Schedule E (Fec Form 3x) - Itemized Independent Expenditures

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SCHEDULE E (FEC Form 3X)
ITEMIZED INDEPENDENT EXPENDITURES
PAGE
OF
FOR LINE 24 OF FORM 3X
NAME OF COMMITTEE (In Full)
FEC IDENTIFICATION NUMBER ▼
C
M
M
/
D
D
/
Y
Y
Y
Y
Check if
24-hour report
48-hour report
New report
Amends report filed on
Full Name of Payee
Date of Public Distribution/Dissemination
Memo Item
M
M
/
D
D
/
Y
Y
Y
Y
Mailing Address
Amount
,
,
.
City
State
Zip Code
▲
▲
▲
Date of Disbursement or Obligation
Purpose of Expenditure
Category/
M
M
/
D
D
/
Y
Y
Y
Y
Type
Name of Federal Candidate:
Support
Office Sought:
House
District:
Oppose
President
Senate
State:
Disbursement For:
Primary
General
Calendar Year-To-Date
,
,
.
Per Election for Office Sought
▲
▲
▲
Other (specify)
Date of Public Distribution/Dissemination
Full Name of Payee
Memo Item
M
M
/
D
D
/
Y
Y
Y
Y
Mailing Address
Amount
,
,
.
City
State
Zip Code
▲
▲
▲
Date of Disbursement or Obligation
Purpose of Expenditure
Category/
M
M
/
D
D
/
Y
Y
Y
Y
Type
Name of Federal Candidate:
Support
Office Sought:
House
District:
Oppose
President
Senate
State:
Disbursement For:
Primary
General
Calendar Year-To-Date
,
,
.
Per Election for Office Sought
▲
▲
▲
Other (specify)
,
,
.
(a) SUBTOTAL of Itemized Independent Expenditures ..............................................................
▲
▲
▲
,
,
.
(b) SUBTOTAL of Unitemized Independent Expenditures ..........................................................
▲
▲
▲
,
,
.
(c) TOTAL Independent Expenditures ........................................................................................
▲
▲
▲
Under penalty of perjury I certify that the independent expenditures reported herein were not made in cooperation, consultation, or concert
with, or at the request or suggestion of, any candidate or authorized committee or agent of either, or (if the reporting entity is not a political
party committee) any political party committee or its agent.
M
M
/
D
D
/
Y
Y
Y
Y
Date
Signature
FEC Schedule E (Form 3X) Rev. 05/2016

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