Chafee July Quarterly 2015
07/10/2015 22 : 03 Image# 201507109000082082 PAGE 1 / 46 REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3P BY AN AUTHORIZED COMMITTEE OF A CANDIDATE FOR THE OFFICE OF PRESIDENT OR VICE PRESIDENT Office Use Only 1. NAME OF COMMITTEE (in full, type or print) Example: If typing, type over the lines. )(0 Chafee 2016 ADDRESS (number and street)) 1800 Post Road Unit 17B Check if different W than previously Warwick RI reported. (ACC 02886 CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER C C00579706 3. THIS REPORT IS FOR Primary or General W 4. TYPE OF REPORT (Choose One) Check here if this is a Termination Report (TER) Quarterly Reports: Monthly Reports: April 15 (Q1) October 15 (Q3) Feb 20 (M2) May 20 (M5) Aug 20 (M8) Nov 20 (M11) July 15 (Q2) January 31 Year-End Report (YE) Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Dec 20 (M12) Apr 20 (M4) Jul 20 (M7) Oct 20 (M10)) Jan 31 (YE) Thirtieth day report following the General Election Twelfth day report preceding election M M / D D / Y Y Y Y M M / D D / Y Y Y Y on . on in the State of . Is this Report an Amendment? yes no M M / D D / Y Y Y Y M M / D D / Y Y Y Y 5. Covering Period 01 09 2015 through 06 30 2015 I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Mr. Jerauld Charles Adams Type or Print Name of Treasurer Mr. Jerauld Charles Adams M M / D D / Y Y Y Y Signature of Treasurer [Electronically Filed] Date 07 09 2015 NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. All previous versions of this form are obsolete and should no longer be used. Office Use Only FEC Form 3P (Rev. 03/2011)
Image# 201507109000082083 PAGE 2 / 46 FEC Form 3P (Rev. 03/2011 ) Page 2 Write or Type Committee Name Chafee 2016 M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 01 09 2015 To: 06 30 2015 SUMMARY 6. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ............................................................. 0.00 , , . 7. TOTAL RECEIPTS THIS PERIOD (From Line 22, Column A, Page 3) ...................................................................................................... 392743.17 , , . 8. SUBTOTAL (Lines 6 and 7) ...................................................................................................................................... 392743.17 , , . 9. TOTAL DISBURSEMENTS THIS PERIOD (From Line 30, Column A, Page 2) ...................................................................................................... 63757.48 , , . 10. CASH ON HAND AT CLOSE OF THE REPORTING PERIOD (Subtract Line 9 from 8 ......................................................................................................................... 328985.69 , , . 11. DEBTS AND OBLIGATIONS OWED TO THE COMMITTEE (Itemize All on Schedule C-P or Schedule D-P) .................................................................................. 0.00 , , . 12. DEBTS AND OBLIGATIONS OWED BY THE COMMITTEE (Itemize All on Schedule C-P or Schedule D-P) .................................................................................. 363694.14 , , . 13. EXPENDITURES SUBJECT TO LIMIITATION ....................................................................................... 0.00 , , . NET ELECTION CYCLE-TO-DATE CONTRIBUTIONS AND EXPENDITURES 14. NET CONTRIBUTIONS (Other than Loans) (Subtract Line 28d, Column B from 17e, Column B, Page 2) ........................................................... 29049.03 , , . 15. NET OPERATING EXPENDITURES (Subtract Line 20a, Column B from 23, Column B, Page 2) .............................................................. 63653.79 , , .
Image# 201507109000082084 DETAILED SUMMARY PAGE PAGE 3 / 46 FEC Form 3P (Rev. 03/2011) of Receipts Page 3 NAME OF COMMITEE (in Full) Chafee 2016 M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 01 09 2015 To: 06 30 2015 I. RECEIPTS COLUMN A COLUMN B Total This Period Election Cycle-to-Date 16. FEDERAL FUNDS (Itemize on Schedule A-P) ............ 0.00 0.00 , , . , , . 17. CONTRIBUTIONS (other than loans) FROM: V V V V V V (a) Individuals/Persons Other Than Political Committees (i) itemized ............................................................ 15090.00 15090.00 , , . , , . V V V V V V (ii) unitemized ....................................................... 13297.00 13297.00 , , . , , . V V V V V V (iii) Total contributions .......................................... 28387.00 28387.00 , , . , , . V V V (b) Political Party Committees ............................... 0.00 0.00 , , . , , . V V V V V V (c) Other Political Committees .............................. 0.00 0.00 , , . , , . V V V V V V (d) The Candidate .................................................. 662.03 662.03 , , . , , . V V V V V V (e) TOTAL CONTRIBUTIONS (other than loans) (Add 17(a), 17(b), 17(c) and 17(d)) .................... 29049.03 29049.03 , , . , , . V V V V V V 18. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES ............................................................ 0.00 0.00 , , . , , . V V V V V V 19. LOANS RECEIVED: (a) Loans Received From or Guaranteed by Candidate ......................................................... 363694.14 363694.14 , , . , , . V V V V V V (b) Other Loans...................................................... 0.00 0.00 , , . , , . V V V V V V (c) TOTAL LOANS (Add 19(a) and 19(b) ................ 363694.14 363694.14 , , . , , . V V V V V V 20. OFFSETS TO EXPENDITURES (Refunds,Rebates, etc.): (a) Operating ......................................................... 0.00 0.00 , , . , , . V V V V V V (b) Fundraising ....................................................... 0.00 0.00 , , . , , . V V V V V V (c) Legal and Accounting ...................................... 0.00 0.00 , , . , , . V V V V V V (d) TOTAL OFFSETS TO EXPENDITURES (Add 20(a), 20(b) and 20(c)) .............................. 0.00 0.00 , , . , , . V V V V V V 21. OTHER RECEIPTS (Dividends, Interest, etc.)............. 0.00 0.00 , , . , , . V V V V V V 22. TOTAL RECEIPTS (Add 16, 17(e), 18, 19(c), 20(d) and 21) ...................... 392743.17 392743.17 , , . , , . V V V V V V
