo Sonate Primary] General ae SUBTOTAL of Disbursements This Page (optional) pattie TOTAL This Posed fast page this line number on. FEC Senedule 8 form 3) Rovies 02/200)14020142191 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate schedules) for each eategory of tho Detaled Surmary Page FOR LINE NUMBER: {check only one) PAGE TOF 12 [X}7 As He A Jeo [fz0» _[FJene_ [2s ‘Any inrmation copied fom such Reports and Siatements may nol be Sado used by ary person for the purpose ol salting eontibuilons ‘of Tor commeria purposes, other than using the name and adciess of any potical committee to slit conbuions Wem such comrites, ‘NAME OF COMMITTEE (in Fal Annette Bosworth MD for U.S. Senate Fat Name Want Fray Mae Tah ‘A, The UPS Store iMaling Adeross 2601 S, Minnasota Avenue, #105, Date of Disbursement fe) EE] State Zip Code sO 57105. ‘mount of Each Disbursement ths Pered Purpose of Uisbarsemant anes Sonate PX Primary — [] Goncral se. | Baia 5 3573, ‘Transaction 1D D26-001 [MEMO TEM) Mame | Fal ae Tas Pret Mee ay a. Annette Bosworth aiiog ROSE 360. Minnascla Avenue, FOE 129 ay aerate ee ‘Amount of Each Olsbursonent ths Povled lous Fate so 52105: Purpose of DaaaeomoT 66.58 00 marmot sat Ganaate Name ‘Annette Bosworth ad tes Soa —[_] vest aaa FFE siete Pray [] ana Preadont ter eee Siote 80 Dai TR Marve (ast Fist, Mae a ‘Transaction ID: 029-000100 c, Amtrak Cate of Disburzement Tag RI eso sn wr Sais Zp Code “Amount of Each Diburcement ths Petled ‘Washington oc _000e Purpose of Babursoment pen food & bevarago, aa | +. Transaction 10: O1-00%r01 once atooon7 Tyee | meworrem Gee Sona Tote Dissam Fo OTE Momo Sonete Primary [] Genera President Other feet Sate Dict: SUBTOTAL of Dsbursaments This Page (option ‘TOTAL This Porod fast page this Ine number on) FEC Senedte 8 (Form 3) Reiss 02200)14020142192 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS [race 5 oF 722] Beeb FOR LINE NUMBER: {ereck only one) Fe: a Use separate scnocuols) for each category of the Detaled Summary Page ‘Any information coped ftom euch Reports and Statements may not be sold or used by ary person forthe purpose of solting contbutons ‘or for commercial purposes, ater than using the name and aderess of ay polltesl committee to click contaoutons tr such committee. NAME OF COMMITTEE (in Fu) Annette Bosworth MD for U.S. Senate Fa Namo (ast, Fret, Mago Fay A. Amtrak Date ot Disbursement ow Sas —ip Cae “amount ol Each Dbreenent is Peta Washington oc zone — Ce] ena eo Gmaaare Ware car i Type ‘Bice Sexghe [Powe Dasma Fer OE Senate Primary [] Genera Present other peti sate Daves Fal Nave (aR, Ft, RAGS RSH , Value Place Dat of Disbursement ae aS HSA ww tae ee ‘Amount of Each Disbursement this Period SioucFats so S718 Pupose of DSB mere ‘eion Co so ‘Transaction O7a0%e04 Cara Ware Siar “yo” | peo rem Ofee Sore De Fae POHE Memo Panay [7] Genet Other (pect Fa aa Tash Fret, Me ¢, Capitol Caging Corporation aking AaGress 594 Shaw Road, #217 Date of Disbursement an ee = ca SUBTOTAL of Disbursements This Page (optional. TOTAL This Pevoa fast page the tne number on FEC Seneale 8 (Form 3) arses 02/200914020142193 SCHEDULE B (FEC Form 3} ITEMIZED DISBURSEMENTS Use separate echodults) for each category ofthe Detaled Summary Page PAGE 89 OF 1 As FOR LINE NUMBER: {eheck erty one) 7 3 29 aoe Feo [20 ‘Any information copied fram such Reporis and Ststerwnts may not ba sold or used by any parson for the purpose of solstng contsbutions ‘or for commercial purposes, cer than using the name and address ol any polteal commtse to solict contsutions fam such commit NAME OF COMMITTEE (nFulp Annette Bosworth MD for U.S. Senate Fal Nee (as WRG Wah a. Century Data Mailing Service Maling Adress. 1758 15m Stest, NW, #470 ‘bate of Osbursoment Et — oie (CO |receatrersmce ‘Sonate [Xd Primary [-) Genera = |e p, Century Data Mailing Service Date of Disbursement Shy ate Tp Cade "Amount of Each Disbursement this Period Piapose of DaasomOT postage canaaate Tare Catagory “ype ‘Transaction 10098-00402 ‘ies Soughe |] Woe Tisbaanant Foe OTe Senate Primary — [7] Corea Prsient [omer epee Sit: Siaiee Ful Name as, Fist, wigdla ray cc, Conservative Connector Maling Ad635 435, Man Srot #250 Dete of Disbursement EJ G7 Ca] oy wae Grconwood W ip Coes 4613 “Amount of Each Disbursement this Peiod Purpose of Disbursement offine kndrasng (Ganda Ra Category Type 7962.44 ‘Transaction 1D : D43-204u01 ise Sagi —[_] rome Dae Fer TE Senate Primary ("| Goer Present Other tpeci swe Bice [SUBTOTAL of Disbursements Ths Page (option, TOTAL This Period dant page this line number cn sorrt je EC Schedule B (Frm 9) Revs 02200814020142194 SCHEDULE B (FEC Form 3) se sepante areas) | EORLNE NUMBER TAGE 90 OF HE for each catogory ofthe 7 i ITEMIZED DISBURSEMENTS. pee eee ae 7 8 188 Oi 9 | zu | [20 [Joe 20 ‘Any inlormation coped from such Reports and Statements may ot be sold or used by any parson tor the purpose of soleting contabulone of for commercial purposes, other than using the name and access of ary poltcal commitee to solick contbutions tom such comm NAME OF COMMITTEE fn Fulp Annette Bosworth MD for U.S. Senate Fal am (cat, Fest, Wooo ta a. Ethan Crisp Dae of Disbursement ing Aldea 83H Se By Bae Zp Cove “oun of Each Obras this Penod Sioux Fas 8D. 57105 Purpose of Oisbarsarant 200000, campaign management [ise] ‘Transaction 1D 48-000003 z senate Primary] Gener —_— p, Ethan Crisp Date of Dsbuseent Oty ‘Slate Tip Code “Amount of Each Disbursement this Period Sioux Fats 80 57105 Puapase of DRSURemanT "200000 ‘campaign management [esse] tt ‘Transaction 1D D48-000008 lonclte Wate creer eveee ae rarer gaa area EEC EEC IEREEE| 1 Camecy Type Gite Sought: J] House ‘DisbUTearnOT For BO1e (TJ senate Primary ] General President Other (specs Sia Distr: Fa Nore (last Fra, Neds Tay c. Ethan Crisp ‘Date of Disbursement Ta HERR Ts waHONw Ee Sry Pear cen “Amount of Each Disbursement ths Period Sioux Fale 8087105 098 ot Dabusaront 19063, mileageiprnting [earay ttt Transaction 1D: 050400008 ie Far ae "ige ie Sag] Foe Dasa FE TE Sonat Frimay —[] Goer Prescot ‘tne tape sue Bit 08 SUBTOTAL of Disbursements This (optional) i i TOTAL Tis Pv st page tne rum Oi ntti reswon FEO Schedule 8 (Form 3} Ravin 02/208)14020142195 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use seperate achedulfa) for each category ofthe Detaled Summary Page {ebook ery one) PAGE OT_OF 12 Be A, As Ae FOR LINE NUMBER: ‘Ary oration copied fom such Reports and Stalemaris may not be sold 0 used by any person