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REPORT OF RECEIPTS CENTER

FEC
AND DISBURSEMENTS
FORM 3X For Other Than An Authorized Committee
Office Use Only
1. NAME OF USE FEC MAILING LABEL Exampleilf typing, type
COMMITTEE (in full) OR TYPE OR PRINT y over the lines

DEMOCRATIC SOCIALISTS OF AMERICA, INC PAC


i i i i i i i : i i ! i i i i i i i L J !_!._!_ L. .I I

I I I I I I I I I I I I I I I

75 MAIDEN LANE SUITE 505


ADDRESS (number and street) j i : '. : i J

1 I I I I i I i I I i i i i i i i i i i
Check if different
than previously NEW YORK NY 10038 i i i
reported. (ACC) I ! I I I I I I I I l I I I l-l I l I I

2. FEC IDENTIFICATION NUMBER CITY A STATEA ZIPCODE A

'. C00419572 i 3. IS THIS X NEW AMENDED


REPORT * (N) OR (A)

4. TYPE OF REPORT (b) Monthly : Nov20(M11)


Feb20(M2) May20(M5) Aug 20 (MB) (Non-Election
(Choose One) Report Year Only)
Due On: Dec20(M12)
:
Mar20(M3) ; '. Jun20(M6) Sep 20 (M9)
(a) Quarterly Reports:
r ' '•

Apr20(M4) • Jul20(M7) Oct20(M10) Jan 31 (YE)


April 15
Quarterly Report(Q1)
(c) 12-Day • Primary (12P) General (12G) Runoff (12R)
July 15
Quarterly Report(Q2) PRE-Etection
Report for the: Convention (12C) Special (12G)
October 15
* Quarterly Report(Q3)
'. January 31 in the
. Quarterly Report(YE) Election on State of
' . July 31 Mid-Year
•I .. Report(Non-etection (d) 30-Day
Year Only) (MY) Post -Election :. General (30G) !. Runoff (30R) Special (30S)
Report for the:
. Termination Report
: (TER) in the
Election on State of

5. Covering Period 07 01 2008 through 09 30 2008


J

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 Frank Llewellyn

Signature of Treasurer Date O

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
FEC FORM 3X
Only (Rev. 02/2003)
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
FEC Form 3X (Rev. 02/2003) Page 2

Write or Type Committee Name


DEMOCRATIC SOCIALISTS OF AMERICA , INC PAC

M "M D'D Y • V * V D 0 y • y •Y •v
Report Covering the Period: From: 07 01 2008 To: 09 30 2008

COLUMN A COLUMN B
This Period Calendar Year-to-Date

6. (a) Cash on Hand


January 1 626.10

(b) Cash on Hand at • . - . . - . - .


Begining of Reporting Period . . , . 4969.60

(c) Total Receipts (from Line 19) . . . . . . 8205.00 16803.77

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


6(c) for Column A and Lines : . . . - . - • • • • .. .
6(a) and 6(c) for Column B) 13174.60 17429.87

7. Total Disbursements (from Line 31) 5938.63 10193.90

8. Cash on Hand at Close of


Reporting Period - -
(subtract Line 7 from Line 6(d)) ' 7235 9
- 7 7235.97

9. 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) ?-°°

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
DETAILED SUMMARY PAGE
OF RECEIPTS
FEC Form 3X (Rev. 02/2003) Page 3

Write or Type Committee Name


DEMOCRATIC SOCIALISTS OF AMERICA , INC PAC

M •M D ' 0 .' Y Y• W ' Y ' M ' 'M D ' D Y Y ' Y ' Y '

Report Covering the Period: From: . °? 01 20.08 Tn


1 0.
. 09
•= .
30 2008

COLUMN A COLUMN B
1. Receipts Total This Period Calendar Year-to-Date
1 1 . Contributions (other than loans) From:
(a) Individuals/Persons Other
Than Political Committees
2900.00 3700.00
(i) Itemized (use Schedule A)
5305.00 13103.77
(ii) Unitemized
(iii) TOTAL (add
Lines 11 (a)(i) and (ii) > 8205.00 16803.77

(b) Political Party Committees 0.00 0.00


v.
(c) Other Political Committees
(such as PACs)
0.00 b.oo
(d) Total Contributions (add Lines
11(a)(iii),(b) and (c)) (Carry
Totals to Line 33, page 5) » 8205.00 16803.77