Image# 201507109000082085 DETAILED SUMMARY PAGE PAGE 4 / 46 FEC Form 3P (Rev. 03/2011) of Disbursements and Contributed Items Page 4 NAME OF COMMITEE (in Full) Chafee 2016 M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 01 09 2015 To: 06 30 2015 COLUMN A COLUMN B II. DISBURSEMENTS Total This Period Calendar Year-to-Date 23. OPERATING EXPENDITURES .................................... 63653.79 63653.79 , , . , , . V V V V V V 24. TRANSFERS TO OTHER AUTHORIZED COMMITTEES .................................... 0.00 0.00 , , . , , . V V V V V V 25. FUNDRAISING DISBURSEMENTS ............................ 103.69 103.69 , , . , , . V V V V V V 26. EXEMPT LEGAL AND ACCOUNTING DISBURSEMENTS............................. 0.00 0.00 , , . , , . V V V V V V 27. LOAN REPAYMENTS MADE: (a) Repayments of Loans made or Guaranteed by Candidate .................................................... 0.00 0.00 , , . , , . V V V V V V (b) Other Repayments ........................................... 0.00 0.00 , , . , , . V V V V V V (c) TOTAL LOAN REPAYMENTS MADE (Add 27(a) and 27(b)) ........................................ 0.00 0.00 , , . , , . V V V V V V 28. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees ...................................................... 0.00 0.00 , , . , , . V V V V V V (b) Political Party Committees ............................... 0.00 0.00 , , . , , . V V V V V V (c) Other Political Committees .............................. 0.00 0.00 , , . , , . V V V V V V (d) TOTAL CONTRIBUTION REFUNDS (Add 28(a), 28(b) and 28(c)) .............................. 0.00 0.00 , , . , , . V V V V V V 29 OTHER DISBURSEMENTS ........................................ 0.00 0.00 , , . , , . V V V V V V 30. TOTAL DISBURSEMENTS (Add 23, 24, 25, 26, 27(c), 28(d) and 29) .................... 63757.48 63757.48 , , . , , . V V V V V V III. CONTRIBUTED ITEMS (Stock, Art Objects, Etc.) 31. ITEMS ON HAND TO BE LIQUIDATED (Attach List) ................................................................ 0.00 , , . , , . V V V V V V
Image# 201507109000082086 PAGE 5 / 46 $//2&$7,212)35,0$5<(;3(1',785(6 )(&)25033DJH %<67$7()25 )HGHUDO(OHFWLRQ&RPPLVVLRQ $35(6,'(17,$/&$1','$7( (6WUHHW1: :DVKLQJWRQ'& 8VHG2QO\E\3ULPDU\&RPPLWWHHV5HFHLYLQJ RU([SHFWLQJ7R5HFHLYH)HGHUDO)XQGV Office Use Only 1. NAME OF COMMITTEE (in full, type or print) 2. FEC IDENTIFICATION NUMBER C C00579706 Chafee 2016 1800 Post Road ADDRESS (number and street) Unit 17B Warwick RI 02886 CITY STATE ZIP CODE 3. NAME OF CANDIDATE $//2&$7,21%<67$7( STATE ALLOCATION This Period TOTAL ALLOCATION To Date Alabama 0.00 0.00 , , . , , . V V V V V V Alaska 0.00 0.00 , , . , , . V V V V V V Arizona 0.00 0.00 , , . , , . V V V V V V Arkansas 0.00 0.00 , , . , , . V V V V V V California 0.00 0.00 , , . , , . V V V V V V Colorado 0.00 0.00 , , . , , . V V V V V V Connecticut 0.00 0.00 , , . , , . V V V V V V Delaware 0.00 0.00 , , . , , . V V V V V V District of Columbia 0.00 0.00 , , . , , . V V V V V V Florida 0.00 0.00 , , . , , . V V V V V V Georgia 0.00 0.00 , , . , , . V V V V V V Hawaii 0.00 0.00 , , . , , . V V V V V V Idaho 0.00 0.00 , , . , , . V V V V V V Illinois 0.00 0.00 , , . , , . V V V V V V
Image# 201507109000082087 PAGE 6 / 46 STATE ALLOCATION This Period TOTAL ALLOCATION To Date Indiana 0.00 0.00 , , . , , . V V V V V V Iowa 0.00 0.00 , , . , , . V V V V V V Kansas 0.00 0.00 , , . , , . V V V V V V Kentucky 0.00 0.00 , , . , , . V V V V V V Louisiana 0.00 0.00 , , . , , . V V V V V V Maine 0.00 0.00 , , . , , . V V V V V V Maryland 0.00 0.00 , , . , , . V V V V V V Massachusetts 0.00 0.00 , , . , , . V V V V V V Michigan 0.00 0.00 , , . , , . V V V V V V Minnesota 0.00 0.00 , , . , , . V V V V V V Mississippi 0.00 0.00 , , . , , . V V V V V V Missouri 0.00 0.00 , , . , , . V V V V V V Montana 0.00 0.00 , , . , , . V V V V V V Nebraska 0.00 0.00 , , . , , . V V V V V V Nevada 0.00 0.00 , , . , , . V V V V V V New Hampshire 0.00 0.00 , , . , , . V V V V V V New Jersey 0.00 0.00 , , . , , . V V V V V V New Mexico 0.00 0.00 , , . , , . V V V V V V New York 0.00 0.00 , , . , , . V V V V V V North Carolina 0.00 0.00 , , . , , . V V V V V V North Dakota 0.00 , , . , , . V V V V V V Ohio 0.00 0.00 , , . , , . V V V V V V Oklahoma 0.00 0.00 , , . , , . V V V V V V Oregon 0.00 0.00 , , . , , . V V V V V V Pennsylvania 0.00 0.00 , , . , , . V V V V V V
Image# 201507109000082088 PAGE 7 / 46 STATE ALLOCATION This Period TOTAL ALLOCATION To Date Rhode Island 0.00 0.00 , , . , , . V V V V V V South Carolina 0.00 0.00 , , . , , . V V V V V V South Dakota 0.00 0.00 , , . , , . V V V V V V Tennessee 0.00 0.00 , , . , , . V V V V V V Texas 0.00 0.00 , , . , , . V V V V V V Utah 0.00 0.00 , , . , , . V V V V V V Vermont 0.00 0.00 , , . , , . V V V V V V Virginia 0.00 0.00 , , . , , . V V V V V V Washington 0.00 0.00 , , . , , . V V V V V V West Virginia 0.00 0.00 , , . , , . V V V V V V Wisconsin 0.00 0.00 , , . , , . V V V V V V Wyoming 0.00 0.00 , , . , , . V V V V V V Puerto Rico 0.00 0.00 , , . , , . V V V V V V Guam 0.00 0.00 , , . , , . V V V V V V Virgin Islands 0.00 0.00 , , . , , . V V V V V V TOTALS 0.00 0.00 , , . , , . V V V V V V