forthe puzpose of salting contibullons ‘or for commerieh purpozes, other than using the name and adcress of any poltcal committe to salt contebulons rom such connie, [NAME OF COMMITTEE dn Fut) Annette Bosworth MD for U.S. Senate For Noe oat Pret, Mido Ia Date of Oitbursement A. Ethan Crisp. ating Aavoss 1176 5, Holy Drive Gay State Sioux Fats SD, Zip Code 57108 ‘nroutt of Each Disbursement tis Pero Purpose of Oisbusenert tampain management ‘Transsction ID: 51-000006 = = = Sonate 1d Primary [-] oneal me, | Bcd oe , DC London, Inc. Oat of Dsbuserent aan RA Ho Swe NW HS Eo Oey oa on Amount of Each Disbursement this Period ‘wobsite deveropment Cy == nee Type su Braver Fal ae (as, Pet Mao ay ¢, DC London, Inc. Maling Adeess +700 G Steet, NW. #805 Date of Disbursement Ga) Ga) Ga) a or Tato on Cobre Pot ota ce oe Scars as ree gor fie eee) Canaaata Kaine ‘Transaction 10: 055-001002 = = a me, | Betta SUBTOTAL of Osbursements This Page lentional TOTAL This Period (ast page this tne number or FEC Schedule 8 (Form 3) Pevses 02/2009FOR LINE NUMBER: [PAGE 92 OF 122 Use separate schacuies) | [check only one) {each catogory ofthe 17 8 so [T]r90| 200720» [lane as Detated Summary Page ‘Any Inormation copied fram such Reports and Statements may not be S01 or used by any parson Tor the purpose ot soteiting contibutons oF for commercial purpotes, ober than using tho name and adeess of any politcal commie 1a tlc contsautons from such commas NAME OF COMMITTEE (i Ful) Annette Bosworth MD for U.S. Senate SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Fol Narwo (ast, Fs, Middle Pita A, Patrick Davis Consulting, LLC Date of Dsbursemant Ce) Te) Cee") wy ‘Sate Zip Code ‘Amount of Each Disbursement this Peiod Coloato Spings co 0919 Fuoco of Dreamer [ 230000 pela atopy [ee “ ‘Transaction ID D56-001107 Maling Across 5760 Hearthstone Lane Ganaiaate Name Catspon7 ‘ype Bikes Save —[_] Howse Dabirsanent Fore sen Primary] oneal Prose Otter (pony ste Oar Ful Na Toast Fst, Neda Ha a. Patrick Davis Consuiting, LLC Date of Disbursement ay Sale Tp Caer Tevet of each Ouran a Poba Colorado Springs co soste uote of Osborsemaht 392.03 ‘tolemarceting Cy ten - ‘Transaction 101 D57-007L02, ling ASGre55 5160 Headstone Lane 14920142196 ‘Canataate Name Se "Type. ‘Gites Sonate Faves ‘asbuTseM For AUT ‘senate [3d Primary] Geonarat Prosgent Other (spect State: Dict: Fa Name (last Fst, Neds ay , Patrick Davis Consulting, LLC Date of Disbursement joes eee gee iy Piatra ca ‘Amount of Each Disbursement this Peiod Colorado Sorings co enea ogo of Dabursariont Fimoinsoe Oi Saag [Foe aE FE Senate Primary] Gone President ‘thr tpech site Bite "03421 Transaction 10: D58-001L03 SUBTOTAL of Olsbursements This Page (optional TOTAL This Period fest page this ine number ony ear 20 ES FEO Schedule 8 (Fore 3) Revie 027200)14920142197 SCHEDULE B (FEC Form 3) ee oo fer each categey of tho ITEMIZED DISBURSEMENTS. fo eich cate al a 7 se 108 Ae Joon Flee» [Favela [Any formation copie tom such Reports and Satements may not be 30d or used by any person forthe purpose of solcting contbutons ‘or for commercial purpotes,otner than using the nara and adcress of ary pollical commitee to eat contabutons from such committe, (NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate a a. Patrick Davis Consulting, LLC Date of Disbursement oiaaaea cea eames City ‘Stato, 2ip Code ‘Amount of Each Disbursement this Period Ceo Seng conten raga a STS =e [eee seme ceca [TE eames prom TRC meee - oe Spe [Name oa Fa Full Name Cast, Fest, Widale tay p, Patrick Davis Consulting, LLC Date of Disbursement mea satemeetee de) ES) es) a eee ance “Amount of Each Disbursement the Period colorage Springs co. 20019 Purpote of Baaarsanont Pocalstatogy anaes Nae “ype ice Saag Toe DabaRTeA Fa DOT Sencte Primary [-] General Presicent ‘tne spect sae Bic: Fal Name (ost, Fiat, ice Fa c., Patrick Davis Consulting, LLC oto of Disbursement Sige Gamma Cd wy Sale Zp Coe “Amount of Each Disbursement this Prog Colorado Sorngs co e009 Purpoge of Disbursement 5158 travelmeats Eee] {Transaction 1D: Dst-001L.06 Canaite Nae ey "ype Oe SacarE |] Fou Da FE Serato Pamary [ones President (thor pect sie Diet ‘S551 59 [SUBTOTAL of Disbursements This Page (optional . i TOTAL This Pered fast page this tne umber on. seen jo esos FEC Seheduie 8 (Form 2) Podnd 02/200)14020142138 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS se soporte sohodule(s) for each category at the Detaled Summary Page FOR UNE NUMBER: PAGE OOF T (check ony one) 7 16 130 F)s00) zon [Jao _[J2ne Fon [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate ‘Any information coped rom such Reports and Statements may not be sold ox used by ary person forthe purpose of soiciing cortmbutions for commercial puposes, othe: than using the name and adores of ary pelical commie to sot contlbutons from such commie, Fal Name (oat, Fret Mea ita A, The Event Company Maling Adress 6840 W. Westminister Dive Date of Disbursement ae “Amount of Each Disbursement tis Period ay ip Code Sioux alle 57106 Purpose of bursement event planing [ea] Gandaate Name ‘Transaction 10: D67-005M0" Category "ype ca Sape —[] Rooss Dabaseran For 20a Senate DX Primary [] Genera Present ‘other pect sa Sau at Nahe (as Fie, Mae TT , First Virginia Community Bank Date ot Dsbusement A Fao i oad f ity Lead ee ‘Asmount of Each Disbursement this Period Frit vA 22030 Purpose of Disbursement 250.08 ‘ie Strge ‘Transaction ID 099-0400; caaaae Kare C7 ‘ype ‘Siice Soca Fouse ‘usbureeent Far 267 ‘Senate Primary Gener President ‘ote (epeciy Stato: Oi: Fat Namie Eas Pret, Maas Tah . First Virginia Community Bank ‘asing Aare85 +3325 Random hills Road Date of Osbursement Ey Ee) iy State om ‘Amount of Each Disbursement this Period ‘Purpose of Disbursement 199.00 sate | aoe — aS = = | as ~ ES SUBTOTAL of Disoursements This Page (options TOTAL This Poriod fast page this ne number ony ease FEO Shee 8 [Form 2) ois 02/2009)14920142199 FOR LINE NUMBER: (check ony one) 17 18 198, H 19 208120» _[Jo0e_ [20 ‘Ry Intrmation copied fom euch Reports and Statements may not be sold or used by any person forthe purpose of solting contibutons ‘or for commercial purposes, eter than using the name and adcress of any polticel commits to solic contsbutons from such commttea NAME OF COMMITTEE Qn Fu Annette Bosworth MD for U.S. Senate Fa Name fant Feu Nae a) SCHEDULE B (FEC Form 3) eae ec ry ITEMIZED DISBURSEMENTS Beer ceed atm a. First Virginia Community Bank Date of Dibursement