The file's text, extracted by GovTribe without its formatting.
Form 3
| Form 3 | | | |
| Line # | Type of Transaction | Corresponding Transactions | Additional Information. |
| 11a | Individual Receipt | | |
| 11a | Partnership Receipt | | See Memos Below |
| 11a | Memo Partnership | Partnership Memo |
| 11a | Tribal Receipt | | |
| 11a | In-Kind Receipt | | |
| 17 | In-Kind Out | |
| 11a | Ind. In-Kind Bitcoin Receipt | | # Bitcoin Not Liquidated |
| 17 | In-Kind Bitcoin Out | # Bitcoin Not Liquidated |
| 11a | Reattribution | | |
| 11a | Reattribution Memo | |
| 11a | Redesignation | | |
| 11a | Redesignation Memo | |
| 11a | Returned/Bounced Receipt | | |
| 11a | Earmark Receipt | | |
| 21 | Earmark Out | |
| 11a | Bitcoin Sold to Ind. | | Purchased # Bitcoins |
| 11a | Bitcoin Memo | # Bitcoins, Previously Disclosed |
| 11a | Earmark Receipt (In) | | |
| 11a | Earmark Memo | |
| 11b | Party Receipt | | |
| 11b | Party In-Kind | | |
| 17 | In-Kind Out | |
| 11b | Party In-Kind Bitcoin Receipt | | # Bitcoin Not Liquidated |
| 17 | In-Kind Bitcoin Out | # Bitcoin Not Liquidated |
| 11b | Bitcoin Sold to Party | | Purchased # Bitcoins |
| 11b | Bitcoin Memo | # Bitcoins, Previously Disclosed |
| 11b | Returned/Bounced Receipt | | |
| 11c | PAC Receipt | | |
| 11c | PAC In-Kind | | |
| 17 | In-Kind Out | |
| 11c | PAC In-Kind Bitcoin Receipt | | # Bitcoin Not Liquidated |
| 17 | In-Kind Bitcoin Out | # Bitcoin Not Liquidated |
| 11c | Earmark Receipt | | |
| 21 | Earmark Out | |
| 11c | Bitcoin Sold to PAC | | Purchased # Bitcoins |
| 11c | Bitcoin Memo | # Bitcoins, Previously Disclosed |
| 11c | Earmark Receipt (In) | | |
| 11c | Earmark Memo | |
| 11c | Returned/Bounced Receipt | | |
| 11d | Contribution from Candidate | | |
| 11d | In-Kind from Candidate | | |
| 17 | In-Kind Out | |
| 17 | In-Kind Memo | |
| 12 | Transfers | | |
| 12 | JF Transfers | | |
| 12 | Corresponding JF Memo | |
| 13a | Loans Made by Candidate | | |
| 13b | Loans From Bank | | |
| 14 | Offsets to Operating Expenditures | | |
| 15 | Other Receipts | | |
| 15 | Recount Donation from an Individual | | Recount Receipt |
| 15 | Recount Donation from a Party | | Recount Receipt |
| 15 | Recount Donation from a PAC | | Recount Receipt |
| 15 | Debt Payment to the Committee | | |
| 9 | Corrresponding Debt Owed to Committee | |
| 15 | Loan Payment to the Committee | | |
| 9 | Corresponding Loan Owed to Committee | |
| 17 | Operating Expenditure | | |
| 17 | Debt Payment | | |
| 10 | Corresponding Payment on D | |
| 17 | Credit Card Payment | | |
| 17 | CC Corresponding Memo | |
| 17 | Staff Reimbursement | | |
| 17 | Reimb. Corresponding Memo | |
| 17 | Payment to Payroll | | |
| 17 | Payroll Memo | |
| 17 | Void | | |
| 18 | Transfers to Other Authorized Committees | | |
| 19a | Loan Repayment by Candidate | | |
| 10 | Corresponding Payment on C | |
| 19b | Loan Repayment to Bank | | |
| 10 | Corresponding Payment on C | |
| 20a | Ind. Refund | | |
| 20a | VOID | | |
| 20b | Party Refund | | |
| 20b | VOID | | |
| 20c | PAC Refund | | |
| 20c | VOID | | |
| 21 | Other Dibursements | | |
| 21 | Contribution to Candidate | | |
| 21 | Contribution to Other Committee | | |
| 21 | Recount Disbursement | | Recount: Purpose of Disbursement |
Individual Receipt Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
with the F3L
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Partnership Contribution Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: See Memos Below
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Partnership Below Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 x(warning) Description: Partnership Memo
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Tribal Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Tribal Receipt
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Ind. In-kind Receipt In Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: In-kind #