Image# 201507109000082089 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 8 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Mark Aalyson Transaction ID : VR05BAS1602 Date of Receipt Mailing Address 837 S Wall St M M / D D / Y Y Y Y 06 05 2015 City State Zip Code Columbus OH 43206-1921 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1000.00 The Columbus Athenaeum Business Owner , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 1000.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS19Z2 Jerauld Adams Date of Receipt Mailing Address 41 Arlington Ave M M / D D / Y Y Y Y 05 25 2015 City State Zip Code Providence RI 02906-3209 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 270.00 North American Industries, Inc. real estate , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 270.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS14R6 C. Jerauld Adams Date of Receipt Mailing Address 41 Arlington Ave M M / D D / Y Y Y Y 06 01 2015 City State Zip Code Providence RI 02906-3209 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 270.00 North American Industries, inc. Real Estate Management , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 270.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 1540.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082090 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 9 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Jerauld Adams Transaction ID : VR05BAS1G69 Date of Receipt Mailing Address 41 Arlington Ave M M / D D / Y Y Y Y 06 10 2015 City State Zip Code Providence RI 02906-3209 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 900.00 North American Industries, inc. Real Estate Management , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: donated two computers with office 7.0 Other (specify) 1170.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS14J9 Andrew Bridges Date of Receipt Mailing Address 115 Sheridan Way M M / D D / Y Y Y Y 05 30 2015 City State Zip Code Woodside CA 94062-2345 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 Fenwick & West LLP Lawyer , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS19E9 C. Dick Chafee Date of Receipt Mailing Address 12 Humboldt Ave M M / D D / Y Y Y Y 04 09 2015 City State Zip Code Providence RI 02906-4107 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 n/a retired , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 250.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 1400.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082091 PAGE 10 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17A Transaction ID : VR05BAS1G69 Computers for the campaign office Form/Schedule: Transaction ID:
Image# 201507109000082092 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 11 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Inge Chafee Transaction ID : VR05BAS19F7 Date of Receipt Mailing Address 12 Humboldt Ave M M / D D / Y Y Y Y 04 09 2015 City State Zip Code Providence RI 02906-4107 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 n/a retired , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS19H3 Tom Chamberlin Date of Receipt Mailing Address 54 Newfields Rd M M / D D / Y Y Y Y 04 12 2015 City State Zip Code Exeter NH 03833-4542 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1000.00 n/a retired , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 1000.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS13Y1 C. Jacob Clemen Date of Receipt Mailing Address 50 Lower College Rd M M / D D / Y Y Y Y 05 02 2015 City State Zip Code Kingston RI 02881-1900 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 500.00 University of RI University Staff / Student Affairs , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 500.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 1750.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082093 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 12 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. James Dye Transaction ID : VR05BAS14W8 Date of Receipt Mailing Address 380 10th St M M / D D / Y Y Y Y 06 03 2015 City State Zip Code San Francisco CA 94103-3888 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 none retired , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1033 Anita Flax Date of Receipt Mailing Address 40 Glen Ave M M / D D / Y Y Y Y 04 09 2015 City State Zip Code Cranston RI 02905-3702 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 500.00 State of RI Lawyer , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 500.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1A41 C. William Fleming Date of Receipt Mailing Address 10 Gingerbread Ln M M / D D / Y Y Y Y 06 02 2015 City State Zip Code East Hampton NY 11937-2422 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 self employed attorney , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 250.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 1000.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082094 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 13 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Chris Gahagan Transaction ID : VR05BAS1533 Date of Receipt Mailing Address 7507 NE 75th Ct M M / D D / Y Y Y Y 06 04 2015 City State Zip Code Kansas City MO 64158-1063 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 McGonagle Spencer Gahagan P.C. Attorney , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1314 Michael Imber Date of Receipt Mailing Address 6 Glenwood Rd M M / D D / Y Y Y Y 04 16 2015 City State Zip Code Weston CT 06883-2322 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 Alvarez & Marsal Public Sector Service Consultant , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS11C5 C. Ethan Kapstein Date of Receipt Mailing Address 24 Foulet Dr M M / D D / Y Y Y Y 04 10 2015 City State Zip Code Princeton NJ 08540-7638 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 500.00 AZ state university professor , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 500.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 1000.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082095 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 14 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. John Koza Transaction ID : VR05BAS19G5 Date of Receipt Mailing Address PO Box 1441 M M / D D / Y Y Y Y 04 10 2015 City State Zip Code Los Altos CA 94023-1441 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 2700.00 National Popular Vote, Inc. Information Requested , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 2700.