ing Ae i Radon Rod fC ow ‘Sale ‘Zp Coae “Amour of Each Disbursement this Period = ae pessassera| a DaaaTen [ee terre erase waa Res] ‘rensaction ID: D101-004003 Ganaidaie Name Tategon7 “spe Bikes Soars Fae Terran TE senate Pray] Gone Present "otter techy sate Samet Fu Nave [a Fs, WIGS TH a, First Virginia Community Bank at of Dispurement Fg SST Rasonnees SY Oy Wate p Cae ‘Amount of Each Debureement this Peron Foifax VA___22080 Purpose of Dabarsanet 1008 ‘edi eae processing Eat ‘Transaction 1D D102-008004 | TS TS Stat Type. Cae senate Pimay—[] Svea Prester te osc su Ot Fa Ramo (a Fe, Mie a ¢, Sharon Hofer ona of Osbrserant {ar a Ea ial oy _ eee “Amount of Each Disbursement this Period Ta soso transaction 10: 0113-000001| Saanev7 "ie as Sake] oases] aban For 2a sen Primary [] Sonera Pres oer osc se Die SUBTOTAL of Disbursements This Page (optional. faa i page ths ne number oy) C2 ed revo FEC Sehedula 8 (Form 3) Paves 2/2009 ‘TOTAL This Polos14020142200 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate schedules) for each category of the Detalec Summary Page FOR UNE NuwaeR: [RAGE 90 OF 122] {eneck ony one) A sa [7] lave [Jan 7 18 0a [ 200 ‘Any information coped fam such Reports and Statements may sat be Gold or used By any parson forthe purpose of soting contmbions ot for commorcil purposes, lher than using the name and adress of ary politcal comme to sotct contbutons tam such commtae Annette Bosworth MD for U.S. Senate "NAME OF COMWATTEE (In Ful) Far Name (lat, Fret, dale tay ‘a. Sharon Hofer Naling Address 27290 Homiock Avenue Dato of Disbursement cay ‘Site Teo 8D Zp Coe 57064 “Ariount of Each Disbursement tis Peiod Purpose of Disbursement moog ‘ateaen7 “ype ‘ice Sought |] Howe Darsament For 20% Senate [XX Pinay [_] Genera Preston ther (pest sae Bisree Ful Naha Tat, Fre, Mie . Sharon Hofer Date of Dssusement ere Ce wy ioe M id “Amount of Each Disbursement this Peron Teo soe Pare Cabra 73560, ‘mloage TT) | tse ee Catogoy7 "ye Bice Sart [oe Deere For 20 Porton Fa Namo [at Fre, Mode Wah ¢. Sharon Hofer ‘aling AGe55 27290 Hemlock Avenue Date of Disbursement Eo) Ge) Ca) ‘avount of Each Disbursement ths Pood poe Gonaae Wane ‘Oiiee Sout SUBTOTAL of Disbursements Ths Pogo (optional TOTAL This Petiod (ast page this tne number on DabaaTeRT Fore Bd Primary 2 General (ther (spect Category “pe 347.60 FEC Sched B form 3) Revised 0272003)14020142201 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate scheduels) for each category ofthe Detaled Summary Page FOR LINE NUMBER: [page 97 oF 122] {eheck only one) [X}i7 18 130 He Joo [L200 [Jase __ [21 ‘Any ormation copied fom such Repors and Stlements may not be sO Or Used by ary perzon forthe purpose ct eoleting eontovtons ‘ot for commercial purposes. other than using the name and adress of ary pollcal commites to salt contabulons fram such committe, NAME OF COMMITTEE (Ful) Annette Bosworth MD for U.S. Senate Fan Nome (last Fret, Misa Wa ‘A. Sharon Hofer ‘Mating Adcress 27200 Hemiock Avenve Date of Disbursement Et “Amount of Each Disbursemant this Pelog 195.00, ‘Transaction Ib /D147-000005 & — ao — = sae Dati Fat Nae Tas Pst Mae ToT , Sharon Hofer Malibg RITES 27780 Hemiocx Aven Date of Disbursement ow sae Toa 80 “Amount of Each Disbursement this Period Purpose of Dabarsemant sary 3750 ‘Transaction 1D 01¥8-000006 Cana Hae ‘ar Type Tice SauaRE Touse Dab ISeT Fa OOH Senate Primary [_] Gor Presicont Other (speci Dist Ful Name (cast, Fs, Misa Fea ¢. NCCI Holdings, inc. Haling AGES 903 Penineta Corporate Creo Dato of Disbursement bad ae fare ‘Amount of Each Disbursement this Period Bc Raton r_auaer Piao of DSBS 00 ce | Ed rete eee ‘Category ‘ioe Dias Sa] Reuss] Daa Fara Senate Pimay [| over Preiser Other pec State Dit: SUBTOTAL of Disbursements This Page (optional, ‘TOTAL This Period fast page hs ine number ony). FEC Scheele © (orm 2) ond 02/200)14020142202 SCHEDULE B (FEC Form 3) vn pane coma | Cestanege UAE BOE ITEMIZED DISBURSEMENTS fo each catagory ofthe PX] Je sme | maconmree | FI As He Hs ‘ny iforaton copied trom such Report and Sates rey nt b sold or used by any person for he papas of sing contovions for commer purposes, oer than using he namo and adds tary Dolla comme to ols contodors Yom ssh commie NAME OF COMMITTEE (Fu) Annette Bosworth MD for U.S. Senate ‘A. Paychex of New York, LLC Date of Disbursement fener eer erry Cf] ie (alana (0 | Rm = = oe a = . Paychex of New York, LLC Date of Disbucsement —— fl oT Sie eee Amount of Each Disbursomont this Period Purpose ae Disbursement 9.29 pen EE asta coemsaeune Office Sought: House, Disbursement For: 2014 a=, | Bora ee c. Paychex of New York, LLC Date of Disbursemer Fa REST ora at Cron DvD HE) iy — 2 Code ‘Amount of Each Disbursement this Period a a ie = a = i eas ; ee baal TOL Tat at po ea tr ce ee ce) reswra FEC Senedto & (Fon 3) avid 022008)14020142203 SCHEDULE B (FEC Form 3) Une pane cnatny) | REMEMBER [ERG oF EF ITEMIZED DISBURSEMENTS fo sch catego of te Bx]17 ses res ere er ET Eafe el ‘Any Inermaton copie trom euch Reports and Stslomento may not be sald or vsed by any person forthe purpose of soatng eonrbuons cx for commercial purposes, ctr than ug the hae and ages ary poten conta to olen crtibuns fom sschcammitoe NAME OF CONMATTEE (Fl) Annette Bosworth MD for U.S. Senate Fal Nae (ost, Frat Maa a a. Paychex of New York, LLC Leekel sete iting hares Solas Common nae | [Px] iy ‘Suto Zip Gade ‘Amount of Each Disbursement this Pad raneacion 0: D148-002008 oe aan Eng Ganaiiate Ware Catason7 "ype Ses Saag |] Hose Dabaeren For POE ‘Senate [XX Primary [] Generat Present rer tere) sue: Dice Fal Nar Tas, Ft, Mo Pay a. Paychex of New York, LLC Dae of Dsburemant iaiing ATO G70 Lae Canton Dv, 50D oy fee eee “Amount of Each Disbursement the Period Peete ane Papa or ODER [Eee Ere (ee ‘Transaction ID D149-002306 Cael ie Pan saree arene] Gatoson? "ype Tes Sosa Tse Disbursement Far 2018 Senate Peary General Fy presisont ‘ther (speci state eet: Fa Name Gast, Fri, Mle iba) c. Paychex of New York, LLC Date of Obursement a We om ioe “Amount of Each Disbursement this Peviod ‘Si Petersburg FL_s3716 Purpose of sbarsemae 5270, ayo! sdminstaton [Emel areas Gada tae | Transaction 1 : 0150-00207 Eee Tategon “pe Disbursement For 26Ta q Primary} Genorat Borah tice Some 172.02 ts Tis Page (options. itt jt SUBTOTAL of Disbursemt TOTAL This Pood Jast page this ine number on ne . a reson FEC Senadulo 8 (Frm 3) fRavisd 02200914020142204 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS FOR LINE NUMBER: Use separate schedules) | (chek enly one) for each category ofthe Detatod Summary Page PAGE TO oF 1 7 18 190 []r90| Jeo [200 [Jao _ [2s NAME OF COMMITTEE dn Ful) Annette Bosworth MD for U.S. Senate ‘Any ntormation copied from such Reports and Statements may net be eI or used by any person forthe purpose ol solcking contibulons ‘or for commercial purposes, other than using the name and adcress of any poltical committee to eclick contrbutions fram such commie For Name (cast, Fret, Mga ata ‘A, Paychex of New York, LLC Maling Adkress 970 Lake Carllon Drive, #500 | ——— Date of Oibursement a = Eas aes ances ae a ses eal = a oT Senate rary [] Genet Son | PT el aoe Sime p. TransAxt, LLC ate of sbusement aS wi A ay _ Be Oats “Amount of Each Disbursement this Period a oral tom Ea) aay cmnaaae Hare ieee “Transaction 1D 7 D180-000N05 Cateson? “ype Tice Sauer Howse Disbursement For 250 ‘Senate Primary on Prescont her (spect State: Siar Fat Nave (an, Frat, Mode Tha ¢. TransAxt, LLC Mabing ACESS 390 Korro9, NW, #500 Dato of isbursament bcs — tadlaae! ‘Amount of Each Disbursement this Period = rae = = — = a sonata Primary [General = oa SUBTOTAL of Disbursems “This Page (options), TOTAL This Period gaat page thie ine number oni FEC Senedue 8 (Fem 3) faces 0220014020142205 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate scheduels) for each catogory ofthe Detaled Summary Page FOR LINE NUMBER: PAGE 101 OF (cheek cnty one) Biz 18 130, 19 | 20 [200 [Jace [las ‘Any ormation coped trom euch Reports and ants may not be 8d OF used by any person fr the purpose of sotating eontbutons| ‘ot for commercial purposes, oer than using the name and address of any polltcal commits to salct cortrusions trom such commit. [NAME OF COMMITTEE (i Ful) Annette Bosworth MD for U.S. Senate Tak Nome (an Fist Mode Wika) A, TransAxt, LLC ‘Mating Aacress 190 Mowwoo, NW, #500 Date of Disbursement Ga fe) Fiancee [ESSE] | eee omens = Serato Primary [] Gone Te TransAxt, LLC Date of Disbursement aS FE NWP oy state ip Code “Amount of Each Disbursement this Peviod ae = viata Ware Cateao97 a a ae City ‘State ‘Zip Code “Amount of Eech Disbursement this Periog item cnaaae wae {Transaction 10: D194-000N09 Sato “hee ies GE] Foe Dasa FR HE Senate Primary [ener Present other spect sie: Dace [SUBTOTAL of isbursements This Page (optional. TOTAL This Period lst pape ths tne number on. FEC Schedule B (Form 3) Rovsed 07200)14020142206 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate scheduets) for each category af tre Detalles Summary Page ny \nfrmation copied from such Reports and Statements may not be sold o used by ary parson Tor the purpose ot salting eontrbulons ‘oF Tor commercial purposes, ater than using the name and adc of ary poltieal conmttoe to sabe contowtns fromm such commtiee FOR LINE NUMBER: (check only ore) Pe 16 198 A oa [Jac [f20e Tha NAME OF COMMITTEE (in Fup Annette Bosworth MD for U.S. Senate Fat Nao (ust, Fe, Midae FR A, TransAxt, LLC Mating Access 190 Monroe, NW, #500 Date of Disbursement Ce) CE] oy Sate Zip Coss Grona Raps Mi 20509 Purpose of OSbarearant ore nary [cee] Canidae Name aa “ype ites Segre] Rome Dabarsenont For 074 Senaia Prinay [7] oneal Prosiont (F) oterispeeiy Fal Rambo last, Pst, Mais Fa) “Amount of Each Osbursement this Pevod Ba ‘Transaction 10 D196-000N0A p, TransAxt, LLC Ning Ades 190 Mane, NW. #500 Dato of Disbursement es iy ae Zip Cae Grand Rapids a“ 49503 Purpose of Dabusenent nine uncraeg Ganclcnne Mamas rrr EEE “Amount ot Each Disbursement this Period ‘Transaction ID D196-D00N08 a ype a = nes epee ae Soe c, TransAxt, LLC Date of Disbursement eT) Ea oil panied enter, “Amount of Each Disbursement this Peed Se ear ft encnesy ‘online tundraising a] ts = El arate a Sonate x Primary [] General Ba SUBTOTAL of Oibursoments This Page lepton TOTAL This Period fast page ths tne number ony) FEC Sehedle 8 [Ferm 2) (exo 022009)14920142207 SCHEDULE B (FEC Form 3) FOR LINE NUMBER: PAGE 103 OF 122 Use separate schacuils) | (check erly ono) fer each etgory tbe ee (ala we Oh ITEMIZED DISBURSEMENTS bem ereat nes fz, fase bed He [any information copied fom such Reperis and Statements may not be 30 or used by ary parson lor the purpose of solting contributions or for commercisl purposes, other than using the name and addess of ary poltical committee to slit contibuons trom such coment, (NAME OF COMMITTEE (In Ful) Annette Bosworth MD for U.S. Senate Fal Name (oat, Fest Weddle Wea A. TransAxt, LLC Date of Disbursement wig ie oe PE wy iam ap an Anant ot Gh Diane a Po CadRants fant io ec Be ies meme cet TOT | epeemen ss onena Saas Ras sted ee ae ae oe a Senate [| Primary [7] General jae ere Sea SESS p. TransAxt, LLC Date of Disbursement RE OF) ES) tal Sate ~ tip Code “Amount of Each Disbursement this Period ‘Transaction 1D: 0198-000N0E Grand apis M8503 Pass oO ene] ‘one enaaang [ea] Conaaate Wa Chena ype Sie Sage [ome Dasa FOE BA | Sonat Primary [7] General President Other feet a) . Transat ine oof Oxo Taian Geese Cd Cy ‘State Zip Code “Amount of Each Disbursement this Period on = as term onine tandrasing Fe] | Transaction 1D: D200-000N0F caaaae Name Thea “ype (Oiice Scone Fuse Disbursement For 2014 | Senate General | President State: Die: ane SUBTOTAL of Disturoomonts This Page (opttona. ae : fot TOTAL Pee a ei : ES esa FEC Sehedulo B (Form 8) Rava 02200)14920142208 SCHEDULE B (FEC Form 3) ‘FOR UNE NUMBER: PAGE 104 OF 122 Use separate soneduots) | (check only one) for each category ofthe ' j re ITEMIZED DISBURSEMENTS kr eah ctor of re By, Ae As ‘Any information copied fom such Reports ard Statements may not be sald 0” sed by any person forthe purpose of soicting contabuions oF for commercial purposes, cher than usrg the name and address of any poltcal commtoo fo sollt contiouions tem auch commie NAME OF COMMITTEE fn Fulp Annette Bosworth MD for U.S. Senate Ful Namo (ast, Fret, Middle Pita A, TransAxt, LLC Date of Disbursement ag aes ce core ccc] [ee een) City ‘State Zip Code: ‘Amount of Each Disbursement this Period anne Sees ee cat Candidate Name Category’ ae Ful Name (ast ist, Middle Fbad , Amanda J. Trenerry bate of Osturement mae mewn SSC ad rongl Tip Code ‘Amount of Each Disbursement this Period Dave So stat Fargas oT Daa ‘sioy anes Nae Type ee SFE] Fee REET FB Ful Nemo (at, Fst, Mile Wad c, Amanda J. Trenery Date of Disbursement Maling AaoSs 208 w, ain Stest ww ‘Sate Zp Gods ‘Amount of Each Dibursoment tis Period = = ss eros =F co transaction 