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REPORT OF RECEIPTS
AND DISBURSEMENTS

FEC
FORM 3X

For Other Than An Authorized Committee


Office Use Only

1.

TYPE OR PRINT

NAME OF
COMMITTEE (in full)

Example: If typing, type


over the lines.

12FE4M5

Black Conservatives Fund

PO Box 1491

ADDRESS (number and street)


Check if different
than previously
reported. (ACC)
2.

VA

Annandale

CITY

FEC IDENTIFICATION NUMBER

4. TYPE OF REPORT

(b) Monthly
Report
Due On:

(Choose One)
(a)

STATE

3. IS THIS
REPORT

C00560599

22003

NEW
(N)

ZIP CODE
AMENDED
(A)

OR

Nov 20 (M11)

Feb 20 (M2)

May 20 (M5)

Aug 20 (M8)

Mar 20 (M3)

Jun 20 (M6)

Sep 20 (M9)

Dec 20 (M12)

Apr 20 (M4)

Jul 20 (M7)

Oct 20 (M10)

Jan 31 (YE)

(Non-Election
Year Only)
(Non-Election
Year Only)

Quarterly Reports:
April 15
Quarterly Report (Q1)

(c)

12-Day
PRE-Election
Report for the:

July 15
Quarterly Report (Q2)

Primary (12P)

General (12G)

Convention (12C)

Special (12S)

Runoff (12R)

October 15
Quarterly Report (Q3)
M

January 31
Year-End Report (YE)

in the
State of

Election on

July 31 Mid-Year
Report (Non-election
Year Only) (MY)

(d)

30-Day
POST-Election
Report for the:

General (30G)

Termination Report
(TER)

Runoff (30R)

Special (30S)

in the
State of

Election on
M

5.

Covering Period

01

01

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.
Type or Print Name of Treasurer

Signature of Treasurer

Patrick Krason

Patrick Krason

[Electronically Filed]

Date

07

31

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.

Office
Use
Only
FE6AN026

FEC FORM 3X
Rev. 12/2004

Image# 201507319000554335

SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS

Page 2

FEC Form 3X (Rev. 02/2003 )


Write or Type Committee Name

Black Conservatives Fund


M

Report Covering the Period:

01

From:

01

2015

To:

COLUMN A
This Period
6.

(a) Cash on Hand


January 1,

30

2015

126585.69

281080.49

142426.70

138653.79

2015

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

126585.69

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


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

281080.49

7.

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

142426.70

8.

Cash on Hand at Close of


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

138653.79

Debts and Obligations Owed TO


the Committee (Itemize all on
Schedule C and/or Schedule D) ................

0.00

10. Debts and Obligations Owed BY


the Committee (Itemize all on
Schedule C and/or Schedule D) ................

0.00

154494.80

154494.80

.
.

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

For further information contact:


Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100

FE6AN026

COLUMN B
Calendar Year-to-Date

(b) Cash on Hand at


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

9.

06

.
.
.
.

Image# 201507319000554336

DETAILED SUMMARY PAGE


of Receipts

FEC Form 3X (Rev. 06/2004 )

Page 3

Write or Type Committee Name

Black Conservatives Fund


M

Report Covering the Period:

From:

01

01

2015

To:

COLUMN A
Total This Period

I. Receipts
11. Contributions (other than loans) From:
(a) Individuals/Persons Other
Than Political Committees
(i) Itemized (use Schedule A) ............

30

2015

COLUMN B
Calendar Year-to-Date

,
,
,
,
,

,
,
,
,
,

.
99504.95
.
126585.69
.
0.00
.
.0.00

126585.69

,
,

0.00

06

,
,
,
,
,

,
,
,
,
,

.
99504.95
.
126585.69
.
.0.00
.0.00

126585.69

.
0.00
.

,
,

0.00

,
,

.0.00

0.00

27080.74

27080.74

(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) .............................

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

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

0.00

.0.00

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

0.00

0.00

126585.69

126585.69

126585.69

126585.69

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) .........

FE6AN026

.
.0.00

.
.
.
.
.

.
.

Image# 201507319000554337

DETAILED SUMMARY PAGE


of Disbursements

FEC Form 3X (Rev. 02/2003 )

II. Disbursements
21. Operating Expenditures:
(a) Allocated Federal/Non-Federal
Activity (from Schedule H4)
(i) Federal Share .............................

,
,

.0.00
.0.00

,
,
,
,
,

,
,
,
,
,

.0.00
.0.00
.0.00
0.00
.
0.00
.

,
,
,

,
,
,

.
0.00
.
0.00
.

,
,
,

0.00

.
0.00
.
0.00
.

,
,
,

0.00

142426.70

,
,
,

0.00

,
,
,

0.00

142426.70

142426.70

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)...................................

23.
24.
25.

(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) ..............................................

FE6AN026

COLUMN B
Calendar Year-to-Date

,
,

(ii) Non-Federal Share......................


(b) Other Federal Operating
Expenditures .......................................
(c) Total Operating Expenditures
(add 21(a)(i), (a)(ii), and (b)) .............
Transfers to Affiliated/Other Party
Committees .................................................
Contributions to
Federal Candidates/Committees
and Other Political Committees .................
Independent Expenditures
(use Schedule E) .......................................
Coordinated Party Expenditures
(2 U.S.C. 441a(d))
(use Schedule F)........................................

22.

Page 4

COLUMN A
Total This Period

,
,

,
,

.
0.00
.

,
,
,
,
,

,
,
,
,
,

.
0.00
.
0.00
.
0.00
.
.0.00

,
,
,

,
,
,

.
0.00
.
0.00
.

,
,
,

0.00

,
,
,

0.00

142426.70

.
0.00
.
0.00
.

,
,
,

,
,
,

.0.00
.0.00
.0.00

0.00

0.00

0.00

0.00

0.00

.
0.00
.
0.00
.
.
.

142426.70

142426.70

Image# 201507319000554338

DETAILED SUMMARY PAGE


FEC Form 3X (Rev. 02/2003 )

of Disbursements

III. Net Contributions/Operating Expenditures


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) ................

FE6AN026

Page 5

COLUMN A
Total This Period

COLUMN B
Calendar Year-to-Date

126585.69

,
,
,
,

,
,
,
,

.
126585.69
.
0.00
.
0.00
.

0.00

0.00

126585.69

,
,
,
,

,
,
,
,

.
126585.69
.
.0.00
0.00
.

0.00

0.00

Image# 201507319000554339

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02
09
2015
Transaction ID : SA11AI.29952

22505 East Ave N

Zip Code
85226

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Simon Allen

Date of Receipt

Mailing Address

City

State
AZ

Chandler

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02

22505 East Ave N

Zip Code

12

2015

Transaction ID : SA11AI.29817
Amount of Each Receipt this Period

85226

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85226

14

2015

Transaction ID : SA11AI.29776

Amount of Each Receipt this Period

100.00

,
,

,
,

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

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

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

FE6AN026

02

22505 East Ave N

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554340

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02
18
2015
Transaction ID : SA11AI.29662

22505 East Ave N

Zip Code
85226

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Simon Allen

Date of Receipt

Mailing Address

City

State
AZ

Chandler

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02

22505 East Ave N

Zip Code

23

2015

Transaction ID : SA11AI.29473
Amount of Each Receipt this Period

85226

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

750.00

Full Name (Last, First, Middle Initial)

C. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85226

12

2015

Transaction ID : SA11AI.27975

Amount of Each Receipt this Period

50.00

,
,

,
,

400.00

Contribution

Occupation

Aggregate Year-to-Date
General

800.00

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

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

FE6AN026

03

22505 East Ave N

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554341

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
19
2015
Transaction ID : SA11AI.27181

22505 East Ave N

Zip Code
85226

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

900.00

Full Name (Last, First, Middle Initial)

B. Simon Allen

Date of Receipt

Mailing Address

City

State
AZ

Chandler

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

22505 East Ave N

Zip Code

12

2015

Transaction ID : SA11AI.26689
Amount of Each Receipt this Period

85226

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

950.00

Full Name (Last, First, Middle Initial)

C. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85226

12

2015

Transaction ID : SA11AI.25946

Amount of Each Receipt this Period

50.00

,
,

,
,

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

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

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

FE6AN026

05

22505 East Ave N

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554342

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Simon Allen

Date of Receipt

Mailing Address

City
Chandler

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
26
2015
Transaction ID : SA11AI.25671

22505 East Ave N

Zip Code
85226

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

1100.00

Full Name (Last, First, Middle Initial)

B. Simon Allen

Date of Receipt

Mailing Address

City

State
AZ

Chandler

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

22505 East Ave N

Zip Code

12

2015

Transaction ID : SA11AI.25417
Amount of Each Receipt this Period

85226

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

1150.00

Full Name (Last, First, Middle Initial)

C. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76848

20

2015

Transaction ID : SA11AI.27123

Amount of Each Receipt this Period

25.00

,
,

,
,

175.00

Contribution

Occupation

Aggregate Year-to-Date
General

205.00

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

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

FE6AN026

03

P.O.Box 5005

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554343

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 10 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
28
2015
Transaction ID : SA11AI.26910