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS11H5 Jaime Longhi Date of Receipt Mailing Address 75 Todd Hill Rd M M / D D / Y Y Y Y 04 10 2015 City State Zip Code West Cornwall CT 06796-1709 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 22/7 Pictures, Inc. video documentary prod/director , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1184 C. GA Nassikas Date of Receipt Mailing Address 6115 Ramshorn Pl M M / D D / Y Y Y Y 04 10 2015 City State Zip Code McLean VA 22101-2421 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1000.00 self artist , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 1000.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 3950.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082096 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 15 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. John S. O'Shea Transaction ID : VR05BAS13W5 Date of Receipt Mailing Address 576 Pelham Rd NE M M / D D / Y Y Y Y 05 01 2015 City State Zip Code Atlanta GA 30324-5105 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 Self Pediatrician/Child Advocate , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS16E3 Jonathan Rudenberg Date of Receipt Mailing Address 503 Paisley Pl M M / D D / Y Y Y Y 06 06 2015 City State Zip Code Newark DE 19711-3453 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 Prime Directive, Inc. Software Developer , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 250.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS16D5 C. Daniel Siders Date of Receipt Mailing Address 503 Paisley Pl M M / D D / Y Y Y Y 06 06 2015 City State Zip Code Newark DE 19711-3453 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 250.00 Prime Directive, Inc CEO , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 250.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 750.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082097 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 16 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Dorothy Stevens Transaction ID : VR05BAS19V2 Date of Receipt Mailing Address 144 Elmdale Rd M M / D D / Y Y Y Y 04 27 2015 City State Zip Code North Scituate RI 02857-1309 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1750.00 n/a retired , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 1750.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1A91 Dorothy Stevens Date of Receipt Mailing Address 144 Elmdale Rd M M / D D / Y Y Y Y 06 15 2015 City State Zip Code North Scituate RI 02857-1309 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 950.00 n/a retired , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 2700.00 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS19W8 C. Adelaide Trafton Date of Receipt Mailing Address 330 Pleasant Point Rd M M / D D / Y Y Y Y 04 29 2015 City State Zip Code Topsham ME 04086-5324 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1000.00 n/a homemaker , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) 1000.00 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 3700.00 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082098 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 17 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Unitemized total Transaction ID : AAAAAA1 Date of Receipt Mailing Address n/a M M / D D / Y Y Y Y 06 30 2015 City State Zip Code n/a DC 00000 FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 13297.00 , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) 13297.00 W , , . V V V B. Full Name (Last, First, Middle Initial) Date of Receipt Mailing Address M M / D D / Y Y Y Y City State Zip Code FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation , , . V V V Receipt For: Election Cycle-to-Date W Primary General Other (specify) W , , . V V V Full Name (Last, First, Middle Initial) C. Date of Receipt Mailing Address M M / D D / Y Y Y Y City State Zip Code FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 13297.00 W V V V , , . Total This Period (last page this line number only) ........................................................ 28387.00 W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082099 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 18 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1F69 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 04 23 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 47.97 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Exxon Fuel purchase Other (specify) 47.97 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1F77 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 04 24 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 39.61 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: 1374-B Fuel purchase Other (specify) 87.58 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1F93 C. Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 04 25 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 36.41 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date Primary General W * In-Kind: Sunoco fuel purchase Other (specify) 158.91 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 123.99 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082100 PAGE 19 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1F69 Travel Expense Form/Schedule: SA17D Transaction ID: VR05BAS1F77 Travel Expense
Image# 201507109000082101 PAGE 20 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1F93 Travel Expense Form/Schedule: Transaction ID:
Image# 201507109000082102 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 21 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1FA1 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 04 25 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 34.92 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Exxon fuel purchase Other (specify) 158.91 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FD4 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 02 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 160.77 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Double tree Hotel room stay Other (specify) 370.07 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FF0 C. Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 02 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 50.39 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date Primary General W * In-Kind: Exxon fuel purchase Other (specify) 370.07 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 246.08 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082103 PAGE 22 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1FA1 Travel Expense Form/Schedule: SA17D Transaction ID: VR05BAS1FD4 travel expense