10; D203-002%02 Gove Doma ists farge aSESTSTE SESE EETSEETEI een = Taam To Fe meey Jones nt Oe broth Bastar ates sists fr TF ttt ee ee OTA Te a i area eet) esa FEC Seneaue 6 (Fon 2) asad 02208)14020142209 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate schoduies) for each categoy cf the Detatod Summary Page FOR LINE NUMBER: lenedk only one) Ele. PAGE 105 OF TH ie 190 [)ree| o> [Javea ‘ny Information copied for eueh Reports and Statements may not be sold or used by any person forthe purpose of solting eortbutions| ‘of for commercial purpose, oer than using the namo and aderass of any pallteal committee to alet contrautons trom auch commticn NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate Fat Namie (ast, Fr, Mode Fite a, Amanda J. Trenerry Maling Acciess 200 W. 4th Sieat Date of Diucsement EI) ‘Amount of Each Disbursement this Prod = — Cancicate Name Category? Type 510.00 ‘Yeansaetion 1D | 0204-00203 Orie Sour , Verizon Wireless ‘iaing Rares 6-0. ox 25808 Dabursarent For” 20% (er (epeciyi Dato ot Disbursement ty a ip Code “Ammount of Each Disbursement this Perio Letign Vaiey PA 18002 j656-of DRbureoTTent phone Sanaa Rag ransaction ID: D216-000K02 Gateaov? “ype ice Sogn |] House SbUSeEAT FoR 2078 ‘Senate Primary General President ‘omer (epost state: Tibi: Fuk Narse Cast Pret, Maas Tay . Verizon Wireless Ialing RABOSS P.O, Box 25505 ate of Disbursement Ga) Ge) Ca) oy Sale Zp Cade ‘Amount of Each Disbursoment tie Pigg Lehigh alloy Rios Pipome of ORBUSETERT [eestor rent telephone a Ganaiaate Name transaction 10: 0217-00003 Case "ips ies Soa] aos uaa FETE Serato Prime [ena Prsisont Ota eee sia Date SUBTOTAL of Disbursements The Page (option TOTAL This Poros fast page this ruber only ream Ed FEC Sahedla 8 (Farm 3) Feed 02/200914920142210 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS: Use separate schedules) for each category of tho Detaied Summary Page FOR LINE NUMBER: (eheck only one) PAGE 106 OF 12 7 8 90 so Joo [f20» [Jane l2s ‘Any information copied tom such Reports and Statements may not be sold oF used by any parson or the purpose ol soleting contfowiors name and adress of eny polticl committee to solicit conirbulons fem such commitee. ‘or for commercial purposes, othe than using NAME OF COMMITTEE tn Ful) Annette Bosworth MD for U.S. Senate Fon Namo (last, Fret, Mid ta) A. Visa aling Accress P.O, Box 30731 Date of Disbursement CE) oy Sue _ip Cose ‘roa of Each Disbrsenart ts Pood 2 fe 600 upon a Dabaaemet eon Ci CD) |retatnarta sae cane Caton “ype Office Sought: |_| House Disbursement For; 2014 swe Pray [] Canoe! Proscot rar epee Set al Nae Ta Fe, Mice PAST , The Enchanted Florist Date of Disbursement Ta RRS a5 Fao ow ‘Sasa Coe "Anowat of Each Dbarsmen his Ped Novae va zane Purpose of DbaraarTart ‘ Sanaa Name Tae “ype” | (memo rem ie Soa Tse ‘Dabuaseant FOE BOT (rest Car tem Senat Primary oneal Prestont ‘omer (spect Stat Dict: Fa Nae [st Fret, Node Wh c. The Enchanted Florist Dato of Disbursement yA aes FS oy Siaie ap Code ‘vount of Each Disbursement this Period Abani VA___2za14 Fupoee of Daburaarat co 18895 ae Sect | renecton io osozee ‘yee _| weno rem ‘Bice Sou] Rooms “Basan FDOT ret ars tm Senate Primary [() General Prosigert (Otner (secit Stat: Bia SUBTOTAL of Disbursements This Page [optional TOTAL This Period (st page 5 line ruber Er nnn = eanosaanea reswoe FEC Sehedle 6 (Form 3) Faves 02/200914920142211 SCHEDULE B (FEC Form 3) ese eee ce ane PAGE 107 OF 122 ITEMIZED DISBURSEMENTS een ere ES c In Dette Saray ooe Az. Hs He Ae tera capa For 50 ReraanSonnh 7S wy ay aan pn sea cowoone rr camel paps, er ar cat a rd bas ay Nes conten oct Comtalrs om nhc | NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate Fal Namo (ast, Fest Maoale Fa A. Facebook, Inc. Date of Disbursement | EJ oy ‘Suis __ip Code “Amount of Each Oibursement this Period Nonlo Park cA 94025 Purpose of Dsbarsenent 75321 onine edverisng, (zee ‘Transaction 1D: OT 90140 Category? ‘yee | wewo rem Oifcs Saupe [_] Howse Dibursament For 204 banal | Senate Primary — [Gore Prcisent ‘Other eoechy State Diu: Fut Name Tost Fret, Mio Ta) p, Hertz Date of Disbursement SG wv ene “veut of Each Disbursement ti Period Pace Rigo wy 07656 Purpose of Dibarament ‘rdnapertation To] | reser scat reais Nae San “ype” | (Memo rem ‘ites Seog |] Roose abaaTTEN FOOTE Crest Card tm Sonato Primay — [-] 6erera President | Otter (speci sea Dit Fat Ra [SS Pst, MTS Ta . Menards Date of Dbusement Fb ee EEE em, Peete coe ‘Amount of Each Disbursement this Period Siour Fats so sro Purpose of Disbursement 58045 ‘sign supplies [esse] st , Care Name Retr | rannnctin 0: 0 ci ye2__| (Memo rem Giice Soar Woo Disbarsarant For Fone lores Gu west Senate Prenary ‘General President (Other (specif ‘State: itr: SUBTOTAL of Disbursements This Poge (onion. TOTAL This Period fast page this ne number on) Fes FEC Schedule B (Form 3) Raves 02/20014020142212 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate schesuits} for each catagory ofthe Detaled Summary Page FOR LINE NUMBER: [PAGE 108 OF 122 (eneck only ove) Ee Ae Ge Ae co []s00 Taos Fes ‘any formation coped from such Repos and Statemanis may rol ba sol oF used By any paso Tor the puspose of saleting conurions| for commercil purposes, other than ushg the name and address of any poltical committee to sol contibutons fom such commie. NAME OF COMMITTEE (in Full Annette Bosworth MD for U.S. Senate Fa Namo (ast, Fr, dle Pita A. The UPS Store Maling Acdross 2601 . Minnesota Avenve, #105 Date of Disbursement EE) ow ‘Sale _ip Code ‘mount of ach Dabursonen is Peed SoucFals 50 S715 Rages of Dana et restate ante Nae coma Type [MEMO ITEM} Dice Soare [| Fome Dabramen Fer HE Paeredii Serato Primary [_] Gover President ther lpeath sue Date Fut Nae (a, Fr, Mae PR a, Visa Date of Osbusement bic sag sdbciaa ‘Amount of Esch Disbursement this Period Taro fl 600 Pipes oT DaROTAT To [tee reste caaaaa tae med Type Office Sought: ] House Disbursement For, 2074 | senate Pray [] Gone | president iar speci su Since Fal Rare (as Fra, Mowe a ¢. Facebook, Inc. bite of Disbursement aS RS i Woe Ea oy Sato ap Coe “Anount of Each Dabursoon is Peo Mario Pak cA 84025 Purpose of Dabirserrent online advetsng Cancion Hae Catsgony ype. 75278 Transaction 10 : 09-0010. [memo TEM Orfeo SourE Tous Senate Prescont Sate Giatice SUBTOTAL of Disbursements This Page (optional, TOTAL This Period fast page this tne number ony) Creat Cars tem ESS FEC Seed B [Form 8) Reis 02/209)14020142213 FOR LINE NOMBER {check nly one) 17 A 18 190 190 200 [T2007 Jz02 es ‘Any information copied From such Reports and Statements may ot be cold or used by any person forthe purpose of sofcting contusions of for commercial purposes, cher than ug the name and aodoss of ary polticalcormtse to sokct contisuitons fom such consriten, NAME OF COMMITTEE (h Full SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Annette Bosworth MD for U.S. Senate Fol Name (cst, Fre, Mido Wa ‘A. Facebook, Inc. Date of Disbursement ig adem avons fl ay Sas ate Ta oh Babies oP ce So saa] Boseonsecra| ‘Transaction 1D DIO-DDTGOM Category Type [MEMO ITEM] Dabanarent For TH beerelibeal qj Prvary (ener ter (rec) Fak Ne Ta Fret, Meas TRS) i, Facebook, Inc. Date of Osursement Take RR arenes Es] Ez) ‘a oe 1p Cade ‘Arourt ot Each Disbursement this Period Menlo Park cance Papose 9 DERE 75653 ‘the song TransocioniD DFFGOIAN en | eee “ype” | wemo rem ‘ies Sought |] Rae ia FoF BOT ‘ret Crd tem Sera [XFimay [7] Gers Prone Otter (pect si Sct Tul Nome (as Fest ede Ray ¢. Facebook, Inc Date of isursoment ony ake Zp Code “Amount of Each Disbursement this Period a rine ae eo Sey Ea) ‘Ganataate Name Transaction 10 : D12-001€00 ‘Mating Ada@3= 61 winow Rood Catopow “ype | emo remy Dries SauaF [| Foe SEER Fae RE Ered Card ten Serato primary} Gonwa Prescot ter tose ste Biv SUBTOTAL of Distursemonts Ths Page (optional. TOTAL This Porod gast page this ine number ony - i 7 reso FEC Sehedule 8 (Form 3} Povnd 02200814020142214 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate scheduets) {or each catagory ofthe Detaled Surenary Page PAGE 110 OF isa [7)200 Jzoe__ [Tan FOR LINE NUMBER: (check oniy on9) Pz 18 zs [200 Any information copied trom auch Reports and Statements ay not be Sd used by ary pareon forthe purpose of sokating contbulons ‘or for commercial purposes oter than using the name and adérese of ay polis commit NAME OF COMMITTEE (ht Fub Annette Bosworth MD for U.S. Senate to sol contibuilons tem auch commen, Fol Name (st, Fret, Middle ita A, Facebook, Inc. ‘Mating Access 1601 Viton Road — Dat of Osburtement ee] oy ‘Sisto Zip Caae “Amount of Each Oisbursrient ths Pood Nenlo Pare cA 025 Puce of Sabana Se (EE) | restacmarossras Takata Wane Casnov 0" | emorrem, ‘Bice Sougne |] usa Dosen Fore aeuaea senate x oneal Present tre pec) sx Tit Fal tare (as Fret Mae Pa) a. Facebook, Inc. Date of Dsbuserrent Tae Te ward oy ‘Siate Tip Code Amount of Each Disbursement this Period ante Park cA suas Pupaes of Dasbusomont Orin asvenseg Sandee Name ce SauRFE ary Primary Goneral (tner (epee Bic: Ful Name (ast, Fre, Mio Fad ¢. Facebook, Inc. Mating AGGeSS 3603 Wilow Road ‘Teansacilon 1D: D¥6-001d00 MEN TrEM Credit Core tem Dato of Dabursament Ca) Gal Ca] ow iat Zip Code ‘Amount of Each Disbursement this Paiod Manlo Pare cA 34025, Purpose of Dabarsarent 888.98 online advertising (eee) ee Cane Nan Birr Irrnsaction 0 ors an cr Tyee [MEMO ITEM ‘Ges Soca Tous ‘Diba Fo TE ‘Creat Car tm senate Primary Genera Prasgent ‘Other pect Stat Diet: 000, SUBTOTAL of Disbursements This Page lopiona s TOTAL This Period fast page this line number ont). pp FEC Schedule B (Form 3) avised 02/200914020142215 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS. Use separate scheduets) for each category ofthe Detaled Summary Page FOR LINE NUMBER: {check only one) 7 200 PAGE I oF 1 18 Hz Ae Jeo» Joo les ‘Any Information copied fom such Repors and Statements may not be sold or used by any parson for the purpose of solsting contibuons ‘or for commercial purposes, cher than using the namo and aces of any poltcal conse to salt contiouions Hom such commits, Annette Bosworth MD for U.S. Senate NAME OF COMMITTEE (= Full Far Namo fash, Fs, Middle Pita ‘A. Hotwire Mating Across 655 Montgomery Seat #600 Date of Disbursement CA Pe) Ce oy Sato Zp Cece “Arount of Each Disbursement his Pec San Francisco cA oun Purpose of Deburarot 0103 = I rota ota Sanaa Nae Taco ‘ype | quewo remy Gites Seog |] Foams Dabuserent For 2078 ciaeiaa ta Sonata 1X Frimay [7 conera Prodont tna (spect Fut Name (ost, Fst, Mideie Pa p, Hotwire Date of Disbursement a SE Bai a Ea Ee) oF Sale ——Wa Cae "area of ach Sibraaren Ps eros ‘San Francisca cA sain Purpage of DebararTOne te! Cardio Hae Gategony? "hype Transaction 1D: 079-006102 (temo rrem Giiee Soar & Ful Nabe ast, Fst, Maas Fay Danirent FR OTE Primary other (specif coneral (ost Card tom , Hy-Vee Dat of Debursoment Ses Fas ew Cy ay Sie“ Bp Coes ‘amount of Each Disbursement tis Pood Siow Fats sD 57105 Paar oF OSbaRaR Co se] Canciaate Was Transaction 10: 020-001p02 ategerye “yee | (weno rem ‘Giiee Souge [House DisbORaTaAT FOF FTE Crecit Card tam Senate Prary Genera President (ter (opeci Sate Siti: SUBTOTAL of Disbursemonts This Pago (options, TOTAL This Period Gast page this fine number on. FEC Sched 8 (Form 3) vied 02/20014020142216 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate echedles) for each category othe Detaled Summary Pago PAGE 112 Of 12 ssa) lane __[T2n FOR LINE NUMBER: (check only one. Ei. Hs. NAME OF COMMITTEE (Full Annette Bosworth MD for U.S. Senate Far Name fas Fist Maio na) A. Hy-Vee Maling Across 3000 S. Memnecota Avenue “Any Information copied rom such Reports and Statements may not be sold or sed by any person forthe purpose of soicting contmbuions for commercial purposes, chor than using the name and address of any Botical common to slit contibutons Wom such commit. Dato of Dsbsomant Ce) Ee oy ‘Sate Sioue Fats $0, Zp Code s7105 “Amount of Each Disbursement ths Period upon of Usborne Transaction 0: O27-00%p03, Tonciate Ware Cueey, ud [MEMO ITEM) ‘ice Sousre—[_] Howse Dabs For OTe eaieedies Senate Prmary — [] Gore | President Otrer spat Di Tove ast it WSS Menards ‘bate of Dsburemert FIERO TN Rae oy eae “amount of Each Orton! th Prod SouFats so sro Purpose of aban icc sapokcs (eee arate Nana Ser “ype | emo res ee Sag] Foe Dabuserent For ie Crest Car tom Serato g Pimary [Genera Present | other speci sae Distt Rar Name (an Fes neole ah— ¢. Staples De of sbueemant a Ta wine ce) ow Site Code “unt of Each Disbursement thi Prod Franeaham MA o1rez Pose of DabITTarE Teor bee ssppies Caniaare Name [Transaction 1D: D31-001907 Gateaony “yee | guemo remy (Ofice Soca Fou DraDaeTaTE Foe DOT ‘Crit Car tom Serato Present Stat Disrice TOTAL This Porod fast page this line aumber on). SUBTOTAL of Disbursements This Page (optional FEO Senet 8 Form 8) evisc 02/208114020142217 SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS Use