P.O.Box 5005

Zip Code
76848

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

230.00

Full Name (Last, First, Middle Initial)

B. Wells Allen

Date of Receipt

Mailing Address

City

State
TX

Hext

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

P.O.Box 5005

Zip Code

31

2015

Transaction ID : SA11AI.26859
Amount of Each Receipt this Period

76848

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

245.00

Full Name (Last, First, Middle Initial)

C. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76848

16

2015

Transaction ID : SA11AI.26544

Amount of Each Receipt this Period

50.00

,
,

,
,

90.00

Contribution

Occupation

Aggregate Year-to-Date
General

295.00

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

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

FE6AN026

04

P.O.Box 5005

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554344

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 11 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
30
2015
Transaction ID : SA11AI.26143

P.O.Box 5005

Zip Code
76848

Amount of Each Receipt this Period

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

310.00

Full Name (Last, First, Middle Initial)

B. Wells Allen

Date of Receipt

Mailing Address

City

State
TX

Hext

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

P.O.Box 5005

Zip Code

13

2015

Transaction ID : SA11AI.25936
Amount of Each Receipt this Period

76848

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

335.00

Full Name (Last, First, Middle Initial)

C. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76848

21

2015

Transaction ID : SA11AI.25771

Amount of Each Receipt this Period

50.00

,
,

,
,

90.00

Contribution

Occupation

Aggregate Year-to-Date
General

385.00

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

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

FE6AN026

05

P.O.Box 5005

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554345

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 12 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
31
2015
Transaction ID : SA11AI.25595

P.O.Box 5005

Zip Code
76848

Amount of Each Receipt this Period

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

B. Wells Allen

Date of Receipt

Mailing Address

City

State
TX

Hext

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

P.O.Box 5005

Zip Code

17

2015

Transaction ID : SA11AI.25310
Amount of Each Receipt this Period

76848

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

425.00

Full Name (Last, First, Middle Initial)

C. Wells Allen

Date of Receipt

Mailing Address

City
Hext

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76848

30

2015

Transaction ID : SA11AI.24905

Amount of Each Receipt this Period

15.00

,
,

,
,

55.00

Contribution

Occupation

Aggregate Year-to-Date
General

440.00

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

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

FE6AN026

06

P.O.Box 5005

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554346

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 13 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Estrada Anne

Georgia, Not CA

Date of Receipt

Mailing Address

City
Santa Monica

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
07
2015
Transaction ID : SA11AI.28907

2001 old Alpharetta rd

Zip Code
90402

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Estrada Anne

Date of Receipt

Mailing Address

City

State
CA

Santa Monica

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

2001 old Alpharetta rd

Zip Code

07

2015

Transaction ID : SA11AI.26730
Amount of Each Receipt this Period

90402

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

C. Estrada Anne

Date of Receipt

Mailing Address

City
Santa Monica

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90402

07

2015

Transaction ID : SA11AI.26034

Amount of Each Receipt this Period

100.00

,
,

,
,

300.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

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

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

FE6AN026

05

2001 old Alpharetta rd

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554347

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 14 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Estrada Anne

Date of Receipt

Mailing Address

City
Santa Monica

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
90402

Amount of Each Receipt this Period

Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
07
2015
Transaction ID : SA11AI.25485

2001 old Alpharetta rd

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

600.00

Full Name (Last, First, Middle Initial)

B. Fodor Barbara

Date of Receipt

Mailing Address

City

State
CA

Los Angeles

FEC ID number of contributing


federal political committee.

Zip Code

23

2015

Transaction ID : SA11AI.27054
Amount of Each Receipt this Period

90067

Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

1740 Zion Hill Rd

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

Not full name

C. L Barbara

Date of Receipt

Mailing Address

City
San Antonio

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
78260

19

2015

Transaction ID : SA11AI.26412

Amount of Each Receipt this Period

250.00

,
,

,
,

600.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

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

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

FE6AN026

04

2425 Kings Highway

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554348

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 15 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. mitchell bernard

Date of Receipt

Mailing Address

Not in Nebraska

1607 SE Boone Trail

City
rincon de guayabitos

State
NE

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
20
2015
Transaction ID : SA11AI.25781

Zip Code
63729

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. mitchell bernard

Date of Receipt

Mailing Address

City

State
NE

rincon de guayabitos

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

1607 SE Boone Trail

Zip Code

20

2015

Transaction ID : SA11AI.25237
Amount of Each Receipt this Period

63729

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. sweet bob

Date of Receipt

Mailing Address

City
homosassa

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
34446

24

2015

Transaction ID : SA11AI.25705

Amount of Each Receipt this Period

.5.00

,
,

,
,

105.00

Contribution

Occupation

Aggregate Year-to-Date
General

205.00

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

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

FE6AN026

05

2 Meridian Point Circle

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554349

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 16 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. sweet bob

Date of Receipt

Mailing Address

City
homosassa

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
27
2015
Transaction ID : SA11AI.25648

2 Meridian Point Circle

Zip Code
34446

Amount of Each Receipt this Period

10.00

Contribution

Occupation

Aggregate Year-to-Date
General

215.00

Full Name (Last, First, Middle Initial)

B. sweet bob

Date of Receipt

Mailing Address

City

State
FL

homosassa

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

2 Meridian Point Circle

Zip Code

29

2015

Transaction ID : SA11AI.25622
Amount of Each Receipt this Period

34446

10.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

C. sweet bob

Date of Receipt

Mailing Address

City
homosassa

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
34446

04

2015

Transaction ID : SA11AI.25534

Amount of Each Receipt this Period

.5.00

,
,

,
,

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

230.00

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

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

FE6AN026

06

2 Meridian Point Circle

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554350

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 17 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. sweet bob

Date of Receipt

Mailing Address

City
homosassa

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
24
2015
Transaction ID : SA11AI.25129

2 Meridian Point Circle

Zip Code
34446

Amount of Each Receipt this Period

43.43

Contribution

Occupation

Aggregate Year-to-Date
General

273.43

Full Name (Last, First, Middle Initial)

B. Battles Brenton

Date of Receipt

Mailing Address

City

State
OR

Grants Pass

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

29

2015

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)

250.00

Not in Colorado, in
Arkansas

Mailing Address
City
Littleton

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer

Date of Receipt
M

06

8084 Ozark Ridge Dr.

Zip Code
80120

28

2015

Transaction ID : SA11AI.24957

Amount of Each Receipt this Period

250.00

,
,

,
,

543.43

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

Transaction ID : SA11AI.26171
Amount of Each Receipt this Period

97527

C. Hoffman Carol

Receipt For: 2016


Primary
Other (specify)

04

P O Box 100

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554351

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 18 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Casperson Carolina

Albequerque, NM, not


NY

Mailing Address
8804 Camino Osito NE

City
Briarcliff Manor

State
NY

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
10510

Date of Receipt
M

02
13
2015
Transaction ID : SA11AI.29802

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

B. Casperson Carolina

Date of Receipt

Mailing Address

City

State
NY

Briarcliff Manor

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02

8804 Camino Osito NE

Zip Code

23

2015

Transaction ID : SA11AI.29498
Amount of Each Receipt this Period

10510

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Casperson Carolina

Date of Receipt

Mailing Address

City
Briarcliff Manor

State
NY

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
10510

26

2015

Transaction ID : SA11AI.29183

Amount of Each Receipt this Period

50.00

,
,

,
,

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

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

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

FE6AN026

02

8804 Camino Osito NE

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554352

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 19 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Casperson Carolina

Date of Receipt

Mailing Address

City
Briarcliff Manor

State
NY

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
26
2015
Transaction ID : SA11AI.26961

8804 Camino Osito NE

Zip Code
10510

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

B. Ross Charles

Date of Receipt

Mailing Address

In Bourne, TX, not


ARZip Code

326 Chaparrql Creek Dr.

City

State
AR

Arkadelphia

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

71923

04

19

2015

Transaction ID : SA11AI.26430
Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

C. Ross Charles

Date of Receipt

Mailing Address

City
Arkadelphia

State
AR

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
71923

19

2015

Transaction ID : SA11AI.25842

Amount of Each Receipt this Period

25.00

,
,

,
,

150.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

05

326 Chaparrql Creek Dr.

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554353

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 20 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Ross Charles

Date of Receipt

Mailing Address

City
Arkadelphia

State
AR

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
26
2015
Transaction ID : SA11AI.25672

326 Chaparrql Creek Dr.

Zip Code
71923

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Ross Charles

Date of Receipt

Mailing Address

City

State
AR

Arkadelphia

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

326 Chaparrql Creek Dr.

Zip Code

19

2015

Transaction ID : SA11AI.25272
Amount of Each Receipt this Period

71923

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

325.00

Full Name (Last, First, Middle Initial)

C. wasson charles

Date of Receipt

Mailing Address
7015 Sugar Maple Ct

City
Orchard Lake

MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Roanoke, VA, not


StateMI
Zip Code

18

2015

Transaction ID : SA11AI.25846

48323

Amount of Each Receipt this Period

50.00

,
,

,
,

125.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

05

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554354

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 21 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. wasson charles

