Club for Growth FEC Report

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  • 8/12/2019 Club for Growth FEC Report

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    FE6AN026

    FEC FORM 3XRev. 12/2004

    Office

    Use

    Only

    NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.

    4. TYPE OF REPORT

    (Choose One)

    (a) Quarterly Reports:

    12-Day Primary (12P) General (12G) Runoff (12R)

    PRE-Election

    Report for the: Convention (12C) Special (12S)

    30-Day

    POST-Election General (30G) Runoff (30R) Special (30S)

    Report for the:

    (b) MonthlyReportDue On:

    Feb 20 (M2) May 20 (M5) Aug 20 (M8)

    Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)

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

    FEC

    FORM 3X

    REPORT OF RECEIPTS

    AND DISBURSEMENTSFor Other Than An Authorized Committee

    1. NAME OFCOMMITTEE (in full)

    ADDRESS (number and street)

    Check if differentthan previouslyreported. (ACC)

    TYPE OR PRINT

    CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

    5. Covering Period through

    I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.

    Type or Print Name of Treasurer

    Signature of Treasurer Date

    April 15Quarterly Report (Q1)

    July 15Quarterly Report (Q2)

    October 15Quarterly Report (Q3)

    January 31Year-End Report (YE)

    July 31 Mid-YearReport (Non-electionYear Only) (MY)

    Termination Report(TER) in the

    Election on State of

    in the

    Election on State of

    Office Use Only

    C

    3. IS THIS NEW AMENDED

    REPORT (N) OR (A)

    (c)

    Nov 20 (M11)(Non-ElectionYear Only)

    Dec 20 (M12)(Non-ElectionYear Only)

    Example: If typing, typeover the lines.

    (d)

    M M / D D / Y Y Y Y

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

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    12FE4M5

    15

    20036

    05

    Chris Chocola

    Chris Chocola

    2014

    [Electronically Filed]

    C00487470

    PAGE 1 / 72

    201404

    WASHINGTON DC

    CLUB FOR GROWTH ACTION

    2001 L ST NW STE 600

    05/15/2014 13 : 5

    Image# 14960899956

    2014

    01 3004

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

    Y Y Y Y

    COLUMN B

    Calendar Year-to-Date

    COLUMN A

    This Period

    6. (a) Cash on Hand

    January 1,

    (b) Cash on Hand at

    Beginning of Reporting Period............

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

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

    6(c) for Column A and Lines

    6(a) and 6(c) for Column B)............. ..

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

    8. Cash on Hand at Close of

    Reporting Period

    (subtract Line 7 from Line 6(d)).............. ...

    9. Debts and Obligations Owed TO

    the Committee (Itemize all on

    Schedule C and/or Schedule D)................

    10. Debts and Obligations Owed BY

    the Committee (Itemize all on

    Schedule C and/or Schedule D)................

    For further information contact:

    Federal Election Commission

    999 E Street, NWWashington, DC 20463

    Toll Free 800-424-9530Local 202-694-1100

    FEC Form 3X (Rev. 02/2003 ) Page 2

    SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

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

    Report Covering the Period: From: To:

    Write or Type Committee Name

    3622876.68

    2014 1776687.62

    2069047.75

    312653.72

    0.00

    2014

    2640312.50

    201404

    3310222.96

    2932672.63

    CLUB FOR GROWTH ACTION

    Image# 14960899957

    4709360.25

    2069047.75

    01 30

    1553828.93

    04

    0.00

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    FE6AN026

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

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    Report Covering the Period: From: To:

    COLUMN BCalendar Year-to-Date

    COLUMN ATotal This Period

    11. Contributions (other than loans) From:

    (a) Individuals/Persons Other

    Than Political Committees

    (i) Itemized (use Schedule A)............

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

    (iii) TOTAL (add

    Lines 11(a)(i) and (ii).............. ...

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

    (c) Other Political Committees

    (such as PACs)....................................

    (d) Total Contributions (add Lines

    11(a)(iii), (b), and (c)) (Carry

    Totals to Line 33, page 5)..............

    12. Transfers From Affiliated/Other

    Party Committees........................................