separate schedules) fot each category of the Detaled Summary Page FOR LINE NUMBER: leneck only ona) 7 200 PAGE 1S OF TE 8 190 [}19 lace aoe Fes of for commercial puposes, other than uskg the namo and edcreas of ary poliel comm [NAME OF COMMITTEE (in Ful) Annette Bosworth MD for U.S. Senate Fal Name (an, Fat aoe a a, The UPS Store Mating Adoress_ 2607S, Minnesota Avenve, #105 [Any information copied trom such Reports and Statements may not be sold or used by ary person forthe purpose of solitng contributions 30 to eo contrbutlons fom such commie. Dato of Dlabursement Ey Ca] oy Sate Sioux Falls 8D Zp ooae 57105 “Amount of Eech Disbursement this Period Purpose of Disbursement Garaaate Name CA) | est Catogon Type (MEMO ITEM] Bice Sears [Foe Dabs Fox HE es Senate Primary] Gener res ‘other pact site: Dares at Nam Ta Ft, WAGs Sh s, Visa Raina REFS pO, Box SOT Dato of Dsbursement C3 Gl ay sate Tampa FL Tip Cae 33830) “Amount of Each Olbursement thie Parag Purpose of Dspasomer Taree Wane Choaey "ype 83.48 hots ‘Transaction 1D; 0220-002005 Orie Sour Disbaserent Fox 2074 pal Porte! General Ful Rare Was Frat, Mase tay cc, Facebook, Inc. Mating Addr@55 1691 witow Rone Date of Disbursement Ex Ga Ears] Pree mee: bcivicraa ‘Amount of Each Disbursement this Period —— ‘online advertising CY = no [MEMO ITEM) Office Sought: ‘Credit Card Item SUBTOTAL of Disbursements Ths Page (optional TOTAL Ths Period (ast page this ine number ony. i eee FEC Senet (orm 2) Fovid 022009140201422138 PAGE 1 OF 72 FOR LINE NUMBER: SCHEDULE B (FEC Form 3) se separate semis) | (orek only one ‘category of the ITEMIZED DISBURSEMENTS. teh catego ole Pa As A ‘Any sformation copied ftom such Reports and Statements may not be sald or used by any person forthe purpose ol soling contbutlons ‘or commercial purposes, other than using the name and accross of any poli! commates to tose contrbutone Fam auch committee, "NAME OF COMMITTEE Qn Full ‘Annette Bosworth MD for U.S. Senate Far nase Gan Wade ay a. Robert Watkins & Company Date of Disbusenent Maling Adress 6108. Bodavard Gy ‘Site Zip Coes Tampa FL 33606 Purpose of Gisbursenert acrountng sonices Canataate Name Caason! Tipe Bee Saag |] Roose aes For HE mary [7] Caer Ober pet 8. eof hsousaent oe cg saben Amount of Each Disbursement this Period seen [esa] | Bana ap rate We Garsgon? "ype Disbursemat For Primary [7] Genera! ice Saver Hose Senate or Coe th tae Tata Ta Fs SS PT : onto basa er a Coe tad — tidied! ‘Amount of Esch Disbursement this Period foes fea ES] (Cana ap Gatogon? “ype ies Sangre Fase Dab ESTRT RE Senate Primary [7] General Present tre tpact sue: Bact SUBTOTAL of Disbursements Tis Page (op [eee ions TOTAL Tis Peres Fast page We ne ruber Onn fetta remo FEC Sehedule 8 form 3) ovine 02200914020142219 SCHEDULE B (FEC Form 3) FOR LINE NUMBER [PAGE 11S oF 122] Use separate schocuts) | (check only one} ITEMIZED DISBURSEMENTS {for each category of the 7 8 198 195 gmomee | Pe Oe Oe os ‘Any blormation copied Vom such Reports and Statements ray not be soo: used by ary person forthe purpose of saliing contsbutons ‘oF for commerla purposes, athe tan using the name and addess o any pliical committee to sole conttons rom auch exrentie, NAME OF COMMITTEE (In Fuld Annette Bosworth MD for U.S. Senate Foal Name (last Peat, Middle ah a Tri County Right to Life ate of Dabursement Ting Aarons P.O Baxi fe] City: ‘State Zip Code ‘Amount of Each Disbursement this Period Pato so sr3e9 Fapoge a Dabarae entiouion are Nera ‘ee Oiee Saat — |] Home Dabur For 2014 Sento Primary] Gane Preset Other epee te: Date Fal Name Wa Pet, oS RST a bate ot sousement =e OO iad He Tip Code ‘Amount of Each Disbursement this Period Fane oa noe ais Nera eet ‘Type Difice Sought: House ‘Disbursement For Senate Primary [7] Genera Present ter pean site Date Fal Namo Tah Fe, Modo RSH owe oOo oe fre Ee ee eee | cen a oa Frei ode Dino Pd Sandan a c Caisgon7 “ype Sites Samant] Ronse Dae For Sonata Prmary —_[-] Gone Prestent Other (pec State Bratt ab00 SUBTOTAL of Oibusemenss This Page (opfONa ns ssnnnn ars 10500 TOTAL Tis Period fst page this fre number Onn ss ere: reso FEC Senedle 6 [Form 3) ewsos 02209)14020142220 SCHEDULE D (FEC Form 3) FaeEers PGE 8 OF DEBTS AND OBLIGATIONS speaias) | FoR une NUMBER dl 5 | Excluding Loans umber ine) 10 "NAME OF COMMITTEE (h Full Annette Bosworth MD for U.S. Senate SSC Strategies, LLC moda coneuting = = es ee eee Patrick Davis Consulting, LLC politcal strategy Maing Adéress 5:60 Heartwione Lane oy __ Sate Tip Code Colorado Sexngs co 0919 uistanding Balance Begining Ts Petod Transection I : 48 7500.00 “Amount Ineured This Pevod Pyment Ths Paid Outstanding Balance at Close of Tis Period 909 200 T0000 [Fat Wome ast Fret Tica ah of Debtor or Creator Tate of Dost Pupoeae DC London, Inc. eee Maling AdGreSS 1100 6 Straet, NW, #805 fei Sate Zp Code Washington pe. 20005 ‘uistanding Balance Baginning Tis Penoa “Transaction ID: 46 "4500.09 ‘Amount incurred This Pood Paynent This Patiod Cusstanding Balance at Ciose of This Pesos = oe 1) SUBTOTAL This Pore Ts Page fps) bes ecco aor teem i pee Feet me ea eg TT pg CE] 2) TOTAL OUTING OHNE ay St © a ons 4) ADD 2) and 9) and cary forward to appropiate the of Summary Page fst page oi) FEC Seheaule D (orm 3) Pasnd 0272005)14020142221 SCHEDULE D (FEC Form 3) ioe PAGE VT OF DEBTS AND OBLIGATIONS Seemed | pace earn [als Excluding Loans urbered tne) Kho. NAME OF COMMITTEE fw Ful) Annette Bosworth MD for U.S. Senate Patrick Davis Consulting ‘avemeals arse Game << eras a Te tee eat elite cece anaes [ere a a Annette Bosworth office expensive Mailing Adéress 2691 5, Ninnosota Ave., #105-129 —= ae See tol nla wl Fees) See] ee] ee Annette Bosworth online acvertisng a ae a com emeearee best et eee nd ee 1 Suse Te tind FOAL Fed ma ean ie (Ee eee a) 9) TOTAL OUTSTANDING LOANS from Schedule C (ast page ory. ftps 4) ADD 2) anc 3) and cary forward to appropiate line of Summary Page fast page ony) P aaa FEO Schedule D (orm 3) eid 272009)14020142222 SCHEDULE D (FEC Form 3) ica PGE Ve OFT DEBTS AND OBLIGATIONS fare ti | caecum ee a _ Excluding Loans rumbered ine) ho NAME OF COMMITTEE fn Full Annette Bosworth MD for U.S. Senate Ta a Re tr ORS RTT Robert Watkins & Company Sena Te a segs Bin Po ioe ae papet ines nn Seca et Pesee eee ae Advertising Arts, Inc. or ae: Maling AGGeSS 3617 W, tet Avenue Say Sisto Dip Cate Sioux Fale 80 srioe Outstanding Balance Bosinring This Period Transaction 10:66 3.00, ‘mount neues Tis Period Payrant Tis Period ‘Outstanding Balance at lose of This Recon 1785.21 zoe] [ 17882) [O-FaR Ware (oat, Fri, Maas Tl of Dobie & Greaor THature of Debt Purponey Ainsley Shea strategie lansing Maling AGGreS5 255 6. 