Date of Receipt

Mailing Address

City
Orchard Lake

State
MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
48323

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

3100 SW 15thST

City

State
CA

San Francisco

FEC ID number of contributing


federal political committee.
Name of Employer

300.00

No SW 15th in SF, but


Date of Receipt
there is one in Deerfield
M
M
/
D
D
Beach, FL
03
10

Mailing Address

Zip Code

2015

Transaction ID : SA11AI.28409
Amount of Each Receipt this Period

94123

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

Mailing Address
2317 Sul Ross

City
Biloxi

State
MS

FEC ID number of contributing


federal political committee.
Name of Employer

250.00

Name incomplete,
address is in
Houston, TX not
Biloxi,
Zip
Code MS

Full Name (Last, First, Middle Initial)

C. Brookd D

39531

Date of Receipt
M

04

12

2015

Transaction ID : SA11AI.26682

Amount of Each Receipt this Period

500.00

,
,

,
,

800.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

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

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

FE6AN026

Full Name (Last, First, Middle Initial)

Receipt For: 2016


Primary
Other (specify)

Amount of Each Receipt this Period

B. callander clark

Receipt For: 2016


Primary
Other (specify)

06
18
2015
Transaction ID : SA11AI.25291

7015 Sugar Maple Ct

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554355

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 22 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Anderson Dale

Date of Receipt

Mailing Address

City
Virginia Beach

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
31
2015
Transaction ID : SA11AI.26871

P.O. Box 2255

Zip Code
23457

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Anderson Dale

Date of Receipt

Mailing Address

City

State
VA

Virginia Beach

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

P.O. Box 2255

Zip Code

30

2015

Transaction ID : SA11AI.26149
Amount of Each Receipt this Period

23457

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

C. Anderson Dale

Date of Receipt

Mailing Address

City
Virginia Beach

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
23457

31

2015

Transaction ID : SA11AI.25599

Amount of Each Receipt this Period

100.00

,
,

,
,

300.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

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

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

FE6AN026

05

P.O. Box 2255

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554356

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 23 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Anderson Dale

Date of Receipt

Mailing Address

City
Virginia Beach

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
30
2015
Transaction ID : SA11AI.24917

P.O. Box 2255

Zip Code
23457

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

600.00

Full Name (Last, First, Middle Initial)

B. Hellriegel Daniel

Date of Receipt

Mailing Address
City

Bellevue WA, not


IL
State Inverness,
Zip Code

Inverness

IL

643 154th Ave SE

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

03

2015

Transaction ID : SA11AI.25569
Amount of Each Receipt this Period

60010

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Kingsley Daniel

Date of Receipt

Mailing Address
5477 Conway

City
Potomac
FEC ID number of contributing
federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

General

This Daniel
Kingsley, former
State
Zip Code
Nixon
admin
MD
20854
official? http://
www.nytimes.com/
C
1985/12/29/style/
Occupation
melissa-j-hortonweds-c-sAggregate Year-to-Date
banks.html ?

14

2015

Transaction ID : SA11AI.27653

Amount of Each Receipt this Period

1000.00

,
,

,
,

1350.00

Contribution

1000.00

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

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

FE6AN026

03

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554357

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 24 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Elliott David

Street address goes to


Savannah, GA

Date of Receipt

Mailing Address

City
Kaufman

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
75142

Amount of Each Receipt this Period

1000.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)

1000.00

Margate FL, not VA

B. Parkinson David
Mailing Address

Date of Receipt
M

City

State
VA

Orange

FEC ID number of contributing


federal political committee.
Name of Employer

02

4829 s hemingway cr

Receipt For: 2016


Primary
Other (specify)

02
02
2015
Transaction ID : SA11AI.30154

1510 Cedar Grove Plantation Dr

Zip Code

21

2015

Transaction ID : SA11AI.29530
Amount of Each Receipt this Period

22960

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

C. Leno Dennis

Date of Receipt

No address in
Fargo, ND

Mailing Address
325 Cherry Street

City
Fargo

State
ND

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
58104

05

2015

Transaction ID : SA11AI.28931

Amount of Each Receipt this Period

250.00

,
,

,
,

1750.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

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

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

FE6AN026

03

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554358

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 25 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Leno Dennis

Date of Receipt

Mailing Address

City
Fargo

State
ND

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
16
2015
Transaction ID : SA11AI.27571

325 Cherry Street

Zip Code
58104

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

Full Name (Last, First, Middle Initial)

B. Mariano Donna

Date of Receipt

Mailing Address
5082 Ephesians Lane

City
West Seneca

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Ephesians lane in
Langley,
State WA not
Zip Code
NY
14224
NY

05

26

2015

Transaction ID : SA11AI.25668
Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

235.00

Full Name (Last, First, Middle Initial)

C. Smith Edward

Date of Receipt

Mailing Address

City
Nashville

State
TN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
37215

26

2015

Transaction ID : SA11AI.27026

Amount of Each Receipt this Period

100.00

,
,

,
,

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

03

9820 Joe Kerr Road

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554359

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 26 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Breuer Elisabeth

Date of Receipt

Idaho, not TX

Mailing Address

City
Sugar Land

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
30
2015
Transaction ID : SA11AI.25604

1694 E.HAYDEN AVE.

Zip Code
77479

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Breuer Elisabeth

Date of Receipt

Mailing Address

City

State
TX

Sugar Land

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

1694 E.HAYDEN AVE.

Zip Code

30

2015

Transaction ID : SA11AI.24907
Amount of Each Receipt this Period

77479

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Farley Emerson

Date of Receipt

Mailing Address
5741 Central Avenue

City
fork union

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

no address in fork
union, va

Zip Code
23055

26

2015

Transaction ID : SA11AI.27024

Amount of Each Receipt this Period

100.00

,
,

,
,

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

03

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554360

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 27 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Farley Emerson

Date of Receipt

Mailing Address

City
fork union

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
03
2015
Transaction ID : SA11AI.25573

5741 Central Avenue

Zip Code
23055

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

B. Browning Frederick
Mailing Address

Date of Receipt

City

Not in Crossville,
StateTN
Zip Code

Crossville

TN

175 W Clark St

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

10

2015

Transaction ID : SA11AI.25433
Amount of Each Receipt this Period

38558

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. coughlan gary

Date of Receipt

Mailing Address

Hillsborough, CA

City
Naples

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
34102

18

2015

Transaction ID : SA11AI.26438

Amount of Each Receipt this Period

100.00

,
,

,
,

300.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

04

805 Darrell Road

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554361

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 28 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Hegge Ginny

Date of Receipt

Mailing Address
2204 Boxwood

City
Woodland Hills

Falls Church, VA
State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
19
2015
Transaction ID : SA11AI.25799

Zip Code
91364

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Hegge Ginny

Date of Receipt

Mailing Address

City

State
CA

Woodland Hills

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

2204 Boxwood

Zip Code

19

2015

Transaction ID : SA11AI.25256
Amount of Each Receipt this Period

91364

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Suessle Gladys

Date of Receipt

Cottonwood, AZ

Mailing Address

City
Beaufort

State
NC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
28516

18

2015

Transaction ID : SA11AI.29613

Amount of Each Receipt this Period

100.00

,
,

,
,

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

4010 E Vaquero Lane

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554362

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 29 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Suessle Gladys

Date of Receipt

Mailing Address

City
Beaufort

State
NC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
02
2015
Transaction ID : SA11AI.26118

4010 E Vaquero Lane

Zip Code
28516

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. King Harvey

Date of Receipt

Mailing Address
1237 S Forest Dr

City

State
HI

Kailua

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Arlington, VA

05

Zip Code

08

2015

Transaction ID : SA11AI.25996
Amount of Each Receipt this Period

96734

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

Full Name (Last, First, Middle Initial)

C. King Harvey

Date of Receipt

Mailing Address

City
Kailua

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
96734

15

2015

Transaction ID : SA11AI.25344

Amount of Each Receipt this Period

100.00

,
,

,
,

400.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

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

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

FE6AN026

06

1237 S Forest Dr

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554363

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 30 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Castillo Isabel
Mailing Address

see this listing for


Castillo, Isabel http://
flvoters.com/
by_number/1138/92681_i
sabel_castillo.html
different address

Date of Receipt
M

City
Punta Gorda

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
20
2015
Transaction ID : SA11AI.25777

302 N Second Sterrt

Zip Code
33982

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Castillo Isabel

Date of Receipt

Mailing Address

City

State
FL

Punta Gorda

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

302 N Second Sterrt

Zip Code

20

2015

Transaction ID : SA11AI.25231
Amount of Each Receipt this Period

33982

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. I James

Date of Receipt

Mailing Address
1301 Oak Ridge Pl

City
Westland

State
MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Enid, OK -- also
incomplete name

Zip Code

04

2015

Transaction ID : SA11AI.30118

Amount of Each Receipt this Period

250.00

,
,

,
,

350.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554364

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 31 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

Winfield, IL

A. Kirk James

Date of Receipt

Mailing Address

City
Fallbrook

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
13
2015
Transaction ID : SA11AI.27911