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

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

    15. Offsets To Operating Expenditures

    (Refunds, Rebates, etc.)

    (Carry Totals to Line 37, page 5)...............16. Refunds of Contributions Made

    to Federal Candidates and Other

    Political Committees....................................

    17. Other Federal Receipts

    (Dividends, Interest, etc.)............................

    18. Transfers from Non-Federal and Levin Funds

    (a) Non-Federal Account

    (from Schedule H3).............................

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

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

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

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

    20. Total Federal Receipts

    (subtract Line 18(c) from Line 19).........

    DETAILED SUMMARY PAGEof Receipts

    Write or Type Committee Name

    I. Receipts

    FEC Form 3X (Rev. 06/2004 ) Page 3

    312653.72

    312653.72

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    2932672.63

    2014

    0.00

    312653.72

    0.00

    0.00

    14108.72

    0.00

    2014

    312653.72

    57624.02

    04

    2847590.61

    0.00

    0.00

    0.00

    0.00

    0.00

    2905214.63

    CLUB FOR GROWTH ACTION

    2905214.63

    0.00

    298545.00

    2932672.63

    Image# 14960899958

    0.00

    27458.00

    0.00

    01 30

    0.00

    04

    0.00

    0.00

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    21. Operating Expenditures: (a) Allocated Federal/Non-Federal

    Activity (from Schedule H4)

    (i) Federal Share .............................

    (ii) Non-Federal Share...................... (b) Other Federal Operating

    Expenditures .......................................

    (c) Total Operating Expenditures

    (add 21(a)(i), (a)(ii), and (b)).............

    22. Transfers to Affiliated/Other Party

    Committees .................................................23. Contributions to

    Federal Candidates/Committeesand Other Political Committees............. ....

    24. Independent Expenditures

    (use Schedule E) .......................................25. Coordinated Party Expenditures

    (2 U.S.C. 441a(d))(use Schedule F)........................................

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

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

    Than Political Committees .................

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

    (c) Other Political Committees

    (such as PACs)...................................

    (d) Total Contribution Refunds

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

    29. Other Disbursements .................................

    30. Federal Election Activity (2 U.S.C. 431(20))

    (a) Allocated Federal Election Activity

    (from Schedule H6)

    (i) Federal Share ................................

    (ii) "Levin" Share.................................

    (b) Federal Election Activity Paid Entirely

    With Federal Funds.................

    (c) Total Federal Election Activity (add ..

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

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

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

    32. Total Federal Disbursements

    (subtract Line 21(a)(ii) and Line 30(a)(ii)

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

    COLUMN B

    Calendar Year-to-Date

    COLUMN A

    Total This PeriodII. Disbursements

    DETAILED SUMMARY PAGE

    of Disbursements FEC Form 3X (Rev. 02/2003 ) Page 4

    0.00

    0.00

    0.00

    0.00

    0.00

    101485.00

    1471251.18

    1553828.93

    341378.84

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    1553828.93

    0.00

    0.00

    101485.00

    0.00

    0.00

    0.00

    2640312.50

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    2640312.50

    82577.75

    82577.75

    0.00

    341378.84

    0.00

    0.00

    Image# 14960899959

    0.00

    0.00

    0.00

    0.00

    2197448.66

    0.00

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    COLUMN B

    Calendar Year-to-Date

    COLUMN ATotal This Period

    DETAILED SUMMARY PAGEof Disbursements

    FEC Form 3X (Rev. 02/2003 ) Page 5

    III. Net Contributions/Operating Ex-penditures

    33. Total Contributions (other than loans)

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

    34. Total Contribution Refunds

    (from Line 28(d)) ........................................

    35. Net Contributions (other than loans)

    (subtract Line 34 from Line 33)................

    36. Total Federal Operating Expenditures

    (add Line 21(a)(i) and Line 21(b)).........

    37. Offsets to Operating Expenditures

    (from Line 15, page 3)...............................

    38. Net Operating Expenditures

    (subtract Line 37 from Line 36)................

