You are on page 1of 6

Form 8872 Political Organization

Report of Contributions and Expenditures OMB No. 1545-0123

(Rev. October 2014)

Department of the Treasury


Information about Form 8872 and its instructions is available at www.irs.gov/ form8872. Open to Public
Internal Revenue Service Do not enter social security numbers on this form or any attachments to it as they may be made public. Inspection
A For the period beginning January 1 , 20 18 and ending March 31 , 20 18

B Check applicable boxes: X Initial report Change of address Amended report Final report
1 Name of organization Employer identification number
Patriot Legal Expense Fund Trust, LLC 82-4580188
2 Mailing address (P.O. Box or number, street, and room or suite number)
c/o Wiley Rein 1776 K Street NW
City or town, state or province, country, and ZIP or foreign postal code
Washington, DC 20006
3 Email address of organization 4 Date organization was formed
Info@PatriotLegalFund.org 2/27/2018
5a Name of custodian of records 5b Custodian's address

Wiley Rein 1776 K Street NW


Robert D. Benton Washington, DC 20006
6a Name of contact person 6b Contact person's address

Wiley Rein 1776 K Street NW


Robert D. Benton Washington, DC 20006
7 Business address of organization (if different from mailing address shown above). Number, street, and room or suite number

N/A
City or town, state or province, country, and ZIP or foreign postal code

8 Type of report (check only one box)

a X First quarterly report (due by April 15) f Monthly report for the month of:
(due by the 20th day following the month shown above, except the
b Second quarterly report (due by July 15) December report, which is due by January 31)

c Third quarterly report (due by October 15) g Pre-election report (due by the 12th or 15th day before the
election)
d Year-end report (due by January 31) (1) Type of election:
(2) Date of election:
e Mid-year report (Non-election year only–due by July 31) (3) For the state of:

h Post-general election report (due by the 30th day after general


election)
(1) Date of election:
(2) For the state of:

9 Total amount of reported contributions (total from all attached Schedules A) . . . . . . . . . . . 9 22,003

10 Total amount of reported expenditures (total from all attached Schedules B) . . . . . . . . . . . 10 21,958
Under penalties of perjury, I declare that I have examined this report, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete.
Sign
Here
Signature of authorized official Date
For Paperwork Reduction Act Notice, see separate instructions. Form 8872 (Rev. 10-2014)

ISA
Form 8872 (Rev. 10-2014)
Schedule A Itemized Contributions (DO NOT enter social security numbers on this schedule.) Schedule A page of
Name of organization Employer identification number
Patriot Legal Expense Fund Trust, LLC 82-4580188
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Proactive Communications, LLC
Contributor's occupation
19415 Deerfield Avenue
$ 15,200
Suite 212 Date of contribution
Aggregate contributions
Lansdowne, VA 20176 year-to-date . . . . . $ 22,000 03/26/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Proactive Communications, LLC
Contributor's occupation
19415 Deerfield Avenue
$ 6,800
Suite 212 Date of contribution
Aggregate contributions
Lansdowne, VA 20176 year-to-date . . . . . $ 22,000 03/30/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Aggregate below threshold
Contributor's occupation
$ 3
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Subtotal of contributions reported on this page only. Enter here and also include this amount in the total on line 9 of
Form 8872 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 22,003.00
Open to Public Inspection Form 8872 (Rev. 10-2014)
Form 8872 (Rev. 10-2014)
Schedule B Itemized Expenditures (DO NOT enter social security numbers on this schedule.) Schedule B page of
Name of organization Employer identification number
Patriot Legal Expense Fund Trust, LLC 82-4580188
Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

Petra RMS $ 15,175


PO Box 43709 Recipient's occupation Date of expenditure
Birmingham, AL 35243
03/26/2018
Purpose of expenditure
Insurance

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

Petra RMS $ 6,781


PO Box 43709 Recipient's occupation Date of expenditure
Birmingham, AL 35243
03/30/2018
Purpose of expenditure
Insurance

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

Aggregate below threshold $ 2


Recipient's occupation Date of expenditure

Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Subtotal of expenditures reported on this page only. Enter here and also include this amount in the total on line 10 of
Form 8872 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,958.00
Open to Public Inspection Form 8872 (Rev. 10-2014)
Form 8872 (Rev. 10-2014)
Schedule A Itemized Contributions (DO NOT enter social security numbers on this schedule.) Schedule A page of
Name of organization Employer identification number
Patriot Legal Expense Fund Trust, LLC 82-4580188
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Ashley Long 1607 Capital Partners
Contributor's occupation
3155 Queens Grant Drive
Analyst $ 200
Midlothian, VA 23113 Date of contribution
Aggregate contributions
year-to-date . . . . . $ 200 06/26/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Continental Resources, Inc.
Contributor's occupation
20 N. Broadway
$ 25,000
Oklahoma City, OK 73102 Date of contribution
Aggregate contributions
year-to-date . . . . . $ 25,000 05/21/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Phillip Ruffin Self-employed
Contributor's occupation
3300 Las Vegas Blvd. S.
Entrepreneur $ 50,000
Las Vegas, NV 89109 Date of contribution
Aggregate contributions
year-to-date . . . . . $ 50,000 04/20/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Geoffrey Palmer G. H. Palmer Associates
Contributor's occupation
270 N. Canon Dr.
Real Estate Development $ 100,000
Beverly Hills, CA 90210 Date of contribution
Aggregate contributions
year-to-date . . . . . $ 100,000 06/30/2018
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution
Aggregate below threshold
Contributor's occupation
$ 5,329
Date of contribution
Aggregate contributions
year-to-date . . . . . $ 5,332
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Contributor's name, mailing address and ZIP code Name of contributor's employer Amount of contribution

Contributor's occupation
$
Date of contribution
Aggregate contributions
year-to-date . . . . . $
Subtotal of contributions reported on this page only. Enter here and also include this amount in the total on line 9 of
Form 8872 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 180,529.00
Open to Public Inspection Form 8872 (Rev. 10-2014)
Form 8872 (Rev. 10-2014)
Schedule B Itemized Expenditures (DO NOT enter social security numbers on this schedule.) Schedule B page of
Name of organization Employer identification number
Patriot Legal Expense Fund Trust, LLC 82-4580188
Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

CliftonLarsonAllen LLP $ 6,509


PO Box 829664 Recipient's occupation Date of expenditure
Philadelphia, PA 19182
05/16/2018
Purpose of expenditure
Professional accounting services

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

Petra RMS $ 20,341


PO Box 43709 Recipient's occupation Date of expenditure
Birmingham, AL 35243
Various
Purpose of expenditure
Insurance

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

Aggregate below threshold $ 246


Recipient's occupation Date of expenditure

Various
Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of expenditure

$
Recipient's occupation Date of expenditure

Purpose of expenditure

Subtotal of expenditures reported on this page only. Enter here and also include this amount in the total on line 10 of
Form 8872 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 27,096.00
Open to Public Inspection Form 8872 (Rev. 10-2014)

You might also like