0N159 Windermere Rd

Zip Code
92028

Amount of Each Receipt this Period

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Ray James

Date of Receipt

Mailing Address

City

State
MO

Kansas City

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

5115 Wyandotte St Apt 1S

Zip Code

01

2015

Transaction ID : SA11AI.29128
Amount of Each Receipt this Period

64112

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Ray James

Date of Receipt

Mailing Address

City
Kansas City

State
MO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
64112

22

2015

Transaction ID : SA11AI.25199

Amount of Each Receipt this Period

500.00

,
,

,
,

1250.00

Contribution

Occupation

Aggregate Year-to-Date
General

750.00

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

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

FE6AN026

06

5115 Wyandotte St Apt 1S

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554365

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 32 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Reynolds Janet

Date of Receipt

Mailing Address

63 Dwyer Street

City
Idylllwild

West
Zip Code
92549

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Seneca, NY

05
26
2015
Transaction ID : SA11AI.25688

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

215.00

Full Name (Last, First, Middle Initial)

B. Shuff Janet

Date of Receipt

Mailing Address
City

No such address in
southlakeZipTX
State
Code

Southlake

TX

82 WestBay Drive

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

19

2015

Transaction ID : SA11AI.27214
Amount of Each Receipt this Period

76092

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76354

09

2015

Transaction ID : SA11AI.28706

Amount of Each Receipt this Period

25.00

,
,

,
,

125.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

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

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

FE6AN026

03

13697 WPA Road P.O. Box1205

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554366

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 33 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
19
2015
Transaction ID : SA11AI.27152

13697 WPA Road P.O. Box1205

Zip Code
76354

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Carter Jay

Date of Receipt

Mailing Address

City

State
TX

Burkburnett

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

13697 WPA Road P.O. Box1205

Zip Code

19

2015

Transaction ID : SA11AI.27238
Amount of Each Receipt this Period

76354

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76354

10

2015

Transaction ID : SA11AI.26711

Amount of Each Receipt this Period

50.00

,
,

,
,

125.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

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

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

FE6AN026

04

13697 WPA Road P.O. Box1205

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554367

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 34 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
12
2015
Transaction ID : SA11AI.26663

13697 WPA Road P.O. Box1205

Zip Code
76354

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

B. Carter Jay

Date of Receipt

Mailing Address

City

State
TX

Burkburnett

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

13697 WPA Road P.O. Box1205

Zip Code

19

2015

Transaction ID : SA11AI.26404
Amount of Each Receipt this Period

76354

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

425.00

Full Name (Last, First, Middle Initial)

C. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76354

19

2015

Transaction ID : SA11AI.25798

Amount of Each Receipt this Period

25.00

,
,

,
,

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

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

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

FE6AN026

05

13697 WPA Road P.O. Box1205

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554368

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 35 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Carter Jay

Date of Receipt

Mailing Address

City
Burkburnett

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
19
2015
Transaction ID : SA11AI.25254

13697 WPA Road P.O. Box1205

Zip Code
76354

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

475.00

Full Name (Last, First, Middle Initial)

B. Carter Jay

Date of Receipt

Mailing Address

City

State
TX

Burkburnett

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

13697 WPA Road P.O. Box1205

Zip Code

29

2015

Transaction ID : SA11AI.24929
Amount of Each Receipt this Period

76354

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

525.00

Full Name (Last, First, Middle Initial)

C. Schouweiler Jeanette
Mailing Address
662 Shady Hollow

City
Fort Wayne
FEC ID number of contributing
federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Date of Receipt

4501 Taylor Rd per


this
listing:
http://
State
Zip Code
IN www.city-data.com/
46804
allen-county-in/T/
C Taylor-Road-2.html

02

2015

Transaction ID : SA11AI.30147

Amount of Each Receipt this Period

250.00

,
,

,
,

325.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554369

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 36 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Sullivan Jeff

Date of Receipt

Mailing Address

City
downsville

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02
13
2015
Transaction ID : SA11AI.29781

PO Box 190

Zip Code
71234

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

280.41

Full Name (Last, First, Middle Initial)

B. Sullivan Jeff

Date of Receipt

Mailing Address

City

State
LA

downsville

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

PO Box 190

Zip Code

12

2015

Transaction ID : SA11AI.27990
Amount of Each Receipt this Period

71234

40.00

Contribution

Occupation

Aggregate Year-to-Date
General

320.41

Full Name (Last, First, Middle Initial)

C. Sullivan Jeff

Date of Receipt

Mailing Address

City
downsville

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
71234

17

2015

Transaction ID : SA11AI.27377

Amount of Each Receipt this Period

25.00

,
,

,
,

165.00

Contribution

Occupation

Aggregate Year-to-Date
General

345.41

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

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

FE6AN026

03

PO Box 190

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554370

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 37 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Sullivan Jeff

Date of Receipt

Mailing Address

City
downsville

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
12
2015
Transaction ID : SA11AI.26691

PO Box 190

Zip Code
71234

Amount of Each Receipt this Period

40.00

Contribution

Occupation

Aggregate Year-to-Date
General

385.41

Full Name (Last, First, Middle Initial)

B. Sullivan Jeff

Date of Receipt

Mailing Address

City

State
LA

downsville

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

PO Box 190

Zip Code

13

2015

Transaction ID : SA11AI.26594
Amount of Each Receipt this Period

71234

40.00

Contribution

Occupation

Aggregate Year-to-Date
General

425.41

Full Name (Last, First, Middle Initial)

C. Sullivan Jeff

Date of Receipt

Mailing Address

City
downsville

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
71234

15

2015

Transaction ID : SA11AI.26573

Amount of Each Receipt this Period

15.00

,
,

,
,

95.00

Contribution

Occupation

Aggregate Year-to-Date
General

440.41

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

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

FE6AN026

04

PO Box 190

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554371

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 38 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Sullivan Jeff

Date of Receipt

Mailing Address

City
downsville

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
12
2015
Transaction ID : SA11AI.25950

PO Box 190

Zip Code
71234

Amount of Each Receipt this Period

40.00

Contribution

Occupation

Aggregate Year-to-Date
General

480.41

Full Name (Last, First, Middle Initial)

B. Sullivan Jeff

Date of Receipt

Mailing Address

City

State
LA

downsville

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

PO Box 190

Zip Code

12

2015

Transaction ID : SA11AI.25422
Amount of Each Receipt this Period

71234

40.00

Contribution

Occupation

Aggregate Year-to-Date
General

520.41

Full Name (Last, First, Middle Initial)

C. gardner jeri

Date of Receipt

Mailing Address

Queens, NY

150-61 32nd Avenue

City
lexington

State
SC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
29072

07

2015

Transaction ID : SA11AI.26036

Amount of Each Receipt this Period

50.00

,
,

,
,

130.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

05

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554372

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 39 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. M Joan

Date of Receipt

Incomplete name

Mailing Address

City
Fort Myers

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
12
2015
Transaction ID : SA11AI.27951

P O BOX 5049

Zip Code
33912

Amount of Each Receipt this Period

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Erbey John

Date of Receipt

Mailing Address

Safford, AZ

City

State
FL

Jupiter

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

6949 Over the Hill Rd

Zip Code

2015

Transaction ID : SA11AI.26245
Amount of Each Receipt this Period

33468

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

21

250.00

More contribs here http://


www.campaignmoney.com/
political/contributions/johngoebel.asp?cycle=14

Full Name (Last, First, Middle Initial)

C. Goebel John

Date of Receipt

Mailing Address

Remington, IN

City
Lisle

State
IL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
60532

10

2015

Transaction ID : SA11AI.29906

Amount of Each Receipt this Period

100.00

,
,

,
,

700.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

5927 S Creekside Ct

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554373

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 40 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Goebel John

Date of Receipt

Mailing Address

City
Lisle

State
IL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
19
2015
Transaction ID : SA11AI.26395

5927 S Creekside Ct

Zip Code
60532

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

B. Goebel John

Date of Receipt

Mailing Address

City

State
IL

Lisle

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

5927 S Creekside Ct

Zip Code

13

2015

Transaction ID : SA11AI.25935
Amount of Each Receipt this Period

60532

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

Full Name (Last, First, Middle Initial)

C. Huntington John

Date of Receipt

Mailing Address

City
Battle Creek

State
MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
49017

13

2015

Transaction ID : SA11AI.25918

Amount of Each Receipt this Period

12.00

,
,

,
,

212.00

Contribution

Occupation

Aggregate Year-to-Date
General

210.00

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

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

FE6AN026

05

1510 S Kentucky St

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554374

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 41 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Huntington John

Date of Receipt

Mailing Address
1510 S Kentucky St

City
Battle Creek

Amarillo, TX
State
MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
13
2015
Transaction ID : SA11AI.25395

Zip Code
49017

Amount of Each Receipt this Period

12.00

Contribution

Occupation

Aggregate Year-to-Date
General

222.00

Full Name (Last, First, Middle Initial)