    2905214.63312653.72

    27458.00

    2803729.63

    82577.75

    312653.72

    82577.75

    313920.84

    0.00

    341378.84

    Image# 14960899960

    0.00 101485.00

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    FE6AN026

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    Aggregate Year-to-Date

    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    500.00

    25000.00

    500.00

    25000.00

    500.00

    NY

    MA

    P.O. Box 1220

    410 North Main Street

    P.O. Box 286

    500.00

    CLUB FOR GROWTH ACTION

    01773-0286Transaction ID : SA11AI.44672

    11030-6220

    TXMidland

    Lincoln

    Manhasset

    Self

    None

    Transaction ID : SA11AI.45034

    79701-4710

    Transaction ID : SA11AI.44721

    The Reserve Fund

    04

    11

    22

    26000.00

    6

    Image# 14960899961

    04

    04

    04

    72

    Bruce R. Bent

    2014

    2014

    Stephen Binder

    2014

    Ernest Angelo Jr.

    petroleum engineer

    Founder and Chairman

    Investments

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    Aggregate Year-to-Date

    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    150.00

    1500.00

    250.00

    500.00

    200.00

    ME

    FL

    345 West Gray Road

    10939 Bayshore Drive

    10604 Deerberry Dr

    400.00

    CLUB FOR GROWTH ACTION

    34638-6890Transaction ID : SA11AI.44888

    04039-9405

    FLWindermere

    Land O Lakes

    Gray

    Florida Otolaryngology Group

    n.a.

    Transaction ID : SA11AI.44892

    34786-7821

    Transaction ID : SA11AI.44677

    none

    28

    22

    22

    850.00

    7

    Image# 14960899962

    04

    04

    04

    72

    Alison Brown

    2014

    2014

    Scott Bueling

    2014

    Gregory Boger

    Physician

    retired

    Self employed

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    Aggregate Year-to-Date

    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    2000.00

    400.00

    3000.00

    75.00

    500.00

    CA

    PA

    35562 Teja Court

    11975 South Carlisle Street

    P.O. Box 179

    500.00

    CLUB FOR GROWTH ACTION

    19002-0179Transaction ID : SA11AI.44772

    92399-3959

    INTerre Haute

    Ambler

    Yucaipa

    n.a

    self

    Transaction ID : SA11AI.44923

    47802-8634

    Transaction ID : SA11AI.45072

    None

    21

    07

    28

    2575.00

    8

    Image# 14960899963

    04

    04

    04

    72

    254 South Main Street

    Karl D. Buus

    2014

    2014

    David W. Caddick Sr.

    2014

    Ruel F. Burns

    Retired

    Retired

    contractor

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    Aggregate Year-to-Date

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    250.00

    200000.00

    500.00

    100000.00

    5000.00

    FL

    CA

    165 Sago Palm Road

    3333 Gulf Shore Boulevard North Ap

    9936 Villa Granito Lane

    10000.00

    CLUB FOR GROWTH ACTION

    95746-6482Transaction ID : SA11AI.45101

    32963-3702

    FLNaples

    Granite Bay

    Vero Beach

    N/A

    Wells Fargo Advisors

    Transaction ID : SA11AI.44883

    34103-3665

    Transaction ID : SA11AI.44865

    J.W. Childs Associates

    28

    22

    22

    105250.00

    9

    Image# 14960899964

    04

    04

    04

    72

    John Childs

    2014

    2014

    Charles S. Cohn

    2014

    James Francis Causley

    Retired

    Chairman/CEO

    Financial Advisor

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    Aggregate Year-to-Date

    , , .

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    , , .C

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    1500.00

    300.00

    500.00

    1000.00

    FL

    VA

    8201 Arbor Court

    171 Hermitage Circle

    3713 Templeton Place

    4000.00

    CLUB FOR GROWTH ACTION

    22304-1837Transaction ID : SA11AI.44802

    33908-2866

    PALigonier

    Alexandria

    Fort Myers

    N/A

    NA

    Transaction ID : SA11AI.44747

    15658-2419

    Transaction ID : SA11AI.44878

    n.a

    28

    28

    30

    1600.00

    10

    Image# 14960899965

    04

    04

    04

    72

    Robert H. Crossman

    2014

    2014

    Raymond G. Curry

    2014

    Anita Court

    retired

    Retired

    Retired

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    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

