01/30/2020 15 : 17

Image# 202001309182482495
PAGE 1 / 9

REPORT OF RECEIPTS
FEC
FORM 3
AND DISBURSEMENTS
For An Authorized Committee Office Use Only

1. NAME OF TYPE OR PRINT  Example: If typing, type 12FE4M5

COMMITTEE (in full) over the lines.

BorglumforUSSenate

1123 11th ST
ADDRESS (number and street)

Check if different
than previously Rapid City SD 57701
reported. (ACC)
CITY STATE ZIP CODE
  

2. FEC IDENTIFICATION NUMBER 

STATE  DISTRICT
C C00711028 3. IS THIS ✘ NEW AMENDED
REPORT (N) OR (A) SD

4. TYPE OF REPORT (Choose One)

(b) 12-Day PRE-Election Report for the:
(a) Quarterly Reports:
Primary (12P) General (12G) Runoff (12R)
April 15 Quarterly Report (Q1)
Convention (12C) Special (12S)
July 15 Quarterly Report (Q2)
M M / D D / Y Y Y Y in the
October 15 Quarterly Report (Q3) Election on State of

✘ January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:

General (30G) Runoff (30R) Special (30S)

Termination Report (TER) M M / D D / Y Y Y Y in the

Election on State of

M M / D D / Y Y Y Y M M / D D / Y Y Y Y
5. Covering Period 10 01 2019 through 12 31 2019

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Borglum, Susan, J, ,
Type or Print Name of Treasurer

M M / D D / Y Y Y Y
Borglum, Susan, J, ,
01 30 2020
Signature of Treasurer [Electronically Filed] Date

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.

Office
Use FEC FORM 3
Only (Revised 05/2016)
Image# 202001309182482496

SUMMARY PAGE
FEC Form 3 (Revised 05/2016)
of Receipts and Disbursements 2 2/9
PagePAGE

Write or Type Committee Name

BorglumforUSSenate

M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Report Covering the Period: From: 10 01 2019 To: 12 31 2019

COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e))..... ,
 ,
 .
2383.16
 ,
 ,

12538.64 .

(b) Total Contribution Refunds
(from Line 20(d))................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Net Contributions (other than loans)
(subtract Line 6(b) from Line 6(a))....... ,
 ,
 .
2383.16
 ,
 ,

12538.64
.

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17)....................................... ,
 ,
 .
3918.29
 ,
 ,

16319.26
.

(b) Total Offsets to Operating
Expenditures (from Line 14)................. ,
 ,
 .
0.00
 ,
 ,
 .
100.00

(c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a))....... ,
 ,
 .
3918.29
 ,
 ,

16219.26
.

8. Cash on Hand at Close of
Reporting Period (from Line 27).................. ,
 ,
 .
8219.38

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)................. ,
 ,
 .
12000.00


For further information contact:

Federal Election Commission

999 E Street, NW
Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100
Image# 202001309182482497

DETAILED SUMMARY PAGE

FEC Form 3 (Revised 05/2016) of Receipts 3 3/9
PagePAGE
Write or Type Committee Name

BorglumforUSSenate

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

Report Covering the Period: From: 10 01 2019 To: 12 31 2019

COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees
(i) Itemized (use Schedule A)............ ,
 ,
 .
1109.16
 ,
 ,
 .
9959.16

(ii) Unitemized..................................... ,
 ,
 .
1274.00
 ,
 ,
 .
2479.48

(iii) TOTAL of contributions
, , . , , .


from individuals ........................ 2383.16 12438.64

     
(b) Political Party Committees.................. ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Other Political Committees
(such as PACs).................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(d) The Candidate..................................... ,
 ,
 .
0.00
 ,
 ,
 .
100.00

(e) TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d))... ,
 ,
 .
2383.16
 ,
 ,

12538.64 .

12. TRANSFERS FROM OTHER
AUTHORIZED COMMITTEES..................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

13. LOANS:
(a) Made or Guaranteed by the
Candidate............................................. ,
 ,
 .
0.00
 ,
 ,

12000.00 .

(b) All Other Loans.................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) TOTAL LOANS
(add Lines 13(a) and (b))..................... ,
 ,
 .
0.00
 ,
 ,

12000.00
.