B. Walstad John

Date of Receipt

Philadelphia, PA

Mailing Address

City

State
FL

Leesburg

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

1109 Cottman Ave

Zip Code

06

2015

Transaction ID : SA11AI.26087
Amount of Each Receipt this Period

34748

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

C. Walstad John

Date of Receipt

Mailing Address

City
Leesburg

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
34748

19

2015

Transaction ID : SA11AI.25276

Amount of Each Receipt this Period

50.00

,
,

,
,

162.00

Contribution

Occupation

Aggregate Year-to-Date
General

275.00

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

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

FE6AN026

06

1109 Cottman Ave

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554375

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 42 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Listing for Wisotzkey in PA http://


www.city-data.com/york-county/V/
Villa-Terrace-1.html city and
Date of Receipt
address different

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wisotzkey John

Pulaski, TN

Mailing Address

City
York

State
PA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
17
2015
Transaction ID : SA11AI.27410

4525 Beech

Zip Code
17403

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Wisotzkey John

Date of Receipt

Mailing Address

City

State
PA

York

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

4525 Beech

Zip Code

19

2015

Transaction ID : SA11AI.27163
Amount of Each Receipt this Period

17403

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

C. Morse jON

Date of Receipt

Mailing Address

City
Westlake Village

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
91361

29

2015

Transaction ID : SA11AI.24931

Amount of Each Receipt this Period

25.00

,
,

,
,

225.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

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

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

FE6AN026

06

2527 Stephens Grant

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554376

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 43 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Perricone Joseph

Date of Receipt

Mailing Address
16856 Highland Valley Rd.

City
Newport Beach

Ramona, CA
State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
04
2015
Transaction ID : SA11AI.28987

Zip Code
92660

Amount of Each Receipt this Period

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Perricone Joseph

Date of Receipt

Mailing Address

City

State
CA

Newport Beach

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

16856 Highland Valley Rd.

Zip Code

10

2015

Transaction ID : SA11AI.28340
Amount of Each Receipt this Period

92660

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

C. Townsend Karen

Date of Receipt

Novi, MI

Mailing Address

City
Houston

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
77042

20

2015

Transaction ID : SA11AI.25788

Amount of Each Receipt this Period

50.00

,
,

,
,

550.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

05

25172 Sutton Ct

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554377

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 44 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Townsend Karen

Date of Receipt

Mailing Address

City
Houston

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
77042

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)


Mailing Address
1094 prospect place

City

State
FL

Naples

FEC ID number of contributing


federal political committee.
Name of Employer

300.00

Jon Isbell Trucking


in Vista, CA at this
address

B. Brown Larry

Receipt For: 2016


Primary
Other (specify)

06
20
2015
Transaction ID : SA11AI.25245

25172 Sutton Ct

Zip Code

Date of Receipt
M

02

06

2015

Transaction ID : SA11AI.30029
Amount of Each Receipt this Period

34110

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

C. M LEE

Date of Receipt

Mailing Address
2013 N. Silverleaf Pl

City
HAGATNA

State
GU

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Meridian, ID

Zip Code
96932

11

2015

Transaction ID : SA11AI.29864

Amount of Each Receipt this Period

250.00

,
,

,
,

550.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554378

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 45 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. M LEE

Date of Receipt

Mailing Address

City
HAGATNA

State
GU

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
12
2015
Transaction ID : SA11AI.26671

2013 N. Silverleaf Pl

Zip Code
96932

Amount of Each Receipt this Period

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Harter LeeAnn

Date of Receipt

Mailing Address
103 Helinda Lane

City

State
GA

Alpharetta

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Four Seasons, MO

05

Zip Code

09

2015

Transaction ID : SA11AI.25979
Amount of Each Receipt this Period

30534

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Harter LeeAnn

Date of Receipt

Mailing Address

City
Alpharetta

State
GA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
30534

09

2015

Transaction ID : SA11AI.25461

Amount of Each Receipt this Period

100.00

,
,

,
,

450.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

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

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

FE6AN026

06

103 Helinda Lane

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554379

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 46 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Pemberton Lewis

Date of Receipt

Mailing Address
3177 Melaleuca dr

City
Yukon

West Palm Beach .


FL State
Zip Code
OK

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
09
2015
Transaction ID : SA11AI.28632

73099

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Pemberton Lewis

Date of Receipt

Mailing Address

City

State
OK

Yukon

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

3177 Melaleuca dr

Zip Code

26

2015

Transaction ID : SA11AI.26982
Amount of Each Receipt this Period

73099

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C. Pemberton Lewis

Date of Receipt

Mailing Address

City
Yukon

State
OK

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
73099

26

2015

Transaction ID : SA11AI.26200

Amount of Each Receipt this Period

50.00

,
,

,
,

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

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

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

FE6AN026

04

3177 Melaleuca dr

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554380

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 47 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Pemberton Lewis

Date of Receipt

Mailing Address

City
Yukon

State
OK

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
26
2015
Transaction ID : SA11AI.25678

3177 Melaleuca dr

Zip Code
73099

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

B. Pemberton Lewis

Date of Receipt

Mailing Address

City

State
OK

Yukon

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

3177 Melaleuca dr

Zip Code

26

2015

Transaction ID : SA11AI.25077
Amount of Each Receipt this Period

73099

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

Full Name (Last, First, Middle Initial)

C. Daoud Lili

Date of Receipt

Mailing Address

Nashville, TN

City
Avon

State
CT

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
06001

20

2015

Transaction ID : SA11AI.29541

Amount of Each Receipt this Period

500.00

,
,

,
,

600.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

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

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

FE6AN026

02

1605 HAYNES MEADE CR.

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554381

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 48 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wayland Linda
Mailing Address

Aurora, IL - Alden Horizon Indep.


Senior Living
State
MD

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02
09
2015
Transaction ID : SA11AI.29966

2000 randi dr

City
Catonsville

Date of Receipt

Zip Code
21228

Amount of Each Receipt this Period

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Wayland Linda

Date of Receipt

Mailing Address

City

State
MD

Catonsville

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

03

2015

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)

500.00

Tallahassee, FL

Date of Receipt

Mailing Address

City
Springfield

State
MO

FEC ID number of contributing


federal political committee.
Name of Employer

01

5655 Jacksons Gap Road

Zip Code
65809

22

2015

Transaction ID : SA11AI.30376

Amount of Each Receipt this Period

1000.00

,
,

,
,

1500.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

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

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

FE6AN026

Transaction ID : SA11AI.29054
Amount of Each Receipt this Period

21228

C. Cook Loren

Receipt For: 2016


Primary
Other (specify)

03

2000 randi dr

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554382

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 49 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

2307 E US HWY 98 http://


www.manta.com/c/
mm43ldd/bornt-mary-cpa

A. Bornt Mary
Mailing Address
246 Heron Dr

City
Holtville

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
92250

Date of Receipt
M

03
13
2015
Transaction ID : SA11AI.27815

Amount of Each Receipt this Period

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Lane Merritt

Date of Receipt

Winchester, KS

Mailing Address

City

State
FL

Sebastian

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

12

2015

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

Mailing Address
15080 Wellman Road

City
Sebastian

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer

250.00

583 Birch Ct http://


www.peoplebyname.com/ Date of Receipt
M
M
/
D
D
people/Lane/Merritt
06
12

Full Name (Last, First, Middle Initial)

Zip Code
32958

2015

Transaction ID : SA11AI.25424

Amount of Each Receipt this Period

50.00

,
,

,
,

350.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

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

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

FE6AN026

Transaction ID : SA11AI.25951
Amount of Each Receipt this Period

32958

C. Lane Merritt

Receipt For: 2016


Primary
Other (specify)

05

15080 Wellman Road

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554383

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 50 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Cave Michael

Date of Receipt

Phoenix, AZ

Mailing Address

City
Silver Creek

State
NE

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
23
2015
Transaction ID : SA11AI.25145

2202 w palo verde dr.