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    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    25.00

    300.00

    225.00

    200.00

    500.00

    OR

    CA

    2141 SE 114th Place

    203 Burr Ridge Club

    11436 Sylvanite Cir

    500.00

    CLUB FOR GROWTH ACTION

    92708-2523Transaction ID : SA11AI.45076

    97216-3672

    ILBurr Ridge

    Fountain Valley

    Portland

    n.a

    Retired

    Transaction ID : SA11AI.44957

    60527-5276

    Transaction ID : SA11AI.45108

    NA

    23

    28

    30

    725.00

    11

    Image# 14960899966

    04

    04

    04

    72

    Alfred Darrach

    2014

    2014

    James A. Davidson

    2014

    Jane Ann Curto

    Homemaker

    Retired

    Accountant

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    M M / D D / Y Y Y Y

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    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    2000.00

    300.00

    4000.00

    200.00

    2000.00

    NJ

    NJ

    11 Chapman Drive

    381 South Lake Drive Apt. 2

    231 Kimball Ave

    4000.00

    CLUB FOR GROWTH ACTION

    07090-3111Transaction ID : SA11AI.44692

    07643-2104

    FLPalm Beach

    Westfield

    Little Ferry

    Info Requested

    n.a

    Transaction ID : SA11AI.44732

    33480-4544

    Transaction ID : SA11AI.44699

    n/a

    29

    28

    22

    4200.00

    12

    Image# 14960899967

    04

    04

    04

    72

    Conrad DeLeeuw

    2014

    2014

    Robert Derrey

    2014

    Natalie Grace Dejoux

    Info Requested

    Retired

    Retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    500.00

    500.00

    1500.00

    500.00

    5000.00

    IL

    FL

    12109 South 87th Avenue

    309 Chapel Hill Road

    1339 Noble Heron Way

    10000.00

    CLUB FOR GROWTH ACTION

    34105-2791Transaction ID : SA11AI.44884

    60464-1206

    FLPalm Beach

    Naples

    Palos Park

    Info Requested

    Dunn Consulting Group Inc.

    Transaction ID : SA11AI.44874

    33480-4124

    Transaction ID : SA11AI.44954

    Franciscan Alliance

    23

    28

    25

    6000.00

    13

    Image# 14960899968

    04

    04

    04

    72

    Eugene C. Diamond

    2014

    2014

    M. Douglas Dunn

    2014

    Robert G. Dettmer

    Info Requested

    Healthcare Executive

    retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    150.00

    400.00

    250.00

    400.00

    500.00

    MI

    PA

    18222 Redwood Avenue

    303 Hulls Farm Road

    1252 Beaver Valley Pike

    4000.00

    CLUB FOR GROWTH ACTION

    17584-8929Transaction ID : SA11AI.44763

    48076-7005

    CTSouthport

    Willow Street

    Lathrup Village

    n/a

    n.a

    Transaction ID : SA11AI.44688

    06890-3002

    Transaction ID : SA11AI.44924

    retired

    23

    22

    28

    1050.00

    14

    Image# 14960899969

    04

    04

    04

    72

    Donald Watson Eichstaedt

    2014

    2014

    Richard B. Eshleman

    2014

    Joan duPont

    retired

    engineer

    Retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    500.00

    350.00

    500.00

    100.00

    25.00

    NY

    PA

    785 Park Avenue Apt. 12A

    16350 Northeast Hoyt Street

    2006 Woodland Road

    275.00

    CLUB FOR GROWTH ACTION

    19001-3620Transaction ID : SA11AI.44771

    10021-5087

    ORPortland

    Abington

    New York

    USPS

    Wells Fargo Advisors

    Transaction ID : SA11AI.45110

    97230-5844

    Transaction ID : SA11AI.44707

    self

    16

    22

    23

    625.00

    15

    Image# 14960899970

    04

    04

    04

    72

    Thomas Farrell

    2014

    2014

    Dan Foy

    2014

    David Farrand

    Clerk

    Consultant

    financial advisor

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    300.00

    2000.00

    500.00

    2000.00

    3000.00

    PA

    NY

    872 Robin Hood Dr.

    P.O. Box 1367

    1273 North Avenue Unit 5g5

    3000.00

    CLUB FOR GROWTH ACTION

    10804-7336Transaction ID : SA11AI.44718

    18103-2937

    CTWaterbury

    New Rochelle

    Allentown

    Cly-Del Manufacturing Co.

