09/26/2011 11:26

5124782011

SHELLY RODRIGUEZ

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FEC FORM 3X
1. NAMEOF COMh/irrTEE (In full)

REPORT OF RECEIPTS AND DISBURSEMENTS

For Other Than An Authorized Committee
TVPE OR PRINT v B,ampl.: If ^ n g , type over the lines.

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ADDRESS (number and streel) Check if different than previously reported. (ACC)

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CITY 3. ISTHIS REPORT

2.

F E C IDENTIFICATION NUMBER

STATEA

ZIP CODE A AMENDED (A)

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NEW

(N)

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4.

TYPE OF REPORT (Choose One) (a) Quarterly Reports: n (LJ! April IS Quaneriy Report (01) July 1S Quarterly Report (Q2) ^1 9
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(b) Monthly Report Due On:

H U

Feb20(M2)

May 20 (M5) ' ' JUn20(M6) Jul20(M7) K |^

Aug zo (M8) ^ ' Sep20(M9) Oct 20 (MIO)

H U Q

Nov20.(Mii) f^^-gg-" ?,^,J^f'^)

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I p Mar 20 (M3) Q (c) Apr20(M4) f l |j

ji Jan 31 (VE) Runoff (12R)

12-Day PRE-Eleclion Report for the:

Primary (12P) Convention (12C)

General (12G) Special (12S) in the state of

October 15 Quarterly Report (Q3) January 31

Year-End Report (YE)

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

(d)

30-Day POST-Elecilon Reoon for ihe: lhe: Report

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General (30G)

Runoff (30R)

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Special (30S)

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Election on

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Sur-iWIT8

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6.

Covertng Penod

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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 Prim Name of Treasurer^

Signature of Treasurer

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^-^v^OQ^S^

Date

NOTE: SubmisGion of false, erroneous, or incomplete information may subject the person signing this Report lo the penalties of 2 U.S.C, 437g,

Office Use Only

F E C FORM 3X
Rev. 12/2004 j

I=E6AN026

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

Write or Type Committee Name

Report Covering the Period:

From:

Iz.. o\y
COLUMN A This Period

To:

COLUMN B Caiendar Year-to-Date

6.

(a) Cash on IHand January 1,

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(b) Cash on Hand at Beginning of Reporting Period.

(c) Total Receipts (from Line 19) (d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B)..

7. 8.

Total Disbursements (from Line 31). Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)). Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D).,

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9.

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

FE6AN026

FEC Form 3X (Rev. 06/2004)

DETAILED SUMMARY PAGE of Receipts

Page 3

Write or Type Committee Name

Report Covering the Period:

From:

| O j J

L L ^ J

l l . l J L i J

To:

Z.QJLJL
COLUMN B Caiendar Year-to-Date

I. Receipts
11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) (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 Poiiticai Committees 17. Other Federal Receipts (Dividends, Interest, etc.) 18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3) (b) Levin Funds (from Schedule H5)

COLUMN A Total This Period

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

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).

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FE6AN026

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 02/2003)

of Disbursements
COLUMN A Totai This Period

Page 4 COLUMN B Calendar Year-to-Date

il. Disbursements
21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share (ii) Non-Federal Share Other Federal Operating (b) Expenditures (c) Total Operating Expenditures (add 2l(a)(i). (a)(ii), and (b)). Transfers to Affiliated/Other Party Committees Contributions to Federal Candidates/Committees and Other Poiiticai Committees Independent Expenditures (use Schedule E) Coordinated Party Expenditures (2 U.S.C. 441 a(d)) (use Schedule F)

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22. 23. 24.

to to

25.

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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) (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

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one) 11a 13 11b 14

| PAGE 11c 15

OF p_

JIbi.