Image# 201507109000082104 PAGE 23 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1FF0 travel expense Form/Schedule: Transaction ID:
Image# 201507109000082105 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 24 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1FJ4 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 21 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 25.00 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Facebook fee Other (specify) 395.07 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FM0 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 26 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 39.19 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Xtra fuel purchase Other (specify) 484.26 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FQ3 C. Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 26 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 50.00 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date Primary General W * In-Kind: Facebook fee Other (specify) 484.26 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 114.19 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082106 PAGE 25 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1FM0 travel expense Form/Schedule: Transaction ID:
Image# 201507109000082107 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 26 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1FS9 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 05 31 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 1.39 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Facebook fee Other (specify) 485.65 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FT7 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 06 03 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 54.69 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Exxon fuel purchase Other (specify) 540.34 W , , . V V V Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1FW3 C. Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 06 04 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 38.69 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date Primary General W * In-Kind: Harris fuel purchase Other (specify) 579.03 W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 94.77 W V V V , , . Total This Period (last page this line number only) ........................................................ W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082108 PAGE 27 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1FT7 travel expense Form/Schedule: SA17D Transaction ID: VR05BAS1FW3 travel expense
Image# 201507109000082109 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 28 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1FZ6 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 06 09 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 65.00 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Metro-North TVM & TQPS New York Other (specify) 644.03 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1G20 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 06 10 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 18.00 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General * In-Kind: Union Station Parking Other (specify) 662.03 W , , . V V V Full Name (Last, First, Middle Initial) C. Date of Receipt Mailing Address M M / D D / Y Y Y Y City State Zip Code FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 83.00 W V V V , , . Total This Period (last page this line number only) ........................................................ 662.03 W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082110 PAGE 29 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SA17D Transaction ID : VR05BAS1FZ6 Travel expense Form/Schedule: SA17D Transaction ID: VR05BAS1G20 Travel expense
Image# 201507109000082111 FOR LINE NUMBER: PAGE OF SCHEDULE A-P PAGE 30 / 46 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the 16 17a 17b 17c 17d 18 Detailed Summary Page 19a 19b 20a 20b 20c 21 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Transaction ID : VR05BAS1C13 Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 01 09 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 163694.14 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General Other (specify) 163694.14 W , , . V V V B. Full Name (Last, First, Middle Initial) Transaction ID : VR05BAS1C39 Lincoln Chafee Date of Receipt Mailing Address PO Box 7328 M M / D D / Y Y Y Y 06 19 2015 City State Zip Code Warwick RI 02887-7328 FEC ID number of contributing C P60008075 federal political committee. Amount of Each Receipt this Period Name of Employer Occupation 200000.00 Information Requested Information Requested , , . V V V Receipt For: 2016 Election Cycle-to-Date W Primary General Other (specify) 363694.14 W , , . V V V Full Name (Last, First, Middle Initial) C. Date of Receipt Mailing Address M M / D D / Y Y Y Y City State Zip Code FEC ID number of contributing C federal political committee. Amount of Each Receipt this Period Name of Employer Occupation , , . V V V Receipt For: Election Cycle-to-Date Primary General W Other (specify) W , , . V V V Subtotal Of Receipts This Page (optional)............................................................................... 363694.14 W V V V , , . Total This Period (last page this line number only) ........................................................ 