Virginia Radiology Political Action Committee (PAC )

Transcription

1 Schedule A: Direct Contributions Over $100 Full Name of Contributor Mailing Address of Contributor Donor Information 1. Employer or Business (If Corporate/Company Donor: N/A) 2. Type of Business(If Corporate Donor Type of Business) 3. Business Location Page: 1 of 9 Date Received Contribution This Period Aggregate To Date Commonwealth Radiology PC 1508 Willow Lawn Drive 117 Richmond, VA Radiology 3.Richmond, Virginia 03/31/2015 $7, $7, Grizzard, John P.O. Box Richmond, VA VCU Health System 2.Radiologist 3.Richmond, VA 01/16/2015 $ $ Koepke, James 8629 Sudley Rd Suite 102 Manassas, VA VA Radiology Associates, PC 2.Radiologist 3.Manassas, VA 03/13/2015 $ $ Matsumoto, Alan P.O. Box Charlottesville, VA UVA 2.Radiologist 3.Charlottesville, VA 01/28/2015 $ $ Total This Period $8,600.00

2 Page: 2 of 9 No Schedule B results to display.

3 Schedule C: Bank Interest, Refunded Expenditures and Rebates Full Name and Address of Payer Reason/Type of Payment Page: 3 of 9 Date Received Payment Amount Krupica for Delegate, Robert P.O. Box Alexandria, VA Void check (#1931) previously issued to Krupica for Delegate 03/26/2015 $ Total This Period $250.00

4 Schedule D: Expenditures Person or Company Paid and Address Item or Service Page: 4 of 9 Name of Person Authorizing Expenditure Date of Expenditure Amount Paid RAM, Inc Emerywood Parkway Suite 200 Richmond, VA st Quarter 2015 reimbursement for copies and postage (check#1951) Jim Beckner 02/19/2015 $17.36 RAM Services Corporation 2821 Emerywood Parkway Suite 200 Richmond, VA Mitchell, Wiggins & Company, LLP 1802 Bayberry Court 300 Richmond, VA st Quarter 2015 management fee Jim Beckner 03/06/2015 $1, Tax return preparation fee Jim Beckner 03/23/2015 $ Total This Period $1,727.36

5 Page: 5 of 9 No Schedule E-1 results to display.

6 Page: 6 of 9 No Schedule E-2 results to display.

7 Page: 7 of 9 No Schedule F results to display.

8 Schedule G: Statement of Funds Contributions Received This Period Number of Contributions Page: 8 of 9 Amount 1. Schedule A [Over $100] 4 $8, Schedule B [Over $100] 0 $ Un-itemized Cash Contributions [$100 or less] 0 $ Un-itemized In-Kind Contributions [$100 or less] 0 $ Total 4 $8, Bank Interest, Refunded Expenditures and Rebates 6. Schedule C [also enter on Line 17b on Schedule H] $ Expenditures Made This Period 7. Schedule B [From line 2 Above] $ Un-itemized In-Kind contributions [From line 4 Above] $ Schedule D [Expenditures] $1, Total [add lines 7, 8 and 9] $1, Reconciliation of Loan Account 11. Beginning loan balance [from line 15 of last report] $ Loans received this period [from Schedule E-Part 1] $ Subtotal $ Subtract: Loans repaid this period [from Schedule E-Part2] 15. Ending loan balance $0.00 $0.00

9 Schedule H: Summary of Receipts and Disbursements 16. Beginning Balance [Line 19 of last Report] $21, Receipts for Current Reporting Period: a. Contributions received this period [Line 5 of Schedule G] $8, b. Bank interest, refunded expenditures and rebates [Line 6 of Schedule G] $ c. Loans received this period [Line 12 of Schedule G] $0.00 d. Subtotal: Contributions and Receipts received this period $8, Page: 9 of 9 e. Total Expendable Funds [Add Linds 16 and 17d] $30, Disbursements for Current Reporting Period a. Expenditures made this reporting period [Line 10 of Schedule G] $1, b. Loans repaid this reporting period [Line 14 of Schedule G] $0.00 c. Other surplus funds paid out [from Schedule I] $0.00 d. Total Payments Made [Add lines 18a,18b, and 18c] $1, Ending Balance [Subtract Line 18b from Line 17e] $28, Total Unpaid Debts [from Schedule F of this report] $0.00 Committee's Receipts and Disbursements - Election Cycle 21. Balance at Start of Election Cycle $21, Previous Receipts [Line 24 from last report] $ Receipts from Current Reporting Previous [Line 17d above] $8, Total Receipts this Election Cycle [Add lines 22 and 23] $8, Total Funds Available [Add lines 21 and 24] $30, Previous Disbursements [Line 28 from last report] $ Disbursements from Current Reporting Period [Line 18d above] $1, Total Disbursements this Election Cycle $1, Ending Balance $28,693.67