    n.a

    Transaction ID : SA11AI.44680

    06721-1367

    Transaction ID : SA11AI.44766

    n/a

    28

    28

    28

    5300.00

    16

    Image# 14960899971

    04

    04

    04

    72

    Robert Girling

    2014

    2014

    Warren B. Goldman

    2014

    Robert Garthwait

    Chairman

    retired

    Retired

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    M M / D D / Y Y Y Y

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    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    500.00

    850.00

    500.00

    300.00

    TX

    FL

    3310 West Main Street

    7600 Thistle Lane

    27203 Jade Isle Court

    300.00

    CLUB FOR GROWTH ACTION

    34748-2147Transaction ID : SA11AI.44891

    77098-1822

    OHNovelty

    Leesburg

    Houston

    Private Harbour Investment Mangement

    none

    Transaction ID : SA11AI.44908

    44072-9500

    Transaction ID : SA11AI.45022

    n.a.

    28

    29

    22

    900.00

    17

    Image# 14960899972

    04

    04

    04

    72

    Windi Grimes

    2014

    2014

    Jim Gustafson

    2014

    Geofrey Greenleaf

    Investment Advisor

    Retired

    retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    300.00

    25000.00

    300.00

    5000.00

    2500.00

    WA

    OH

    1106 108th Avenue NortheastApt. 20

    P.O. Box 120

    1716 County Road 69

    2500.00

    CLUB FOR GROWTH ACTION

    45669-8950Transaction ID : SA11AI.44913

    98004-8609

    PAEast Stroudsburg

    Proctorville

    Bellevue

    Not applicable

    n.a

    Transaction ID : SA11AI.44767

    18301-0120

    Transaction ID : SA11AI.45113

    none

    16

    16

    28

    7800.00

    18

    Image# 14960899973

    04

    04

    04

    72

    Patricia L. Herbold

    2014

    2014

    Arlan Hesse

    2014

    Robert C. Harrison

    Retired

    retired

    Retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    2500.00

    1500.00

    2500.00

    1500.00

    250.00

    VA

    AL

    800 Hethwood Boulevard

    5330 Meaders Ln

    5 Turnberry Place

    500.00

    CLUB FOR GROWTH ACTION

    35242-5934Transaction ID : SA11AI.44893

    24060-4207

    TXDallas

    Shoal Creek

    Blacksburg

    n.a

    n/a

    Transaction ID : SA11AI.45001

    75229-6648

    Transaction ID : SA11AI.44814

    hhhunt

    28

    24

    14

    4250.00

    19

    Image# 14960899974

    04

    04

    04

    72

    Harry Hunt

    2014

    2014

    W. C. Jernigan

    2014

    Albert Hrubetz

    Retired

    chairman

    Retired

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    250.00

    5000.00

    250.00

    5000.00

    5000.00

    CA

    MS

    P.O. Box 1449

    20 Zapata Way

    PO Box 1245

    5000.00

    CLUB FOR GROWTH ACTION

    39568-1245Transaction ID : SA11AI.44903

    91012-5449

    CAPortola Valley

    Pascagoula

    La Canada Flintridge

    na

    N/A

    Transaction ID : SA11AI.45079

    94028-7346

    Transaction ID : SA11AI.45063

    n.a.