363694.14 W , , . V V V FEC Schedule A±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082112 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 31 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Jerauld Adams Date of Disbursement 41 Arlington Ave M M / D D / Y Y Y Y Mailing Address 06 10 2015 City State Zip Code Transaction ID : VR05BAS1G69I Providence RI 02906-3209 Purpose of Disbursement donated two computers with office 7.0 Amount of Each Disbursement this Period Candidate Name Category/ 900.00 Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Kenny Alston Date of Disbursement M M / D D / Y Y Y Y Mailing Address 304 Pearl St 05 12 2015 Unit 103 City State Zip Code Transaction ID : VQZ639PZJM6 Providence RI 02907-2216 Purpose of Disbursement Campaign Consulting Amount of Each Disbursement this Period Candidate Name Category/ 2000.00 Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General Campaign Consulting fee President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 02 23 2015 City State Zip Code Warwick RI 02887-7328 Transaction ID : VQZ639PZJW9 Purpose of Disbursement Reimburse for Figmints website design Amount of Each Disbursement this Period Candidate Name Category/ Lincoln Chafee Type 5240.00 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 8140.00 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082113 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 32 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 04 23 2015 City State Zip Code Transaction ID : VR05BAS1F69I Warwick RI 02887-7328 Purpose of Disbursement Exxon Fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ 47.97 Lincoln Chafee Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Lincoln Chafee Date of Disbursement M M / D D / Y Y Y Y Mailing Address PO Box 7328 04 24 2015 City State Zip Code Transaction ID : VR05BAS1F77I Warwick RI 02887-7328 Purpose of Disbursement 1374-B Fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ 39.61 Lincoln Chafee Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 04 25 2015 City State Zip Code Warwick RI 02887-7328 Transaction ID : VR05BAS1F93I Purpose of Disbursement Sunoco fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ Lincoln Chafee Type 36.41 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 123.99 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082114 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 33 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 04 25 2015 City State Zip Code Transaction ID : VR05BAS1FA1I Warwick RI 02887-7328 Purpose of Disbursement Exxon fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ 34.92 Lincoln Chafee Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Lincoln Chafee Date of Disbursement M M / D D / Y Y Y Y Mailing Address PO Box 7328 05 02 2015 City State Zip Code Transaction ID : VR05BAS1FD4I Warwick RI 02887-7328 Purpose of Disbursement Double tree Hotel room stay Amount of Each Disbursement this Period Candidate Name Category/ 160.77 Lincoln Chafee Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 05 02 2015 City State Zip Code Warwick RI 02887-7328 Transaction ID : VR05BAS1FF0I Purpose of Disbursement Exxon fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ Lincoln Chafee Type 50.39 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 246.08 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082115 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 34 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 05 21 2015 City State Zip Code Transaction ID : VR05BAS1FJ4I Warwick RI 02887-7328 Purpose of Disbursement Facebook fee Amount of Each Disbursement this Period Candidate Name Category/ 25.00 Lincoln Chafee Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Lincoln Chafee Date of Disbursement M M / D D / Y Y Y Y Mailing Address PO Box 7328 05 26 2015 City State Zip Code Transaction ID : VR05BAS1FM0I Warwick RI 02887-7328 Purpose of Disbursement Xtra fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ 39.19 Lincoln Chafee Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 05 26 2015 City State Zip Code Warwick RI 02887-7328 Transaction ID : VR05BAS1FQ3I Purpose of Disbursement Facebook fee Amount of Each Disbursement this Period Candidate Name Category/ Lincoln Chafee Type 50.00 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 114.19 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082116 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 35 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 05 31 2015 City State Zip Code Transaction ID : VR05BAS1FS9I Warwick RI 02887-7328 Purpose of Disbursement Facebook fee Amount of Each Disbursement this Period Candidate Name Category/ 1.39 Lincoln Chafee Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Lincoln Chafee Date of Disbursement M M / D D / Y Y Y Y Mailing Address PO Box 7328 06 03 2015 City State Zip Code Transaction ID : VR05BAS1FT7I Warwick RI 02887-7328 Purpose of Disbursement Exxon fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ 54.69 Lincoln Chafee Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 06 04 2015 City State Zip Code Warwick RI 02887-7328 Transaction ID : VR05BAS1FW3I Purpose of Disbursement Harris fuel purchase Amount of Each Disbursement this Period Candidate Name Category/ Lincoln Chafee Type 38.69 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 94.77 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082117 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 36 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Lincoln Chafee Date of Disbursement PO Box 7328 M M / D D / Y Y Y Y Mailing Address 06 09 2015 City State Zip Code Transaction ID : VR05BAS1FZ6I Warwick RI 02887-7328 Purpose of Disbursement Metro-North TVM & TQPS New York Amount of Each Disbursement this Period Candidate Name Category/ 65.00 Lincoln Chafee Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Lincoln Chafee Date of Disbursement M M / D D / Y Y Y Y Mailing Address PO Box 7328 06 10 