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 poiiticai committee to solicit contributions from such committee. NAME OF COMMITTEE (in Full)

Full Name (Last, First, Middle Initial)

SWtLUES ,
Mailing Address City

DANIEU

,
State Zip Code

Date of Receipt

Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) y Full Name (i^st, First, Middle Initial) |pl ' " |i.,aj^^,gun^,^A^:A;.v.A Occupation Aggregate Year-to-Date T

\ 0 00 0 0 i

0 0 0

Oo.
Date of Receipt

B.

^'. Mailing Address City

Jv\v

y V

state

Zip Code Amount of Each Receipt this Period

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) y Full Name (Last, First, Middle Initiai)
LJ=

iv-'i
Occupation Aggregate Year-to-Date T

^ O 0 0 Oo
Asa&mAmBSs&l^^ js

'

Date of Receipt

Mailing Address City State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) ^ Occupation Aggregate Year-to-Date T

5" 0 (? 0 o 0

SUBTOTAL of Receipts This Page (optional). TOTAL This Period (last page this line number only).

FE6AN026

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

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (checl( oniy one)

11a 13 11b 14

PAGE 2^ OF 2>
11c 15

JIbL

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 Fuli)

Full Name (Last, First, Middle Initiai) Date of Receipt Mailing Address

\0<i9 Ni^w Hof^^ A\/e"wui^, NW, ^ T E .

City State Zip Code

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FEC ID number of contributing federai political committee. Name of Employer Receipt For: Primary Qjj General Other (specify) Y Full Name (Last, First, Middle Initiai) B. Mailing Address City state ' Zip Code

Amount of Each Receipt this Period

ic!
Occupation Aggregate Year-to-Date T

^ 1

7^ ^ O O CO

1 " .. \ I 7

O'O^O^^^P
Date of Receipt

i/^/^sHiAj^t-roKi ^ t7.C.
FEC ID number of contributing federal poiiticai committee. Name of Employer Receipt For; Primary [jjj General other (specify) ^ Full Name (Last, First, Middle initial)

7.0 on \ r^i
Occupation Aggregate Year-to-Date T

Amount of Each Receipt this Period

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OO o ol

Date of Receipt
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Mailing Address City

3o5

131 "^^^ S T .

State
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Zip Code Amount of Each Receipt this Period

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FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) ^

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1 .

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Occupation Aggregate Year-to-Date T

I .

5 0.. 0.0 0 i
E r.1 Si (pr.'!::|j!:.';r:rn!<!:/j<B!i:^xi?.i:^^

SUBTOTAL of Receipts This Page (optional). TOTAL This Period (last page this line number only).

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

FE6AN026

SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)

PAGE

\ OF N

1^21b 27

22 28a

23 28b

24 28c

25 29

26 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 poiiticai committee to solicit contributions from such committee. NAME OF COMMiTTEE (In Full)

Full Name (Last, First, Middle initial)

A.
Mailing Address City Purpose of Disbursement Candidate Name Office Sought: IHouse Senate President District: Disbursement For: Primary State Zip Code

Date of Disbursement

XL
0.0_\ Category/ Type [jjj General y Amount of Each Disbursement this Period

5 o CO r

Other (specify)

State:

Full Name (Last, First, Middle Initial)

B.
Mailing Address state Purpose ot Disbursement Candidate Name Office Sought: House Senate President District: Disbursement For: I I General Primary Other (specify) y Zip Code

Date of Disbursement

3X

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Amount of Each Disbursement this Period Category/ Type

State:

Full Name (Last, First, Middle Initial)

0.
Mailing Address City Purpose of Disbursement State Zip Code

Date of Disbursement

0.91 W

Amount of Each Disbursement this Period Candidate Name Office Sought: House Senate President District: Disbursement For: I I General Primary Other (specify) y Category/ Type

State:

SUBTOTAL of Disbursements This Page (optional). TOTAL This Period (last page this line number only).

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r^i^sxw^iaKKs^;:^^ ^

FE6AN026

FEC Schedule B (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 USPS 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):

(3/2005)