    22

    22

    21

    10250.00

    20

    Image# 14960899975

    04

    04

    04

    72

    Wendy Kolokotrones

    2014

    2014

    Dewey H. Lane

    2014

    David Jorgensen

    retired

    homemaker

    Retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    200.00

    2500.00

    300.00

    2500.00

    150.00

    PA

    TX

    4791 Essex Drive

    602 Eagle Road

    3601 Turtle Creek Boulevard #1103

    350.00

    CLUB FOR GROWTH ACTION

    75219-5525Transaction ID : SA11AI.45000

    18902-9529

    KSCedar Vale

    Dallas

    Doylestown

    N/A

    retired

    Transaction ID : SA11AI.44972

    67024-9017

    Transaction ID : SA11AI.44770

    CRC Industries

    30

    02

    22

    2850.00

    21

    Image# 14960899976

    04

    04

    04

    72

    Russell C. Lyons

    2014

    2014

    Conrad J. Masterson

    2014

    Ann Lemert

    Retired

    VP Operations

    rancher

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    1700.00

    1800.00

    100.00

    100.00

    CA

    CA

    P.O. Box 1830

    P.O. Box 1830

    P.O. Box 1830

    1600.00

    CLUB FOR GROWTH ACTION

    95617-1830Transaction ID : SA11AI.45097

    95617-1830

    CADavis

    Davis

    Davis

    Davisville Properties Inc.

    Davisville Properties Inc.

    Transaction ID : SA11AI.45095

    95617-1830

    Transaction ID : SA11AI.45096

    Davisville Properties Inc.

    05

    09

    17

    300.00

    22

    Image# 14960899977

    04

    04

    04

    72

    Greg McNece

    2014

    2014

    Greg McNece

    2014

    Greg McNece

    CEO

    CEO

    CEO

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    2000.00

    1100.00

    100.00

    100.00

    CA

    FL

    P.O. Box 1830

    P.O. Box 1830

    9447 Discovery Terrace Unit 202

    1900.00

    CLUB FOR GROWTH ACTION

    34212-5113

    Transaction ID : SA11AI.44885

    95617-1830

    CADavis

    Bradenton

    Davis

    Davisville Properties Inc.

    NA

    Transaction ID : SA11AI.45098

    95617-1830

    Transaction ID : SA11AI.45099

    Davisville Properties Inc.

    22

    30

    22

    300.00

    23

    Image# 14960899978

    04

    04

    04

    72

    Greg McNece

    2014

    2014

    Robert H. Montgomery

    2014

    Greg McNece

    CEO

    CEO

    Retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    5000.00

    500.00

    5000.00

    500.00

    2000.00

    TX

    FL

    2554 Reins Road

    6 Fort Hill Lane

    919 Orchid Point Way

    2000.00

    CLUB FOR GROWTH ACTION

    32963-9518Transaction ID : SA11AI.44867

    77713-3983

    CTGreenwich

    Orchid

    Beaumont

    BrowBrothersHarriman & Co.

    n.a.

    Transaction ID : SA11AI.44685

    06831-3719

    Transaction ID : SA11AI.45030

    na

    28

    23

    09

    7500.00

    24

    Image# 14960899979

    04

    04

    04

    72

    James Moyers

    2014

    2014

    Harold Ofstie

    2014

    William H. Moore III

    retired banker

    retired

    retired

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    250.00

    300.00

    250.00

    250.00

    300.00

    CA

    AZ

    5118 Glen View Place

    10025 Cherry Ridge Road

    28744 N. 128th Drive

    300.00

    CLUB FOR GROWTH ACTION

    85383-2082Transaction ID : SA11AI.45049

    91902-2632

    CASebastopol

    Peoria

    Bonita

    retired

    n/a

    Transaction ID : SA11AI.45093

    95472-9606

    Transaction ID : SA11AI.45065

    n.a.

    28

    25

    10

    800.00

    25

    Image# 14960899980

    04

    04

    04

    72

    Judith Pettit

    2014

    2014

    Carolyn S. Puchaty

    2014

    Pete Pellini

    investor

    retired

    retired teacher

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    500.00

    1000.00

    500.00

    1000.00

    200.00

    AZ

    WA

    972 East Camino Diestro

    7650 Padre Island Highway # A

    5645 Southwest Orleans Street

    800.00

    CLUB FOR GROWTH ACTION

    98116-3151Transaction ID : SA11AI.45117

    85704-7694

    TXBrownsville

    Seattle

    Tucson

    Service Industrial Inc.