2015 City State Zip Code Transaction ID : VR05BAS1G20I Warwick RI 02887-7328 Purpose of Disbursement Union Station Parking Amount of Each Disbursement this Period Candidate Name Category/ 18.00 Lincoln Chafee Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General * In-Kind Received President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Figmints, Inc. Date of Disbursement 163 Exchange St M M / D D / Y Y Y Y Mailing Address 03 24 2015 Unit 101 City State Zip Code Pawtucket RI 02860-2241 Transaction ID : VQZ639PZK76 Purpose of Disbursement Fundraising, Website Design Amount of Each Disbursement this Period Candidate Name Category/ Type 4760.00 , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 4843.00 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082118 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 37 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Figmints, LLC Date of Disbursement 163 Exchange St M M / D D / Y Y Y Y Mailing Address 02 26 2015 Unit 101 City State Zip Code Transaction ID : VQZ639PZK34 Pawtucket RI 02860-2241 Purpose of Disbursement Fundraising, Website Design Amount of Each Disbursement this Period Candidate Name Category/ 5240.00 Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Figmints, LLC Date of Disbursement M M / D D / Y Y Y Y Mailing Address 163 Exchange St 02 26 2015 Unit 101 City State Zip Code Transaction ID : VQZ639PZK42 Pawtucket RI 02860-2241 Purpose of Disbursement Fundraising, Website Design Amount of Each Disbursement this Period Candidate Name Category/ 4760.00 Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Figmints, LLC Date of Disbursement 163 Exchange St M M / D D / Y Y Y Y Mailing Address 05 27 2015 Unit 101 City State Zip Code Pawtucket RI 02860-2241 Transaction ID : VQZ639PZK50 Purpose of Disbursement Fundraising, Website Design Amount of Each Disbursement this Period Candidate Name Category/ Type 820.80 , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 10820.80 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082119 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 38 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Figmints, LLC Date of Disbursement 163 Exchange St M M / D D / Y Y Y Y Mailing Address 06 17 2015 Unit 101 City State Zip Code Transaction ID : VQZ639PZK68 Pawtucket RI 02860-2241 Purpose of Disbursement Fundraising, Website Design Amount of Each Disbursement this Period Candidate Name Category/ 537.50 Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Brian Heller Date of Disbursement M M / D D / Y Y Y Y Mailing Address 200 Olney St 03 17 2015 City State Zip Code Transaction ID : VQZ639PZJR8 Providence RI 02906-1657 Purpose of Disbursement Recording Studio rental Amount of Each Disbursement this Period Candidate Name Category/ 500.00 Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Debbie Rich Date of Disbursement 671 Orleans Ct M M / D D / Y Y Y Y Mailing Address 04 22 2015 City State Zip Code Warwick RI 02886-1712 Transaction ID : VQZ639PZJP2 Purpose of Disbursement Communications and scheduling services Amount of Each Disbursement this Period Candidate Name Category/ Type 2000.00 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 3037.50 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082120 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 39 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Debbie Rich Date of Disbursement 671 Orleans Ct M M / D D / Y Y Y Y Mailing Address 05 21 2015 City State Zip Code Transaction ID : VQZ639PZJT3 Warwick RI 02886-1712 Purpose of Disbursement Communications and scheduling services Amount of Each Disbursement this Period Candidate Name Category/ 2000.00 Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Debbie Rich Date of Disbursement M M / D D / Y Y Y Y Mailing Address 671 Orleans Ct 06 23 2015 City State Zip Code Transaction ID : VQZ639PZJY5 Warwick RI 02886-1712 Purpose of Disbursement Communications and scheduling services Amount of Each Disbursement this Period Candidate Name Category/ 4000.00 Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Jonathan Stevens Date of Disbursement 29 Windsor Rd M M / D D / Y Y Y Y Mailing Address 02 27 2015 City State Zip Code Cranston RI 02905-3724 Transaction ID : VQZ639PZJN4 Purpose of Disbursement Campaign Management consulting Amount of Each Disbursement this Period Candidate Name Category/ Type 6000.00 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 12000.00 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082121 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 40 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Jonathan Stevens Date of Disbursement 29 Windsor Rd M M / D D / Y Y Y Y Mailing Address 03 23 2015 City State Zip Code Transaction ID : VQZ639PZJQ0 Cranston RI 02905-3724 Purpose of Disbursement Campaign Management consulting Amount of Each Disbursement this Period Candidate Name Category/ 7500.00 Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Jonathan Stevens Date of Disbursement M M / D D / Y Y Y Y Mailing Address 29 Windsor Rd 04 29 2015 City State Zip Code Transaction ID : VQZ639PZJV1 Cranston RI 02905-3724 Purpose of Disbursement Campaign Management consulting Amount of Each Disbursement this Period Candidate Name Category/ 7500.00 Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Jonathan Stevens Date of Disbursement 29 Windsor Rd M M / D D / Y Y Y Y Mailing Address 04 29 2015 City State Zip Code Cranston RI 02905-3724 Transaction ID : VQZ639PZJZ3 Purpose of Disbursement office supplies Amount of Each Disbursement this Period Candidate Name Category/ Type 116.90 , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 15116.90 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082122 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 41 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. Jonathan Stevens Date of Disbursement 29 Windsor Rd M M / D D / Y Y Y Y Mailing Address 06 01 2015 City State Zip Code Transaction ID : VQZ639PZJX7 Cranston RI 02905-3724 Purpose of Disbursement Campaign Management consulting Amount of Each Disbursement this Period Candidate Name Category/ 7500.00 Type , , . 