12. Transfers From Affiliated/Other ;


Party Committees 0.00 0.00

13. All Loans Received - .• - -.--...-


0.00
- .-. - . - •
o.ob
' "j

14 Loan Repayments Received 0.00 0.00


15. Offsets To Operating Expenditures
(Refunds, Rebates, etc.)
(Carry Totals to Line 37, page 5) o.ob o.ob
16. Refunds of Contributions Made
to Federal candidates and Other
Political Committees 0.00 . . •' £ •
0.00
17. Other Federal Receipts
(Dividends, Interest, etc.) 0.00 0.00
• =' • - . . " - . - •
1 8. Transfers from Non-Federal and Levin Funds
(a) Non-Federal Account
(from Schedule H3) 0.00 0.00
=

(b) Levin Funds (from Schedule H5) 0.00 0.00

(c) Total Transfer (add 1 8(a) and 1 8(b)). 0.00 0.00

19. Total Receipts (add Lines 11(d),


12, 13, 14, 15, 16, 17, and 18(c)) 8205.00 16803.77

20. Total Federal Receipts 51 . . . .

(subtract Line 18(c) from Line 19) 8205.00 16803.77


DETAILED SUMMARY PAGE
of Disbursements Page 4
FEC Form 3X (Rev. 02/2003)
COLUMN A COLUMN B
II. DISBURSEMENTS
Total This Period Calendar Year-to-Date
21. Operating Expenditures:
(a) Shared Federal/Non-Federal
Activity (from Schedule H4)
(i) Federal Share
b.ob ' . ' . ' ' . ' . ' . * . °-°° ' .

(ii) Non-Federal Share 0.00 o.ob


(b) Other Federal Operating
Expenditures 2744.26 3499.53
(c) Total Operating Expenditures . s . . _ . . . .

(add 21(a)(i), (a)(ii) and (b)) > 2744.26 3499.53


22 Transfers to Affiliated/Other Party
Committees : 0.00 0.00
23. Contributions to ;..,-.. • ••- -.- . .-• .. .- .. -
Federal Candidates/Committees
and Other Political Committees 0.00 3500.00
24. Independent Expenditure
(use Schedule E) 2744.37 2744.37
25. Coordinated Expenditures Made by Party :
" ^ ' " 0.00 "
Committees (2 U.S.C. 441 a(d))
(use Schedule F) o.ob
26 Loan Repayments Made . . . . . .
b.ob
. . . . . . . . .b.oo
27. Loans Made 0.00 ; 0.00
28. Refunds of Contributions To:
(a) Individuals/Persons Other
Than Political Committees : 450.00 . 450.00

(b) Political Party Committees 0.00 0.00


(c) Other Political Committees
(such as PACs) . b.ob 0.00
'. .. ' . " ' _ "
(d) Total Contribution Refunds •a

(add Lines 28(a), (b), and (c)) ]> 450.00 •=, •


450.00
...
". " ." " " "

29. Other Disbursements 0.00 0.00

30. Federal Election Activity (2 U.S.C 431 (20))


(a) Shared Federal Election Activity
(from Schedule H6)
(i) Federal Share
0.00 ' 0.00

(ii) "Levin" Share 0.00 ! 0.00

(b) Federal Election Activity Paid Entirely


With Federal Funds
0.00 0.00
(c) Total Federal Election Activity (add
Q.OO 0.00

31. Total Disbursements (add Lines 21 (c), 22,


23,24,25, 26, 27, 28(d), 29 and 30(c)).. 5938.63 10193.90
32. Total Federal Disbursements
(subtract Line 21(a)(ii) from Line 30(a)(ii)
from Line 31) 5938.63 10193.90
DETAILED SUMMARY PAGE
of Disbursements
FEC Form3X (Rev. 02/2003) Page 5

III. Net Contributions/Operating COLUMN A COLUMN B


Expenditures Calendar Year-to-Date
Total This Period

33. Total Contributions (other than loans) •


from Line 11(d), page 3) ............................ 8205.00 18803.77
34. Total Contribution Refunds
(from Line 28(d)) ........................................ ...... 450.00 450.00
35. Net Contributions (other than loans)
(subtract Line 34 from Line 33) .................. . . . . . . . . 7755.00 16353.77
36. Total Federal Operating Expenditures
(add Line 21 (a)(i) and Line 21 (b)) .......... ;. -. . ...... 2744.26 3499.53

37. Offsets to Operating Expenditures Q QQ


0.00
(from Line 15, page 3) ............................... ...... : • •' •

38. Net Operating Expenditures 2744 26


3499.53
(subtract Line 37 from Line 36) ............. . - - . - -

is.

is,
CO
0)
Nl
O
CO
fM
SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: I PAGE 6/10
Use separate schedule(s) (check only one)
or each category of the
ITEMIZED RECEIPTS Detailed Summary Page 11c Q12
u i4 15 Pi IS pi"
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)
DEMOCRATIC SOCIALISTS OF AMERICA , INC PAC

Full Name (Last, First, Middle Initial)


A. MarkFinkel Date of Receipt
Mailing Address 662 Howard Ave. MM / r D . D- / ' 'v . Y "- Y . Y
09 02 ,2008
City State Zip Code Transaction ID: SA11A1.5082
West Hemostead NY 11552 Amount of Each Receipt this Period
FEC ID number of contributing . . - - • " - - 2500.00
federal political committee.
contribution (cc)
Name of Employer Occupation
political consultant
Receipt For: Aggregate Year-to-Date T
! | Primary f~j General
LJ Other (specify) V

Full Name (Last, First, Middle Initial)


B. Edith Monsees Date of Receipt
Mailing Address 7735 Roseland Dr. •'.• M - M ' 1 ' D ' .'"D"" / ' ' Y -• Y "- 'V ' • Y ',
'07 • .. 01 ; n2008
City State Zip Code Transaction ID: SA11 A1 .4933
La Jolla CA 92037 Amount of Each Receipt this Period
x
FEC ID number of contributing 400.00
federal political committee.
contribution, cc
Name of Employer Occupation
Retired
Receipt For Aggregate Year-to-Date V
1 Primary i 1 General
J Other (specify) T 4oaoo

SUBTOTAL of Receipts This Page (optional). 2900.00

2900.00
TOTAL This Period (last page this line number only).

FEC Schedule A ( FontiSX) Rev. 02/2003


SCHEDULE B (FfeC form 3X) FOR LINE NUMBER: PAGE 7/10
use seperate scheduled
scneauie(S) feheck oniv one^
ITEMIZED DISBURSEMENTS for each category of the r^ " pi "2 n 23 HI •»4 |~]25 r]26
Detailed Summary Page m 21 b II 22 | | 23 | | •
|| 27 |~| 28a f~] 28b (IS8c: (I 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)
) DEMOCRATIC SOCIALISTS OF AMERICA , INC PAC

Full Name (Last. First, Middle Initial) Transaction ID: SB21 B.4932
A- Democratic Socialists of America, Inc. Date of Disbursement
M ' M' / D D ' / ' Y ' Y " Y : Y.i
Mailing Address 75 Maiden Lane 07' 17 2 0 08
Suite 505
City State Zip Code Amount of Each Disbursement this Period
New York NY 10038
Purpose o f Disbursement • = . • • ' . • ' , ' . ' . ' . ' . .2537.50^
reimburse cost of membership canvass
Candidate Name Category/
Type
Office Sought: j ! House Disbursement For
l~f Senate F"! Primary j ! General
f | President fj Other (specify) J
State: District:
Full Name (Last, First, Middle Initial) Transaction ID: SBJMB.5058
B- Nova Information Systems Date of Disbursemerit
/ Y -' Y • Y • Y
Mailing Address 1 Concourse PKWY 0 H 7 M .' D
02° ! 2008

City State Zip Code Amount of Each Disbursement this Period


Atlanta GA 30328
' • ' . ' . ' . ' . ' . ' , ' . -60-39"
Purpose of Disbursement ' . --
ccredit card processing ;
Candidate Name Category/
Type
Office Sought: | J House Disbursement For
} [ Senate I j Primary Q~] General
L [President [~| Other (specify) j
State: District:
Full Name (Last, First, Middle Initial) Transaction ID: SB!21B.5108
C- Nova Information Systems Date of Disburseme it
M :"M . / -i' o"-' o , / :
Y ' Y - Y - Y '•
Mailing Address 1 Concourse PKWY i
08 -
04
-
2008

City State Zip Code Amount of Each Disbursement this Period


Atlanta GA 30328
Purpose of Disbursement 57.97
cc processing charges
Candidate Name Category/
Type
Office Sought: | [House Disbursement For:
| J Senate j Primary f j General
|_j President || Other (specify) V
Stale: District:

SUBTOTAL of Disbursements This Page (optional) k> ' ' • „ . . 2655.86

TOTAL This Period (last oaoe this line number onlv) •» i


FEC Schedule B (Form 3X) Rev. 02/2003
SCHEDULE B (FEC Form 3X) Use separate schedule(s) FOR LINE NUMBER: [PAGE 8/10
(check only one)
ITEMDZED DISBURSEMENTS for each category of the
Detailed Summary Page [71 21b [~] 22 n 23 24 26
D 25
PI 27 N 28a M 28b n 29 n
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of solicating contributions
D
30b

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)
DEMOCRATIC SOCIALISTS OF AMERICA . INC PAC

Full Name (Last, First, Middle Initial) Transaction ID: SB21B.5118


Nova Information Systems Date of Disbursement
' "M • M / D • D / . Y '- Y Y V.
Mailing Address 1 Concourse PKWY 09 03 2008
__
State Zip Code Amount of Each Disbursement this Period
Atlanta GA 30328
Purpose of Disbursement 30.00
ccfee
Candidate Name Category/
Type
Office Sought: i House Disbursement For:
i Senate I j Primary QH General
_ [President LJ Other (specifyiV
State: Dfstrict:

SUBTOTAL of Disbursements This Page (optional) 30.00

TOTAL This Period (last page this line number only) 2685.86
FEC Schedules (Form 3X) Rev. 02/2003
SCHEDULE B (FEC Form 3X) Use separate schedule(s) FOR LINE NUMBER: [PAGE 9/10
(check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page Q 21b p 22 23
D 24 P 25 D 26
M27 fifl28a 28b n 28c n 29 n30b
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of solicating 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)
DEMOCRATIC SOCIALISTS OF AMERICA , INC PAC

Full Name (Last, First, Middle Initial) Transaction ID: SB28A.4864


A- Beatrice Gottlieb Date of Disbursement

Mailing Address 501 W.123 St.

C i t y S t a t e " Zip Code Amount of Each Disbursement this Period


New York NY 10027
Purpose of Disbursement ii 450.00 :
refund of amount contributed in error cc
Candidate Name Category/'
Type
Office Sought: House Disbursement For
Senate r"l Primary j [ General
President [J Other (specify) y
State: District:

SUBTOTAL of Disbursements This Page (optional) 450.00


_ ..•:
..-. .-.
:
_ •= _. . •• ;;.= ^

TOTAL This Period (last page this line number only) 450.00
FEC Schedule B (Form 3X) Rev. 02/2003
SCHEDULE E (FEC Form 3X)
ITEMDZED INDEPENDENT EXPENDITURES PAGE 10/10
FOR LINE 24 OF FORM 3X
NAME OF COMMITTEE (In Full) FEC IDENTIFICATION NUMBER
DEMOCRATIC SOCIALISTS OF AMERICA, INC PAC
C C00419572
Check if 24-hour notice 48-hour notice
Full Name (Last. First, Middle, Initial) of Payee Date
' M M D" D / ' Y Y ' Y Y
Democratic Socialists of America, Inc.
08 29 2 0.0 8.
Mailing Address Amount
75 Maiden Lane
Suite 505 1704.37
Transaction ib; SE24.5106
City State Zip Code
New York NY 10038 Office Sought: ; House State:
Purpose of Expenditure Senate District: 00
Category/ X Presidential
36, prin.inting & Type
lailir
Name of Federal Candidate supported or Opposed by expenditure: Check One. Support x Oppose
JOHN S. MCCAIN
Disbursement For . . Primary X General 2008
. . Other (specify):
Calendar Year-To-Date Per Election
1744.37
for Office Sought

Full Name (Last, First, Middle, Initial) of Payee Date


:
0 D' / . Y Y Y Y
Democratic Socialists of America, Inc.
09 18 2008
Mailing Address Amount
75 Maiden Lane
Suite 505 1000.00
Transaction ID:SE24.5109
City State Zip Code
New York NY 10038 Office Sought: " House State: _
Purpose of Expenditure [ . Senate District: 00
Category/ x '. Presidential
staff time for suppo- Type
rting campus work
Name of Federal Candidate supported or Opposed by expenditure: Check One: '.. x < Support Oppose
BARACK OBAMA
Disbursement For: . Primary X General 2008
; .. Other (specify):
Calendar Year-To-Date Per Election
1000.00
for Office Sought

(a) SUBTOTAL of Itemized Independent Expenditures 2704.37

(b) SUBTOTAL of Unitemized Independent Expenditures. 40.00

(c) TOTAL Independent Expenditures , 2744.37


Under penalty of perjury I certify that the Independent expenditures reported herein were not made In cooperation, consultation, or concert with,
or at tho request or suggestion of, any candidate or authorized committee or agent of either, or (if the reporting entity is not a political party
committee) any political party committee or Its agent

D'- D_: ,"Y - Y


Date , /.£> \
Signature

FE3AN037 FEC Schedule E (Form 3X) Rev. 02/2003


Federal Election Commission
ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The FEC added this page to the end of this filing to indicate how it was received.

Date of Receipt
Hand Delivered

Postmarked
DSPS First Class Mail

Postmarked (R/C)
USPS Registered/Certified

Postmarked
USPS Priority Mail

Delivery Confirmation™ or Signature Confirmation™ Label

Postmarked
USPS Express Mail

Postmark Illegible

No Postmark

Shipping Date
| | Overnight Delivery Service (Specify):

Next Business Day Delivery

Date of Receipt
Received from House Records & Registration Office

Date of Receipt
Received from Senate Public Records Office

Date of Receipt
Received from Electronic Filing Office

Date of Receipt or Postmarked


Other (Specify):

PREPARER DATE PREPARED


(3/2005)

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