Fec Form 3p - Report Of Receipts And Disbursements Page 9
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16PAGE
OF
FOR LINE NUMBER:
SCHEDULE A-P
Use separate schedule(s)
(check only one)
for each category of the
ITEMIZED RECEIPTS
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)
A.
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
,
,
.
▲
▲
▲
Receipt For:
Election Cycle-to-Date ▼
Memo Item
Primary
General
,
,
.
Other (specify)
▼
▲
▲
▲
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
,
,
.
▲
▲
▲
Receipt For:
Election Cycle-to-Date
Memo Item
▼
Primary
General
,
,
.
Other (specify)
▼
▲
▲
▲
C.
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
,
,
.
▲
▲
▲
Receipt For:
Election Cycle-to-Date
▼
Memo Item
Primary
General
,
,
.
Other (specify)
▼
▲
▲
▲
Subtotal Of Receipts This Page (optional
)...............................................................................
,
,
.
▲
▲
▲
Total This Period (last page this line number only) ........................................................
,
,
.
▲
▲
▲
FEC Schedule A–P (Form 3P) (Rev. 05/2016)
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