4h Srl, #201 ey Sate Ep Come StPou. MN 5101 Ouistanding Balance Beginning This Period ‘Transection ID: 67 2.09 ‘Amount neuron This Ped Paymont This Period Oustending Balance at Close of This Pariod ees Ce] 1) SUGTOTALS THs Pad Ts Poe lepton » 2) TOTALS This Period (ust page this line Number En) nnn se » {9 TOTAL OUTSTANDING LOANS from Schodula C fast paD8 EF) nwncnnnmnme 41009 ry oe eit Sy a ot oa FEC Schedule (Form 8) Rava 0/200)14020142223 SCHEDULE D (FEC Form 3) ieee T_T OF] DEBTS AND OBLIGATIONS. ferant || cecayee a (ale Excluding Loans umber ire) belo ‘NAME OF COMMITTEE fn Ful Annette Bosworth MD for U.S. Senate [Far Name (cast, Frat Wied Inia) of Debtor or Grodkor | Attitude & Experience, Inc. campaign tis Waling Rasress 1290 WT Sout cay Siete ip Code Traverse City ML 49685 Outstanding Balance Beginning This Period ‘Transaction 1D: 68 iy Amount Incurred This Period Payment This Period 1B Ful Name (cast, Ft, Wiadle Inia) of Debtor or Grecior ‘alate of Debt Purpose) Ethan Crisp Recital deacleel sling AGHOSS 1445 S. Hoty Orv oy Wh Game Sour Fat Saris ‘ustndng Bane Baprng Tis Pad Transaction 10: 68 30 ‘our ure his Peed Payrent Tis Peto ustnsng Balance st Cos of Tis Pood i" ome 200 Po Ethan Crisp Shvombured tar ating ASHESS 4448 5, Hoy Ove ey sae Tp Code Sioue Fats sD 57105, Outstanding Balance Beginning This Peios ‘Transaction 1D: 70 200, ‘mount tncured Ths Period Payment This Period ‘Outsteding Balance at Close of This Pood 1 SUETOTL Ts ee TP tl > 2. TO Te a On Se eee) 9) TOTAL OUTSTANDING LOANS from SchodJo C fst p990 on nn 100 yt epi rd Sry PP "FEC Schedule D Form 9) isos 22059)146020142224 SCHEDULE D (FEC Form 3) (Use sacar DEBTS AND OBLIGATIONS senecuee) | FORLINE NUMER: Excluding Loans, reer e) belo NAME OF COMMITTEE Fut Annette Bosworth MD for U.S. Senate [A Fal Nome Was, Fst, Medi Illa of Dobler or Gredkor [Rata of Daa FRE Patrick Davis Consulting telamarkating Maing Racress 6160 Heorhstone Lane ‘Amount Incurred this Period Payment This Period ‘Outstanding Balance at Ciose of This Period [Full Name (Last, Fist, Midde Infla) of Debtor or Creditor [Nature of Debt Purpose SS Base Connect, inc. fundraising coneuting Maling Ase=s 115 15m Steet, NW. #810, ce i = cena Capitol Caging Corporation aging services Maing Aderes5 504 Shaw Road, #217 ey Sate ip Goss Steting vA 20166, CQutstanding Belence Bagiring This Period “Transaction 10:73 200, ‘vounttncued This Period Payment This Period Outstanding Balance st Close of This Period 2 TOTALS Ths FJ pe ru i > 2 TOTAL OUTSTANDING LOANS Fon Sc at ae on) > 44) ADD 2) anc 3) and carry lorward to appropriate tine of Summary Page (last page only) = : be FEG Senedulo D (For 3) Favs 027200514020142225 SCHEDULE D (FEC Form 3) io [SARC DEBTS AND OBLIGATIONS sereaie) | FORUNE NUNGER: Excluding Loans sumbetd ne Bels0 NAME OF COUMITTEE To Fa Annette Bosworth MD for U.S. Senate [A Full Name (Last, First, Middle nila) of Debtor or Gredtor—~—~S~*~*~*~*~S~S«~SCN DR PROSE SY Century Data Mailing Service ee ier eae Maling Aae3s 1155 16th Stoo, NW, @PATO cay ‘Siate Zp Goss Washington bc 20005 ‘Outstancing Balance Sepjnning This Period Transaction ID: 74 ‘Amoun inoue This Peiod Payment Tis Period (Oustansing Balonco ot Close of This Period 79.52 209 pore Ful Name (ast, Fist, idle FW of Dob & Cwaior Century Data Systems Corp. Malling Address 1155 15th Street, N.W., #410 oy ae Tp Coie Weshigton oe 2oons ‘uistnaing Soar Segrning Ths Perea Transaction 1075 on "Aout neue Tis Ptod Payment This Prod Ccutstancng Blane at Cose of Tis Ped erase im merase E“Far Nae Tas FER, VOGT Wo OT oF OTT Tatra of Debt Paresh Consolidated Mailing Services rect mal servens Malling Address 504 Shaw Rood, #206 iy Sate Zp Code string vA 20168 Oustansing Batnco Bexhring Tis Pood Transaction 10:78 jak "Ark aud Tis etiod Payment Tis Psd oustanding Balance at ose of Tis Peiod oo aoe : TOTALS This Period fast page tis ne number on) ‘TOTAL OUTSTANDING LOANS from Schedule C fast page ony). [ADD 2) and 5) and cary forva to appropiate Ene of Summary Page fast page ony FEC Senesto D (orm 3) Ras 0272009)14020142226 SCHEDULE D (FEC Form 3) icesae PGE TOE OF TE FOR LINE NUM DEBTS AND OBLIGATIONS. genni dereurert enact Tae Excluding Loans rumors ne Px] NAME OF COMMITTEE Un Fu Annette Bosworth MD for U.S. Senate IAF Name Gast, Fest, Made ri of Debt of radian aR pa] Baa rec mal snces airy Aadess 1900 Capeper Steak ey Si Zp Coe Pingo vA mao Cuistancing alance Bagiring Tis Period Transocion 1D: 77 cao ‘Amount inguves This Pood Payment This Peiod For Legacy Lists, Inc. 303807 0.00 Outstanding Balance at laze of This Pood Tare of Dest Purposey ‘droct mal listsanagerent Maing AdGrOSS 1195 160 Sweet, NW, #470 cay Siete bc 20008 nce Bayining This Period 200 ‘Aount neured Ts Porod 1215395 Payment This Period ‘Transaction 10:78 ‘Outstanding Balance at Cove of Tis Pets 0.00, T5195 Fe Fal Name (ast FRR, Mice Tia) Debtor oF Craaior Tata of Oobt (Purposah Maling Aaaress aay sate Zp Gade ‘Ouistancing Balance Beginning This Period ‘Amount incurred This Period Payment This Pstod Se ee ee) Outstanding Balance at Cose of This Period 1) SUBTOTALS This Perlod This Page (options. : e 2) TOTALS This Period fast page tis line number ory. {9} TOTAL OUTSTANDING LOANS from Schedule Cast 2898 Cnn > Shier ecent aera FEC Seneca © (on 3) Rovsed 027208)UM 2013 1710 0000 Ub2b 2244 U. SSE pute, iti iti restacsenice 13.074649 Office of Public Records Secretary of the Senate 232 Hart Senate Office ‘Washington, D.C. 205107116 unrreD stares postat SERVICE lus Postacel Bertone fas aM j i ! a PRIORITY® MAIL Visit us at usps.com tanto ay 208 £222vTozovet14620142228 Nancy ERICKSON ‘SECRETARY qpnited States Senate ‘oRACE OF THE SECRETARY ornce OF PUBLIC RECORDS [BE PRECEDING DOCUMENT WAS: ‘SAND DELIVERED. Date of Receigt ‘Uses FIRST CLASS MALL _ ‘USES REGISTERED/CERTIBIED Pmemaric USPS PRIORITY MATL Postmark DELIVERY CONFIRMATION OR SIGNATURE CONFIRMATION LABEL C) USPS EXPRESS MAIL, Postmark OVERNIGHT DELIVERY SERVICE: Cacaeeena SHIPPING DATE NEXT BUSINESS DAY DELIVERY FEDERAL EXPRESS oO vrs. Oo DEL o oO AIRBORNE EXPRESS RECEIVED FROM FEDERAL ELECTION COMMISSION. Date of Receipt POSTMARK ILLEGIBLE () worosTwark 0 FAX, Date of Receipt {HA aeE AeA ea space Date of Receipt or Postmark vara MAN peczr222 2hfy OTHER,DITA ITM