    NA

    Transaction ID : SA11AI.45032

    78521-3451

    Transaction ID : SA11AI.45051

    Info Requested

    18

    10

    23

    1700.00

    26

    Image# 14960899981

    04

    04

    04

    72

    Joan B. Rak

    2014

    2014

    John Reagh

    2014

    Barry Putegnat

    Co-Owner/President

    Info Requested

    Homemaker

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    5000.00

    500.00

    10000.00

    250.00

    5000.00

    NJ

    NY

    245 Highland Road

    54969 Woodhold Court

    781 5th Avenue

    5000.00

    CLUB FOR GROWTH ACTION

    10022-1092Transaction ID : SA11AI.44708

    07079-1513

    INElkhart

    New York

    South Orange

    n.a

    n.a.

    Transaction ID : SA11AI.44919

    46516-6511

    Transaction ID : SA11AI.44691

    R & S mfg. Co. Inc.

    16

    24

    07

    10250.00

    27

    Image# 14960899982

    04

    04

    04

    72

    Charles A. Rotondi

    2014

    2014

    Peter L. Schaffer

    2014

    Robert Richardson

    Retired

    Manager

    executive

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    300.00

    400.00

    150.00

    100.00

    CO

    VA

    2437 Hiwan Drive

    47 E 88th St

    4800 Fillmore Avenue Apt. 603

    300.00

    CLUB FOR GROWTH ACTION

    22311-5057Transaction ID : SA11AI.44803

    80439-8935

    NYNew York

    Alexandria

    Evergreen

    NA

    N/A

    Transaction ID : SA11AI.44713

    10128-1152

    Transaction ID : SA11AI.45042

    n.a.

    02

    21

    23

    350.00

    28

    Image# 14960899983

    04

    04

    04

    72

    Benjamin S. Schwartz

    2014

    2014

    John E. Shillingburg

    2014

    H. Richard Schumacher

    Retired

    Lawyer

    Retired

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    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    100.00

    10450.00

    400.00

    100.00

    100.00

    AZ

    TX

    1383 N Criss St

    1383 N Criss St

    10 Columnberry Court

    10350.00

    CLUB FOR GROWTH ACTION

    77384-4745Transaction ID : SA11AI.45023

    85226-1307

    AZChandler

    The Woodlands

    Chandler

    Retired

    Enbridge Employee Services Inc.

    Transaction ID : SA11AI.45047

    85226-1307

    Transaction ID : SA11AI.45048

    Retired

    19

    27

    16

    300.00

    29

    Image# 14960899984

    04

    04

    04

    72

    Allen H. Simon

    2014

    2014

    Michael Jay Stanford

    2014

    Allen H. Simon

    n/a

    n/a

    Accountant

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    5000.00

    800.00

    6000.00

    200.00

    1500.00

    WA

    FL

    4402 228th Ave NE

    3619 Victory Avenue

    4001 Tamiami Trail North #404

    1500.00

    CLUB FOR GROWTH ACTION

    34103-3555Transaction ID : SA11AI.44882

    98053-8331

    NVLas Vegas

    Naples

    Redmond

    Info Requested

    Info Requested

    Transaction ID : SA11AI.45056

    89121-7224

    Transaction ID : SA11AI.45114

    Alaska airlines

    28

    22

    28

    6700.00

    30

    Image# 14960899985

    04

    04

    04

    72

    Pam Stiger

    2014

    2014

    Duane Stranahan Jr.

    2014

    Virginia Stickell

    Info Requested

    Flight attendant

    Info Requested

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    50.00

    250.00

    300.00

    20.00

    100.00

    NE

    NE

    7748 Western Avenue

    7748 Western Avenue

    7748 Western Avenue

    230.00

    CLUB FOR GROWTH ACTION

    68114-1760Transaction ID : SA11AI.44975

    68114-1760

    NEOmaha

    Omaha

    Omaha

    Marriott International

    Marriott International

    Transaction ID : SA11AI.44973

    68114-1760

    Transaction ID : SA11AI.44974

    Marriott International

    04

    21

    22

    170.00

    31

    Image# 14960899986

    04

    04

    04

    72

    Andrew Sullivan

    2014

    2014

    Andrew Sullivan

    2014

    Andrew Sullivan

    tech support

    tech support

    tech support

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Yea