Zip Code
68663

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

B. Thomas Michael

Date of Receipt

Ballwin, MO

Mailing Address

City

State
FL

Tampa

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

983 Claytonbrook Dr

Zip Code

15

2015

Transaction ID : SA11AI.25387
Amount of Each Receipt this Period

33626

35.00

Contribution

Occupation

Aggregate Year-to-Date
General

220.51

Full Name (Last, First, Middle Initial)

C. Willett Michael

Date of Receipt

Hollywood, MD

Mailing Address

City
Ringoes

State
NJ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
08551

23

2015

Transaction ID : SA11AI.27068

Amount of Each Receipt this Period

50.00

,
,

,
,

110.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

03

43765 Little Cliffs Road

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554384

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 51 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Willett Michael

Date of Receipt

Mailing Address

City
Ringoes

State
NJ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
23
2015
Transaction ID : SA11AI.26221

43765 Little Cliffs Road

Zip Code
08551

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Willett Michael

Date of Receipt

Mailing Address

City

State
NJ

Ringoes

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

43765 Little Cliffs Road

Zip Code

23

2015

Transaction ID : SA11AI.25717
Amount of Each Receipt this Period

08551

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

C. Willett Michael

Date of Receipt

Mailing Address

City
Ringoes

State
NJ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
08551

23

2015

Transaction ID : SA11AI.25147

Amount of Each Receipt this Period

50.00

,
,

,
,

150.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

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

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

FE6AN026

06

43765 Little Cliffs Road

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554385

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 52 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund

Name incomplete

Full Name (Last, First, Middle Initial)

West Seneca NY

A. and P
Mailing Address

Date of Receipt
M

City
Mishawaka

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
25
2015
Transaction ID : SA11AI.27042

63 Dwyer Street

Zip Code
46545

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. and P

Date of Receipt

Mailing Address

City

State
IN

Mishawaka

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

63 Dwyer Street

Zip Code

25

2015

Transaction ID : SA11AI.26206
Amount of Each Receipt this Period

46545

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

incomplete name

C. Tracy P
Mailing Address
City
Mishawaka

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Albany, NY

69 Westerlo St.

Date of Receipt
M

Zip Code
46545

25

2015

Transaction ID : SA11AI.25701

Amount of Each Receipt this Period

283.31

,
,

,
,

483.31

Contribution

Occupation

Aggregate Year-to-Date
General

283.31

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

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

FE6AN026

05

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554386

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 53 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Tracy P

Date of Receipt

Mailing Address

City
Mishawaka

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
25
2015
Transaction ID : SA11AI.25119

69 Westerlo St.

Zip Code
46545

Amount of Each Receipt this Period

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

483.31

Full Name (Last, First, Middle Initial)

B. Ast Patty

Date of Receipt

Mailing Address

Naperville, IL

City

State
KS

Wichita

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

7s520 Donwood Trails Dr

Zip Code

10

2015

Transaction ID : SA11AI.28365
Amount of Each Receipt this Period

67226

1000.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

C. Goodyear Priscilla

Date of Receipt

Mailing Address

North Chesterfield, VA

7019 Swanhaven Drive

City
Huntington Beach

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
92646

11

2015

Transaction ID : SA11AI.29855

Amount of Each Receipt this Period

250.00

,
,

,
,

1450.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

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

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

FE6AN026

02

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554387

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 54 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Goodyear Priscilla

Date of Receipt

Mailing Address

City
Huntington Beach

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
92646

Amount of Each Receipt this Period

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)


Mailing Address
325 Cherry Street

City
Erie

FEC ID number of contributing


federal political committee.
Name of Employer

450.00

3530 Peach St # 2, Erie, PA 16508

B. McAllister Raymond

Receipt For: 2016


Primary
Other (specify)

04
17
2015
Transaction ID : SA11AI.26482

7019 Swanhaven Drive

Date of Receipt

http://www.hostels.com/hostels/
philadelphia/old-city-phillyState
Zip Code
house/73566
PA
16505

03

10

2015

Transaction ID : SA11AI.28493
Amount of Each Receipt this Period

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

C. McAllister Raymond

Date of Receipt

Mailing Address

City
Erie

State
PA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
16505

12

2015

Transaction ID : SA11AI.26654

Amount of Each Receipt this Period

50.00

,
,

,
,

750.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

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

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

FE6AN026

04

325 Cherry Street

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554388

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 55 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Bennett Richard

Date of Receipt

Mailing Address

Spartanburg, SC

City
Rancho Mirage

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
12
2015
Transaction ID : SA11AI.27952

204 Julien Place

Zip Code
92270

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B. Bennett Richard

Date of Receipt

Mailing Address

City

State
CA

Rancho Mirage

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

204 Julien Place

Zip Code

31

2015

Transaction ID : SA11AI.26810
Amount of Each Receipt this Period

92270

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

C. Bennett Richard

Date of Receipt

Mailing Address

City
Rancho Mirage

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
92270

01

2015

Transaction ID : SA11AI.26131

Amount of Each Receipt this Period

100.00

,
,

,
,

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

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

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

FE6AN026

05

204 Julien Place

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554389

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 56 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Bennett Richard

Date of Receipt

Mailing Address

City
Rancho Mirage

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
31
2015
Transaction ID : SA11AI.25593

204 Julien Place

Zip Code
92270

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

Full Name (Last, First, Middle Initial)

B. Bennett Richard

Date of Receipt

Mailing Address

City

State
CA

Rancho Mirage

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

204 Julien Place

Zip Code

30

2015

Transaction ID : SA11AI.24882
Amount of Each Receipt this Period

92270

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

650.00

Full Name (Last, First, Middle Initial)

C. Bennett Richard

Date of Receipt

Mailing Address

City
Rancho Mirage

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
92270

30

2015

Transaction ID : SA11AI.24883

Amount of Each Receipt this Period

50.00

,
,

,
,

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

700.00

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

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

FE6AN026

06

204 Julien Place

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554390

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 57 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Sugden Richard

557 E Broadway, Jackson, WY 83001

Date of Receipt

Mailing Address

Chesapeake, VA

City
Jackson

State
WY

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
09
2015
Transaction ID : SA11AI.28606

116 Gainsborough Sq. #332

Zip Code
83001

Amount of Each Receipt this Period

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Dietrich Robert

Date of Receipt

Mailing Address

City

State
CA

Richmond

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

P.O. Box 1042

Zip Code

05

2015

Transaction ID : SA11AI.25503
Amount of Each Receipt this Period

94801

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

215.00

Full Name (Last, First, Middle Initial)

C. Dietrich Robert

Date of Receipt

Mailing Address

City
Richmond

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
94801

15

2015

Transaction ID : SA11AI.25375

Amount of Each Receipt this Period

30.00

,
,

,
,

555.00

Contribution

Occupation

Aggregate Year-to-Date
General

245.00

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

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

FE6AN026

06

P.O. Box 1042

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554391

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 58 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Allmand Roger

Date of Receipt

Mailing Address
8402 E. Mulberry Dr.

City
Holdrege

State
NE

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Wichita, KS

03
10
2015
Transaction ID : SA11AI.28388

Zip Code
68949

Amount of Each Receipt this Period

500.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B. Wuthier Roy

Date of Receipt

Mailing Address
8325 w trotterr ln

City

Homosassa, FL
State
SC

Columbia

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

02

Zip Code

18

2015

Transaction ID : SA11AI.29688
Amount of Each Receipt this Period

29210

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Wuthier Roy

Date of Receipt

Mailing Address

City
Columbia

State
SC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
29210

23

2015

Transaction ID : SA11AI.29489

Amount of Each Receipt this Period

100.00

,
,

,
,

700.00

Contribution

Occupation

Aggregate Year-to-Date
General

350.00

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

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

FE6AN026

02

8325 w trotterr ln

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554392

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 59 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wuthier Roy

Date of Receipt

Mailing Address

City
Columbia

State
SC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
12
2015
Transaction ID : SA11AI.27981

8325 w trotterr ln

Zip Code
29210

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

Full Name (Last, First, Middle Initial)

B. Wuthier Roy

Date of Receipt

Mailing Address

City

State
SC

Columbia

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

8325 w trotterr ln

Zip Code

17

2015

Transaction ID : SA11AI.26520
Amount of Each Receipt this Period

29210

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

C. Wuthier Roy

Date of Receipt

Mailing Address

City
Columbia

State
SC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
29210

20

2015

Transaction ID : SA11AI.26298

Amount of Each Receipt this Period

50.00

,
,

,
,

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

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

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

FE6AN026

04

8325 w trotterr ln

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554393

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 60 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wuthier Roy

Date of Receipt

Mailing Address

City
Columbia

State
SC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
19
2015
Transaction ID : SA11AI.25825

8325 w trotterr ln

Zip Code
29210

Amount of Each Receipt this Period

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

600.00

Full Name (Last, First, Middle Initial)

B. Wuthier Roy

Date of Receipt

Mailing Address

City

State
SC

Columbia

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

8325 w trotterr ln

Zip Code

23

2015

Transaction ID : SA11AI.25720
Amount of Each Receipt this Period

29210

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

650.00

Full Name (Last, First, Middle Initial)

C. Fosselman Sandra

Date of Receipt

Mailing Address

Spring Mills, PA

532 Lower Georges Valley Rd

City
North Chesterfield

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
23234

04

2015

Transaction ID : SA11AI.26090

Amount of Each Receipt this Period

10.00

,
,

,
,

110.00

Contribution

Occupation

Aggregate Year-to-Date
General

205.00

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

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

FE6AN026

05

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554394

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 61 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Fosselman Sandra

Date of Receipt

Mailing Address

City
North Chesterfield

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
06
2015
Transaction ID : SA11AI.26044

532 Lower Georges Valley Rd

Zip Code
23234

Amount of Each Receipt this Period

35.00

Contribution

Occupation

Aggregate Year-to-Date
General

240.00

Full Name (Last, First, Middle Initial)

B. Fosselman Sandra

Date of Receipt

Mailing Address

City

State
VA

North Chesterfield

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06

532 Lower Georges Valley Rd

Zip Code

04

2015

Transaction ID : SA11AI.25513
Amount of Each Receipt this Period

23234

10.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Rindlaub Sarah

Date of Receipt

Mailing Address

Houston, TX

10719 Sugar Hill Drive

City
Mercer Island

State
WA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
98040

19

2015

Transaction ID : SA11AI.29597

Amount of Each Receipt this Period

1000.00

,
,

,
,

1045.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

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

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

FE6AN026

02

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554395

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 62 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Aldean Shelly

Date of Receipt

Mailing Address
3707 Robertson Dr

City
Carson City

Warren, MI
State
NV

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
18
2015
Transaction ID : SA11AI.25293

Zip Code
89706

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

Full Name (Last, First, Middle Initial)

300.00

Same address as Wuthier, Roy

B. Bonner Stephen

Date of Receipt

Mailing Address

Homosassa, FL

8325 w trotter ln

City

State
IL

Chicago

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

Zip Code

21

2015

Transaction ID : SA11AI.26277
Amount of Each Receipt this Period

60614

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Hillman Tatnall

Date of Receipt

Mailing Address

Cocoa Beach, FL

City
Aspen

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
81611

01

2015

Transaction ID : SA11AI.29118

Amount of Each Receipt this Period

1000.00

,
,

,
,

1350.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

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

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

FE6AN026

03

2515 s atlantic ave, #201

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554396

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 63 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Stevinson Terry

Date of Receipt

Mailing Address

Minocqua, WI

9609 MANITOU PARK DR

City
Golden

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
02
2015
Transaction ID : SA11AI.29103

Zip Code
80401

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

B. Stevinson Terry

Date of Receipt

Mailing Address

City

State
CO

Golden

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

9609 MANITOU PARK DR

Zip Code

02

2015

Transaction ID : SA11AI.26747
Amount of Each Receipt this Period

80401

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

C. Stevinson Terry

Date of Receipt

Mailing Address

City
Golden

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
80401

02

2015

Transaction ID : SA11AI.26103

Amount of Each Receipt this Period

100.00

,
,

,
,

300.00

Contribution

Occupation

Aggregate Year-to-Date
General

500.00

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

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

FE6AN026

05

9609 MANITOU PARK DR

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554397

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 64 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Stevinson Terry

Date of Receipt

Mailing Address

City
Golden

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
02
2015
Transaction ID : SA11AI.25578

9609 MANITOU PARK DR

Zip Code
80401

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

600.00

Full Name (Last, First, Middle Initial)

B. Schmitt Timothy

Date of Receipt

Mailing Address
City
Greenville

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Sarasota, FL

5770 Midnight Pass Rd, Apt #610C


State
IN

03

Zip Code

17

2015

Transaction ID : SA11AI.27381
Amount of Each Receipt this Period

47124

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

275.00

Full Name (Last, First, Middle Initial)

C. Bahler Walter

Date of Receipt

Mailing Address

Henderson, NV

City
Remington

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
47977

13

2015

Transaction ID : SA11AI.25915

Amount of Each Receipt this Period

50.00

,
,

,
,

400.00

Contribution

Occupation

Aggregate Year-to-Date
General

220.00

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

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

FE6AN026

05

1364 Romanesca Dr

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554398

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 65 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Bahler Walter

Date of Receipt

Mailing Address

City
Remington

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
20
2015
Transaction ID : SA11AI.25779

1364 Romanesca Dr

Zip Code
47977

Amount of Each Receipt this Period

10.00

Contribution

Occupation

Aggregate Year-to-Date
General

230.00

Full Name (Last, First, Middle Initial)

B. Bahler Walter

Date of Receipt

Mailing Address

City

State
IN

Remington

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

1364 Romanesca Dr

Zip Code

22

2015

Transaction ID : SA11AI.25736
Amount of Each Receipt this Period

47977

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

245.00

Full Name (Last, First, Middle Initial)

C. Bahler Walter

Date of Receipt

Mailing Address

City
Remington

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
47977

26

2015

Transaction ID : SA11AI.25695

Amount of Each Receipt this Period

10.00

,
,

,
,

35.00

Contribution

Occupation

Aggregate Year-to-Date
General

255.00

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

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

FE6AN026

05

1364 Romanesca Dr

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554399

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 66 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Bahler Walter

Date of Receipt

Mailing Address

City
Remington

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
15
2015
Transaction ID : SA11AI.25359

1364 Romanesca Dr

Zip Code
47977

Amount of Each Receipt this Period

25.00

Contribution

Occupation

Aggregate Year-to-Date
General

280.00

Full Name (Last, First, Middle Initial)

B. Riker Walter

Date of Receipt

Mailing Address
City

State
WY

alpine

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Lexington, SC

219 clubside dr

03

Zip Code

05

2015

Transaction ID : SA11AI.28929
Amount of Each Receipt this Period

83128

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C. Wild Walter

Date of Receipt

Mailing Address

Decatur, AL

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
96795

16

2015

Transaction ID : SA11AI.27464

Amount of Each Receipt this Period

100.00

,
,

,
,

375.00

Contribution

Occupation

Aggregate Year-to-Date
General

300.00

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

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

FE6AN026

03

2213 Naples Drive SW

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554400

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 67 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03
19
2015
Transaction ID : SA11AI.27161

2213 Naples Drive SW

Zip Code
96795

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

B. Wild Walter

Date of Receipt

Mailing Address

City

State
HI

Waimanalo

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

03

2213 Naples Drive SW

Zip Code

31

2015

Transaction ID : SA11AI.26837
Amount of Each Receipt this Period

96795

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

450.00

Full Name (Last, First, Middle Initial)

C. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
96795

11

2015

Transaction ID : SA11AI.26708

Amount of Each Receipt this Period

100.00

,
,

,
,

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

550.00

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

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

FE6AN026

04

2213 Naples Drive SW

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554401

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 68 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04
20
2015
Transaction ID : SA11AI.26296

2213 Naples Drive SW

Zip Code
96795

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

650.00

Full Name (Last, First, Middle Initial)

B. Wild Walter

Date of Receipt

Mailing Address

City

State
HI

Waimanalo

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

2213 Naples Drive SW

Zip Code

21

2015

Transaction ID : SA11AI.26252
Amount of Each Receipt this Period

96795

50.00

Contribution

Occupation

Aggregate Year-to-Date
General

700.00

Full Name (Last, First, Middle Initial)

C. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
96795

01

2015

Transaction ID : SA11AI.26123

Amount of Each Receipt this Period

200.00

,
,

,
,

350.00

Contribution

Occupation

Aggregate Year-to-Date
General

900.00

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

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

FE6AN026

05

2213 Naples Drive SW

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554402

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 69 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05
06
2015
Transaction ID : SA11AI.26059

2213 Naples Drive SW

Zip Code
96795

Amount of Each Receipt this Period

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B. Wild Walter

Date of Receipt

Mailing Address

City

State
HI

Waimanalo

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

2213 Naples Drive SW

Zip Code

08

2015

Transaction ID : SA11AI.25995
Amount of Each Receipt this Period

96795

100.00

Contribution

Occupation

Aggregate Year-to-Date
General

1100.00

Full Name (Last, First, Middle Initial)

C. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
96795

26

2015

Transaction ID : SA11AI.25657

Amount of Each Receipt this Period

100.00

,
,

,
,

300.00

Contribution

Occupation

Aggregate Year-to-Date
General

1200.00

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

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

FE6AN026

05

2213 Naples Drive SW

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554403

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 70 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Wild Walter

Date of Receipt

Mailing Address

City
Waimanalo

State
HI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
03
2015
Transaction ID : SA11AI.25564

2213 Naples Drive SW

Zip Code
96795

Amount of Each Receipt this Period

200.00

Contribution

Occupation

Aggregate Year-to-Date
General

1400.00

Full Name (Last, First, Middle Initial)

B. Taylor Wilford

Date of Receipt

Mailing Address
12 COVENTRY

City

State
TX

Canyon

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Baldwin, NY

04

Zip Code

23

2015

Transaction ID : SA11AI.26227
Amount of Each Receipt this Period

79015

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

215.00

Full Name (Last, First, Middle Initial)

C. Taylor Wilford

Date of Receipt

Mailing Address

City
Canyon

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
79015

23

2015

Transaction ID : SA11AI.25725

Amount of Each Receipt this Period

15.00

,
,

,
,

230.00

Contribution

Occupation

Aggregate Year-to-Date
General

230.00

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

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

FE6AN026

05

12 COVENTRY

.
.

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554404

SCHEDULE A (FEC Form 3X)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 71 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

12

13

14

15

16

88

17

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Taylor Wilford

Date of Receipt

Mailing Address

City
Canyon

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

06
23
2015
Transaction ID : SA11AI.25160

12 COVENTRY

Zip Code
79015

Amount of Each Receipt this Period

15.00

Contribution

Occupation

Aggregate Year-to-Date
General

245.00

Full Name (Last, First, Middle Initial)

B. Dickey William

Date of Receipt

Mailing Address

Reidsville, NC

395 Country Farm Rd

City

State
TX

Houston

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

04

Zip Code

20

2015

Transaction ID : SA11AI.26299
Amount of Each Receipt this Period

77098

250.00

Contribution

Occupation

Aggregate Year-to-Date
General

400.00

Full Name (Last, First, Middle Initial)

C. Dickey William

Date of Receipt

Mailing Address

City
Houston

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
77098

22

2015

Transaction ID : SA11AI.25198

Amount of Each Receipt this Period

250.00

,
,

,
,

.
27080.74
.