2016 V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. Stripe Inc Date of Disbursement M M / D D / Y Y Y Y Mailing Address 3180 18th St 06 30 2015 City State Zip Code Transaction ID : VQZ639PZMX3 San Francisco CA 94110-2043 Purpose of Disbursement Website donation fees Amount of Each Disbursement this Period Candidate Name Category/ 716.56 Type , , . V V V Office Sought: House Disbursement For: 2016 Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. The Discovery Group, LLC Date of Disbursement 1145 Main St M M / D D / Y Y Y Y Mailing Address 03 09 2015 Ste 3 City State Zip Code Pawtucket RI 02860-4807 Transaction ID : VQZ639PZK01 Purpose of Disbursement rent Amount of Each Disbursement this Period Candidate Name Category/ Type 300.00 , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 8516.56 W V V V , , . Total This Period (last page this line number only)) ............................................................... W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082123 FOR LINE NUMBER: PAGE OF SCHEDULE B±P PAGE 42 / 46 Use separate schedule(s) (check only one) ITEMIZED DISBURSEMENTS for each category of the 23 24 25 26 27a Detailed Summary Page 27b 28a 28b 28c 29 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Chafee 2016 Full Name (Last, First, Middle Initial) A. The Discovery Group, LLC Date of Disbursement 1145 Main St M M / D D / Y Y Y Y Mailing Address 05 05 2015 Ste 3 City State Zip Code Transaction ID : VQZ639PZK19 Pawtucket RI 02860-4807 Purpose of Disbursement rent Amount of Each Disbursement this Period Candidate Name Category/ 300.00 Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) B. The Discovery Group, LLC Date of Disbursement M M / D D / Y Y Y Y Mailing Address 1145 Main St 06 09 2015 Ste 3 City State Zip Code Transaction ID : VQZ639PZK27 Pawtucket RI 02860-4807 Purpose of Disbursement rent Amount of Each Disbursement this Period Candidate Name Category/ 300.00 Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Full Name (Last, First, Middle Initial) C. Date of Disbursement M M / D D / Y Y Y Y Mailing Address City State Zip Code Purpose of Disbursement Amount of Each Disbursement this Period Candidate Name Category/ Type , , . V V V Office Sought: House Disbursement For: Senate Primary General President Other (specify) W State: District: Subtotal Of Receipts This Page (optional)............................................................................... 600.00 W V V V , , . Total This Period (last page this line number only)) ............................................................... 63653.79 W , , . V V V FEC Schedule B±P (Form 3P) (Rev. 03/2011)
Image# 201507109000082124 SCHEDULE C±P PAGE OF PAGE 43 / 46 Use separate schedule(s) for each category of LOANS the Detailed Summary Page FOR LINE NUMBER: (check only one) 19a 19b NAME OF COMMITTEE (In Full) Transaction ID : VR05BAS1C13L Chafee 2016 LOAN SOURCE Full Name (Last, First, Middle Initial) Election: 2016 Lincoln Chafee Primary General Mailing Address Other (specify) PO Box 7328 W City State ZIP Code Warwick RI 02887-7328 Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period 163694.14 0.00 163694.14 , , . , , . , , . V V V V V V V V V TERMS Date Incurred Date Due Interest Rate Secured: M M / D D / Y Y Y Y M M / D D / Y Y Y Y none 01 09 2015 none . % (apr) Yes No V List All Endorsers or Guarantors (if any) to Loan Source 1. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 2. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 3. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 4. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V Subtotal Of Receipts This Page (optional) ........................................................................ 163694.14 W V V V , , . Total This Period (last page this line number only) ......................................................... W , , . V V V Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary. FEC Schedule C±P (Form 3P) (Revised 03/2011)
Image# 201507109000082125 PAGE 44 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SC/12 Transaction ID : VR05BAS1C13L Loan from personal funds for campaign use Form/Schedule: Transaction ID:
Image# 201507109000082126 SCHEDULE C±P PAGE OF PAGE 45 / 46 Use separate schedule(s) for each category of LOANS the Detailed Summary Page FOR LINE NUMBER: (check only one) 19a 19b NAME OF COMMITTEE (In Full) Transaction ID : VR05BAS1C39L Chafee 2016 LOAN SOURCE Full Name (Last, First, Middle Initial) Election: 2016 Lincoln Chafee Primary General Mailing Address Other (specify) PO Box 7328 W City State ZIP Code Warwick RI 02887-7328 Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period 200000.00 0.00 200000.00 , , . , , . , , . V V V V V V V V V TERMS Date Incurred Date Due Interest Rate Secured: M M / D D / Y Y Y Y M M / D D / Y Y Y Y none 06 19 2015 none . % (apr) Yes No V List All Endorsers or Guarantors (if any) to Loan Source 1. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 2. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 3. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V 4. Full Name (Last, First, Middle Initial) Name of Employer Mailing Address Occupation Amount City State ZIP Code Guaranteed , , . Outstanding: V V V Subtotal Of Receipts This Page (optional) ........................................................................ 200000.00 W V V V , , . Total This Period (last page this line number only) ......................................................... 363694.14 W , , . V V V Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary. FEC Schedule C±P (Form 3P) (Revised 03/2011)
Image# 201507109000082127 PAGE 46 / 46 )(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21 Form/Schedule: SC/12 Transaction ID : VR05BAS1C39L Personal Loan for campaign use Form/Schedule: Transaction ID: