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)