Contribution

Occupation

Aggregate Year-to-Date
General

650.00

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

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

FE6AN026

06

395 Country Farm Rd

515.00

FEC Schedule A (Form 3X) Rev. 02/2003

Image# 201507319000554405

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 72 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Active Engagement

Date of Disbursement
M

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

State:

31

2015

Transaction ID : SB29.30617

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

11878.50

General

Full Name (Last, First, Middle Initial)

B. Active Engagement

Date of Disbursement
M

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

State:

28

2015

Transaction ID : SB29.30618

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

02

Disbursement For: 2016


Primary
Other (specify)

11046.75

General

Full Name (Last, First, Middle Initial)

C. Active Engagement

Date of Disbursement
M

03

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

31

2015

Transaction ID : SB29.30620

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

35482.50

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

,
,

58407.75

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554406

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 73 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Active Engagement

Date of Disbursement
M

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

State:

30

2015

Transaction ID : SB29.30621

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

7335.00

General

Full Name (Last, First, Middle Initial)

B. Active Engagement

Date of Disbursement
M

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

State:

31

2015

Transaction ID : SB29.30622

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

4981.25

General

Full Name (Last, First, Middle Initial)

C. Active Engagement

Date of Disbursement
M

City
Lansdowne
Purpose of Disbursement
Credit Card Processing fees - Carey Acct

06

Mailing Address 44084 Riverside Pkwy


State
VA

Zip Code
20176

30

2015

Transaction ID : SB29.30612

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

7160.42

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

,
,

19476.67

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554407

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 74 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Active Engagement

Date of Disbursement
M

Mailing Address 44084 Riverside Pkwy


City
Lansdowne
Purpose of Disbursement
Website Design & Hosting Fees - Carey Acct

State
VA

Zip Code
20176

State:

Disbursement For: 2016


Primary
Other (specify)

Full Name (Last, First, Middle Initial)

State
VA

Zip Code

2015

7556.25

28

2015

Transaction ID : SB29.30613

Amount of Each Disbursement this Period


Category/
Type

Black Conservatives Fund

State:

02

Candidate Name
House
Senate
President
District:

Date of Disbursement
M

Office Sought:

Farr St

City
Annandale
Purpose of Disbursement
FEC Compliance Consulting - Carey Acct

30

General

Patrick Krason

B. FEC Compliance Services,LLC


Mailing Address

Transaction ID : SB29.30623

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

Disbursement For: 2016


Primary
Other (specify)

3000.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

01

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

04

2015

Transaction ID : SB29.30579

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

400.00

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

,
,

10956.25

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554408

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 75 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30572

Category/
Type
House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

3688.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30573

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

499.20

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

01

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

05

2015

Transaction ID : SB29.30574

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

1525.00

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

,
,

5712.20

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554409

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 76 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30575

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

3440.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30576

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

1425.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

01

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

05

2015

Transaction ID : SB29.30577

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

2087.00

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

,
,

6952.00

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554410

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 77 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

11

2015

Transaction ID : SB29.30578

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

3481.40

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

11

2015

Transaction ID : SB29.30581

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

3635.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

01

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

18

2015

Transaction ID : SB29.30582

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

1488.00

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

,
,

8604.40

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554411

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 78 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

18

2015

Transaction ID : SB29.30583

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

1710.80

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

25

2015

Transaction ID : SB29.30584

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

840.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

02

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

08

2015

Transaction ID : SB29.30585

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

1330.00

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

,
,

3880.80

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554412

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 79 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

15

2015

Transaction ID : SB29.30586

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

02

Disbursement For: 2016


Primary
Other (specify)

610.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

22

2015

Transaction ID : SB29.30587

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

02

Disbursement For: 2016


Primary
Other (specify)

995.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

03

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

08

2015

Transaction ID : SB29.30588

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

315.00

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

,
,

1920.00

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554413

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 80 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

15

2015

Transaction ID : SB29.30589

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

03

Disbursement For: 2016


Primary
Other (specify)

20.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

29

2015

Transaction ID : SB29.30592

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

03

Disbursement For: 2016


Primary
Other (specify)

45.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

03

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

29

2015

Transaction ID : SB29.30593

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

3855.80

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

,
,

3920.80

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554414

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 81 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30594

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

10.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

05

2015

Transaction ID : SB29.30595

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

2142.40

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

04

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

12

2015

Transaction ID : SB29.30596

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

70.00

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

,
,

2222.40

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554415

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 82 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

19

2015

Transaction ID : SB29.30597

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

25.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

29

2015

Transaction ID : SB29.30599

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

1200.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

05

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

03

2015

Transaction ID : SB29.30601

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

2000.00

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

,
,

3225.00

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554416

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 83 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

10

2015

Transaction ID : SB29.30602

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

250.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

17

2015

Transaction ID : SB29.30603

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

755.00

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

05

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

24

2015

Transaction ID : SB29.30604

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

800.00

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

,
,

1805.00

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554417

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 84 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

31

2015

Transaction ID : SB29.30606

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

1710.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

31

2015

Transaction ID : SB29.30607

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

2553.20

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

06

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

07

2015

Transaction ID : SB29.30608

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

2207.40

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

,
,

6470.60

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554418

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 85 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

14

2015

Transaction ID : SB29.30609

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

Disbursement For: 2016


Primary
Other (specify)

605.00

General

Full Name (Last, First, Middle Initial)

B. Strategic Fundraising

Date of Disbursement
M

Mailing Address 7800 3rd Street North


City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

State
MN

Zip Code
55128

State:

14

2015

Transaction ID : SB29.30610

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

Disbursement For: 2016


Primary
Other (specify)

1422.20

General

Full Name (Last, First, Middle Initial)

C. Strategic Fundraising

Date of Disbursement
M

City
St Paul
Purpose of Disbursement
Tele-Fundraising - Carey

06

Mailing Address 7800 3rd Street North


State
MN

Zip Code
55128

21

2015

Transaction ID : SB29.30611

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

615.00

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

,
,

2642.20

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554419

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 86 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services- Carey Acct

State
VA

Zip Code
20151

State:

05

2015

Transaction ID : SB29.30569

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

1161.26

General

Full Name (Last, First, Middle Initial)

B. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services - Carey Account

State
VA

Zip Code
20151

State:

05

2015

Transaction ID : SB29.30570

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

840.10

General

Full Name (Last, First, Middle Initial)

C. Washington Intelligence Bureau

Date of Disbursement
M

City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

01

Mailing Address 4128 Pepsi Place


State
VA

Zip Code
20151

05

2015

Transaction ID : SB29.30580

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

840.40

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

,
,

2841.76

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2015


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554420

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 87 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

State
VA

Zip Code
20151

State:

31

2015

Transaction ID : SB29.30591

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

01

Disbursement For: 2016


Primary
Other (specify)

929.97

General

Full Name (Last, First, Middle Initial)

B. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

State
VA

Zip Code
20151

State:

27

2015

Transaction ID : SB29.30590

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

02

Disbursement For: 2016


Primary
Other (specify)

600.66

General

Full Name (Last, First, Middle Initial)

C. Washington Intelligence Bureau

Date of Disbursement
M

City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

03

Mailing Address 4128 Pepsi Place


State
VA

Zip Code
20151

31

2015

Transaction ID : SB29.30598

Amount of Each Disbursement this Period

Candidate Name

Category/
Type

541.85

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

,
,

2072.48

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

,
,

Black Conservatives Fund


Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For: 2016


Primary
Other (specify)

General

District:

.
.

FEC Schedule B (Form 3X) Rev. 02/2003

Image# 201507319000554421

SCHEDULE B (FEC Form 3X)


ITEMIZED DISBURSEMENTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 88 OF

FOR LINE NUMBER:


(check only one)

88

21b

22

23

24

25

26

27

28a

28b

28c

29

30b

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)

Black Conservatives Fund


Full Name (Last, First, Middle Initial)

A. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

State
VA

Zip Code
20151

State:

30

2015

Transaction ID : SB29.30600

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

Disbursement For: 2016


Primary
Other (specify)

747.06

General

Full Name (Last, First, Middle Initial)

B. Washington Intelligence Bureau

Date of Disbursement
M

Mailing Address 4128 Pepsi Place


City
Chantilly
Purpose of Disbursement
Caging Services - Carey Acct

State
VA

Zip Code
20151

State:

31

2015

Transaction ID : SB29.30605

Category/
Type

Black Conservatives Fund


House
Senate
President
District:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

Disbursement For: 2016


Primary
Other (specify)

469.33

General

Full Name (Last, First, Middle Initial)

C.

Date of Disbursement
M

Mailing Address
City

State

Zip Code

Purpose of Disbursement
Amount of Each Disbursement this Period
Candidate Name

Category/
Type

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

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

,
,

,
,

Office Sought:

House
Senate
President

State:

FE6AN026

Disbursement For:
Primary
Other (specify)

General

District:

.
142326.70
.
1216.39

FEC Schedule B (Form 3X) Rev. 02/2003

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