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Maryland State Board of Elections

Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Political Disclosure Report Summary Sheet


Part 1

Transaction Period ÆThis Report covers transactions beginning 04/21/2018 and ending 05/16/2018 .
Date Date

Part 2

Receipts Expenditures
Donations ±Schd 1, Col A $10,000.00 Salaries & Other Compensation ±Schd 2, Col N $21,517.08
Ticket Purchases ±Schd 1, Col B $0.00 Rent & Other Office Expenses ±Schd 2, Col O $0.00
Federal Committees ±Schd 1, Col C $0.00 Field Expenses ±Schd 2, Col P $408.00
Political Clubs ±Schd 1, Col D $0.00 Media ±Schd 2, Col Q $0.00
MD Candidate and Slate Accounts ±Schd 1A, Col $0.00 Printing & Campaign Materials ±Schd 2, Col R $6,874.98
E
Direct Mailing by Mail House ±Schd 2, Col S $0.00
MD Party Central Committees ±Schd 1A, Col F $0.00
Postage ±Schd 2, Col T $0.00
MD Political Action Committees ±Schd 1A, Col G $0.00
Purchase of Equipment ±Schd 2, Col U $0.00
Non-Federal Out-of-State Committees ±Schd 1A, $0.00
Fundraising Expenses ±Schd 2, Col V $0.00
Col H
Other ±Schd 1B, Col I $0.00 Transfers Out ±Schd 2, Col W $0.00
Loans ±Schd 3, Col K $0.00 Loan Repayment ±Schd 2, Col X $0.00
Other ±Schd 2, Col Y $1,208.08
Enter Total in Part 3 (Total Receipts)
Returned Contribution ±Schd 2, Col Z $0.00
Enter Total in Part 3 (Total Expenditures)
Part 3 Part 4

Value of In-Kind Contributions ±Schd 1B, Col J $0.00


Total Receipts $10,000.00 Total of Part 2 Receipts Value of In-Kind Expenditures ±Schd 2, Col AA $0.00

Part 5
Total Expenditures $30,008.14 Total of Part 2 Expenditures
Outstanding Loan Balance ±Schd 3, Col L $0.00
Outstanding Bills Due ±Schd 3, Col M $11,718.63
Total Outstanding Obligations $11,718.63
Part 6

Under penalty of perjury, we declare that we have examined this report, including the accompanying schedules, and to the best of our
knowledge and belief they are complete and accurate.

Warning
Guzman, Melissa (Date) 05/30/2018
Failure to provide all information required by
Authorized Filer this form will be regarded as a failure to file.

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 1 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 1
Contributions
A - Contributions other than ticket purchases from Individuals, Corporations, etc.

Received From
Date Name and Address of Contributor Aggregate to Paid by Contributions
Received Date Amount
Employer Occupation
05/01/2018 Communications Workers of America Check $10,000.00
501 3rd Street NW, Washington,
District Of Columbia 20001
ContributionTowards:
Total $10,000.00

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 2 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 2
Expenditures
N - Salaries and other compensation

Date Method Name and Address of Payee Reimburse or In-Kind Amount


(The payee is the person who is contribution recipient of the
the ultimate recipient of Political expenditure made
funds)
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Brandy Brooks - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 3 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: William Jawando - SUPPORT
Remarks:
05/16/2018 Electronic Aguilar, Luis $367.22
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Gabriel Albornoz - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 4 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: William Jawando - SUPPORT
Remarks:
05/16/2018 Electronic Mora, Yaheiry $256.36
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: MARC ELRICH - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 5 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: William Jawando - SUPPORT
Remarks:
05/16/2018 Electronic Propeack, Kimberly $175.64
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Gabriel Albornoz - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 6 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: William Jawando - SUPPORT
Remarks:
05/16/2018 Electronic Renderos, William $592.80
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
05/16/2018 Electronic Robalino, Maria $625.00
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
05/16/2018 Electronic Robalino, Maria $625.00
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
05/16/2018 Electronic Robalino, Maria $625.00
Check 8151 15th Avenue, Hyattsville,
Maryland 20783
Expenditure Purpose: Wages - Campaign Manager
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
05/16/2018 Check #2211 TRUCORPS LLC $2,662.14
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 7 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Check #2211 TRUCORPS LLC $2,093.79
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
05/16/2018 Check #2211 TRUCORPS LLC $2,093.79
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
05/16/2018 Check #2211 TRUCORPS LLC $568.36
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
05/16/2018 Check #2211 TRUCORPS LLC $488.14
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
05/16/2018 Check #2223 TRUCORPS LLC $80.22
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
05/16/2018 Check #2223 TRUCORPS LLC $568.36
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks:
05/16/2018 Check #2223 TRUCORPS LLC $568.36
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: William Jawando - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 8 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
05/16/2018 Check #2223 TRUCORPS LLC $568.36
5530 WISCONSIN AVE, STE 105,
CHEVY CHASE, Maryland 20815
Expenditure Purpose: Payroll Company Management Expense
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
Total $21,517.08