14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds, Rebates, etc.)............................. ,
 ,
 .
0.00
 ,
 ,
 .
100.00

15. OTHER RECEIPTS
(Dividends, Interest, etc.)............................ ,
 ,
 .
0.00
 ,
 ,
 .
0.00

16. TOTAL RECEIPTS (add Lines
11(e), 12, 13(c), 14, and 15)


(Carry Total to Line 24, page 4)............. ,

 ,
 .
2383.16
 ,
 ,

24638.64 .

Image# 202001309182482498

DETAILED SUMMARY PAGE

FEC Form 3 (Revised 05/2016) of Disbursements 4 4/9
PagePAGE

II. DISBURSEMENTS COLUMN A COLUMN B

Total This Period Election Cycle-to-Date

17. OPERATING EXPENDITURES...................... ,

 ,
 .
3918.29
 ,
 ,

16319.26
.

18. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES...................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

19. LOAN REPAYMENTS:
(a) Of Loans Made or Guaranteed
by the Candidate.................................. ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(b) Of All Other Loans............................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b))...................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

20. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons Other
Than Political Committees................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(b) Political Party Committees................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Other Political Committees
(such as PACs)..................................... ,
 ,
 .
0.00
 ,
 ,

0.00.

(d) TOTAL CONTRIBUTION REFUNDS
(add Lines 20(a), (b), and (c))............... ,
 ,
 .
0.00
 ,
 ,

0.00
.


21. OTHER DISBURSEMENTS.......................... ,

 ,
 .
0.00
 ,
 ,

100.00.

22. TOTAL DISBURSEMENTS
, , .
3918.29
, , 16419.26
.


(add Lines 17, 18, 19(c), 20(d), and 21)      

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD................................................ ,

 ,

9754.51
.


24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3)...................................................... ,

 ,
 .
2383.16


25. SUBTOTAL (add Line 23 and Line 24)................................................................................... ,

 ,

12137.67
.


26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22)....................................................... ,

 ,

3918.29.


27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25).............................................................................................. ,
 ,

8219.38
.

Image# 202001309182482499

FOR LINE NUMBER: PAGE 5 OF 9

SCHEDULE A (FEC Form 3) Use separate schedule(s) (check only one)
for each category of the
ITEMIZED RECEIPTS Detailed Summary Page
✘ 11a 11b 11c 11d
12 13a 13b 14 15
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)

BorglumforUSSenate
Full Name (Last, First, Middle Initial)
Christians, Michael, , ,
A. Date of Receipt
Mailing Address 313 30th St NW M M / D D / Y Y Y Y

12 16 2019
City State Zip Code
Transaction ID : SA11AI.4337
Watertown SD 57201

FEC ID number of contributing

federal political committee. C Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

309.16
.

Evonik Sr. Account Manager
Memo Item
Receipt For: 2020 Election Cycle-to-Date
 In-kind - Lodging/Hotel
✘ Primary General
Other (specify)  ,
 ,
 .
559.16

Full Name (Last, First, Middle Initial)
Fritz, Robert, , , Date of Receipt
B.
Mailing Address 18103 447th Ave M M / D D / Y Y Y Y
12 17 2019
City State Zip Code
Transaction ID : SA11AI.4329
Hazel SD 57242

FEC ID number of contributing

federal political committee. C Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

500.00
.

self employed Farmer
Memo Item
Receipt For: 2020 Election Cycle-to-Date

✘ Primary General
Other (specify)  ,
 ,
 .
500.00

Full Name (Last, First, Middle Initial)
Monson, Wayne E., , , Date of Receipt
C.
Mailing Address PO Box 924 M M / D D / Y Y Y Y
11 20 2019
City State Zip Code
Transaction ID : SA11AI.4312
Reliance SD 57569

FEC ID number of contributing

federal political committee. C Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

300.00
.

Retired Retired
Receipt For: 2020 Election Cycle-to-Date Memo Item

✘ Primary General
Other (specify) 
,
 ,
 .
300.00


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

 ,

1109.16
.



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

 ,

1109.16
.



FEC Schedule A (Form 3) (Revised 05/2016)

Image# 202001309182482500

FOR LINE NUMBER: PAGE 6 OF 9

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
BorglumforUSSenate
Full Name (Last, First, Middle Initial)
Christians, Michael, , , Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 313 30th St NW 12 16 2019

City State Zip Code

FEC Identification Number
Watertown SD 57201
Purpose of Disbursement
In-kind - Lodging/Hotel C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 309.16
▲
Senate ✘ Primary General Transaction ID : SB17.4338
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Powers, Pat, , , Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 1610 17 Ave S 11 06 2019

City State Zip Code

FEC Identification Number
Brookings SD 57006
Purpose of Disbursement
Letterhead/Envelopes C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 319.50
▲
Senate Primary General Transaction ID : SB17.4388
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Powers, Pat, , , Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 1610 17 Ave S 11 12 2019

City State Zip Code

FEC Identification Number
Brookings SD 57006
Purpose of Disbursement
Printing Business Cards C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 48.00
▲
Senate Primary General Transaction ID : SB17.4395
President Other (specify)
 Memo Item
State: District:

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

, , .


676.66
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 202001309182482501

FOR LINE NUMBER: PAGE 7 OF 9

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
BorglumforUSSenate
Full Name (Last, First, Middle Initial)
Powers, Pat, , , Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 1610 17 Ave S 11 28 2019

City State Zip Code

FEC Identification Number
Brookings SD 57006
Purpose of Disbursement
Thank you cards, envelopes, magnets C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 436.65
▲
Senate Primary General Transaction ID : SB17.4396
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Powers, Pat, , , Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 1610 17 Ave S 11 29 2019

City State Zip Code

FEC Identification Number
Brookings SD 57006
Purpose of Disbursement
Cards w/envelopes C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 314.18
▲
Senate Primary General Transaction ID : SB17.4397
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Powers, Pat, , , Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 1610 17 Ave S 12 11 2019

City State Zip Code

FEC Identification Number
Brookings SD 57006
Purpose of Disbursement
Campaign Response Cards/Envelopes C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 314.18
▲
Senate Primary General Transaction ID : SB17.4423
President Other (specify)
 Memo Item
State: District:

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

, , .


1065.01
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 202001309182482502

FOR LINE NUMBER: PAGE 8 OF 9

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
BorglumforUSSenate
Full Name (Last, First, Middle Initial)
SOUTH DAKOTA REPUBLICAN PARTY Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address PO BOX 1099 10 23 2019

City State Zip Code

FEC Identification Number
PIERRE SD 57501
Purpose of Disbursement
Adv GOP Newsletter Fall 2019 C C00044990

Candidate Name Category/ Amount of Each Disbursement this Period

Type
Office Sought: House Disbursement For:
, , .
▲ ▲ 250.00
▲
Senate Primary General Transaction ID : SB17.4347
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Date of Disbursement
B.
M M / D D / Y Y Y Y
Mailing Address

City State Zip Code

FEC Identification Number

Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address

City State Zip Code

FEC Identification Number

Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
 Memo Item
State: District:

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

, , .


250.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


1991.67
  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 202001309182482503
PAGE 9 OF 9
SCHEDULE C (FEC Form 3) Use separate schedule(s) FOR LINE NUMBER:
for each category of the
LOANS Detailed Summary Page
(check only one) ✘ 13a
13b

NAME OF COMMITTEE (In Full) Transaction ID : SC/10.4105

BorglumforUSSenate
LOAN SOURCE Full Name (Last, First, Middle Initial) Memo Item Election: 2020

Borglum, Scyller, J, , ✘ Primary

General
Mailing Address Other (specify) 
1123 11th ST

City State ZIP Code

✘ Personal Funds of the Candidate
Rapid City SD 57701

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

,
 ,
 .
12000.00
 ,
 ,
 .
0.00
 ,
 ,
 .
12000.00

TERMS Date Incurred Date Due Interest Rate Secured:
(If none, enter 0)

.
M M M / D D / Y Y Y Y
07M / D
01 D / Y Y Y
2019 Y
None 0.00
% (apr) Yes ✘ No


List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

2. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

3. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .

4. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .


SUBTOTALS This Period This Page (optional).....................................................................

, , .


12000.00
  
TOTALS This Period (last page in this line only).................................................................
, , .


12000.00
  
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

FEC Schedule C (Form 3) (Revised 05/2016)