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 9 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 2
Expenditures
P - Field Expenses

Date Method Name and Address of Payee Reimburse or In-Kind Amount


(The payee is the person who is contribution recipient of the
the ultimate recipient of Political expenditure made
funds)
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: Brandy Brooks - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 10 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: William Jawando - SUPPORT
Remarks:
04/24/2018 Debit Card Amazon $51.00
410 terry ave, seattle, Washington
98109
Expenditure Purpose: Other
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
Total $408.00

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 11 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 2
Expenditures
R - Printing and Campaign Materials

Date Method Name and Address of Payee Reimburse or In-Kind Amount


(The payee is the person who is contribution recipient of the
the ultimate recipient of political expenditure made
funds)
04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: William Jawando - SUPPORT
Remarks:

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 12 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

04/24/2018 Check #2218 Bergmann Zwerdling Direct $833.33


1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $625.00
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $625.00
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks:
04/24/2018 Check #2218 Bergmann Zwerdling Direct $625.00
1350 Connecticut Ave NW, Suite 400,
Washington, District Of Columbia
20036
Expenditure Purpose: Printing - Brochures
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks:
Total $6,874.98

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 13 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 2
Expenditures
Y - Other

Date Method Name and Address of Payee Reimburse or In-Kind Amount


(The payee is the person who is contribution recipient of the
the ultimate recipient of Political expenditure made
funds)
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: Brandy Brooks - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 14 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks: Internet for tablets


05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: William Jawando - SUPPORT
Remarks: Internet for tablets
05/04/2018 Check #2219 AT&T $125.66
PO Box 6463, Carol Stream, Illinois
60197
Expenditure Purpose: Other
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks: Internet for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks: wall chargers for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Gabriel Albornoz - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 15 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks: wall charger for tablets


04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: William Jawando - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $7.00
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks: wall charger for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: MARC ELRICH - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 16 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks: usb cables for tablets


04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: William Jawando - SUPPORT
Remarks: usb cables for tablets
04/24/2018 Debit Card Ebay $4.47
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks: usb cables for tablets
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: VICTOR RAMIREZ - SUPPORT
Remarks: supplies - tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: DENI TAVERAS - SUPPORT
Remarks: tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: BENJAMIN JEALOUS - SUPPORT

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 17 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks: tablet cases


05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: MARC ELRICH - SUPPORT
Remarks: tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Gabriel Albornoz - SUPPORT
Remarks: tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: Brandy Brooks - SUPPORT
Remarks: tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: William Jawando - SUPPORT
Remarks: tablet cases
05/07/2018 Debit Card Ebay $13.88
2025 Hamilton Ave, San Jose,
California 95125
Expenditure Purpose: Other
Expenditure Towards: HANS RIEMER - SUPPORT
Remarks: tablet cases
Total $1,208.08

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 18 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

SCHEDULE - 3
Outstanding Obligations
Loans & Unpaid Bills Other Than Loans

Name and Date Loan *Written Written Interest Rate % of Prime Original Loan Balance
Address of Consent Consent filed Charge Rate Day Amount
Creditor Previously herewith. Loan is
Filed Accepted
Other Expenses
Walmart 05/19/2018 $3.52 $3.52
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad power bank
Walmart 05/19/2018 $3.52 $3.52
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad power bank
Walmart 05/19/2018 $3.52 $3.52
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad powerbank
Walmart 05/17/2018 $57.78 $57.78
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad cases
Walmart 05/17/2018 $57.78 $57.78
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad cases
Walmart 05/17/2018 $57.78 $57.78
2399 North
Point Blvd,
Dundalk, MD,
21222
Remarks: ipad cases
Total $183.90

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 19 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Salaries and Other compensation


TRUCORPS 06/26/2018 $510.98 $510.98
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $510.98 $510.98
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $510.98 $510.98
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $1,947.13 $1,947.13
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $1,947.13 $1,947.13
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 20 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

TRUCORPS 06/26/2018 $1,947.13 $1,947.13


LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 21 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Remarks:
TRUCORPS 06/26/2018 $693.40 $693.40
LLC
5530
WISCONSIN
AVE, STE 105,
CHEVY
CHASE, MD,
20815
Remarks:
Total $11,534.73
*No loan may be made to the campaign of a candidate, or accepted on behalf of the campaign, without the written consent of the candidate. A copy of the written
consent shall be furnished to the lender at the time of the loan. This consent is given on Schedule 4 of the Campaign Finance Report Form for the transaction
period for which the loan is made.

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 22 of 23
Maryland State Board of Elections
Name of Entity : CASA in Action, Inc. Entity Number : 06012945

Filing Period Name : IE Entity Report (05/16/2018 - Disclosure Report)

Amendments Summary
Report No Filed date Report Type Filer
1 05/30/2018 Original Guzman Melissa
2 07/06/2018 Amended Guzman Melissa

Current Amended Deleted


Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.
Page 23 of 23

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