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Ind. In-kind Out Operating Expenditure (17)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
1 FORM TYPE A/N-8 X (error) SB17 SB[line# ref] Appendix C. SB3L must be used with the F3L
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | B56123456789-1234 | | must be unique for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | B123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SB21 | SB[line# ref] | Ref to the Schedule that has the Related Record. SB3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | CCM | CAN,CCM,... | [CAN|CCM|COM|IND|ORG|PAC|PTY] |
| 8 | PAYEE LAST NAME | A/N-30 | X (error) | Smith | | Required if [IND|CAN] |
| 9 | PAYEE FIRST NAME | A/N-20 | X (error) | John | | Required if [IND|CAN] |
| 10 | PAYEE MIDDLE NAME | A/N-20 | | W | | Optional if [IND|CAN] |
| 11 | PAYEE PREFIX | A/N-10 | | Dr | | Optional if [IND|CAN] |
| 12 | PAYEE SUFFIX | A/N-10 | | Jr | | Optional if [IND|CAN] |
| 13 | PAYEE STREET 1 | A/N-34 | X (error) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (error) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (error) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (error) | 1012 |
| 18 | ELECTION CODE | A/N-5 | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | Req if PGI = "OYYYY" |
| 20 | EXPENDITURE DATE | NUM-8 | X (warning) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (warning) | 1500.00 | | Expenditure Amt |
23 EXPENDITURE PURPOSE DESCRIP A/N-100 X (error) Repay Loan Description: In-kind #
24 CATEGORY CODE A/N-3 001 001, 002, ... 012;
and 101 - 107 Codes 001-012 are for use by, and only by, non-Presidential Committees.
Codes 101-107 are used only by Presidential Committees
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Ind. In-kind Bitcoin Rec. In Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: In-Kind: # Bitcoin Not Liquidated
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Ind. In-kind Bitcoin Out Operating Expenditure (17)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
1 FORM TYPE A/N-8 X (error) SB17 SB[line# ref] Appendix C. SB3L must be used with the F3L
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | B56123456789-1234 | | must be unique for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | B123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SB21 | SB[line# ref] | Ref to the Schedule that has the Related Record. SB3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | CCM | CAN,CCM,... | [CAN|CCM|COM|IND|ORG|PAC|PTY] |
| 8 | PAYEE LAST NAME | A/N-30 | X (error) | Smith | | Required if [IND|CAN] |
| 9 | PAYEE FIRST NAME | A/N-20 | X (error) | John | | Required if [IND|CAN] |
| 10 | PAYEE MIDDLE NAME | A/N-20 | | W | | Optional if [IND|CAN] |
| 11 | PAYEE PREFIX | A/N-10 | | Dr | | Optional if [IND|CAN] |
| 12 | PAYEE SUFFIX | A/N-10 | | Jr | | Optional if [IND|CAN] |
| 13 | PAYEE STREET 1 | A/N-34 | X (error) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (error) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (error) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (error) | 1012 |
| 18 | ELECTION CODE | A/N-5 | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | Req if PGI = "OYYYY" |
| 20 | EXPENDITURE DATE | NUM-8 | X (warning) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (warning) | 1500.00 | | Expenditure Amt |
23 EXPENDITURE PURPOSE DESCRIP A/N-100 X (error) Repay Loan Description: In-Kind: # Bitcoin Not Liquidated
24 CATEGORY CODE A/N-3 001 001, 002, ... 012;
and 101 - 107 Codes 001-012 are for use by, and only by, non-Presidential Committees.
Codes 101-107 are used only by Presidential Committees
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Reattribution Memo 1 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Contribution As Originally Reported. Reattributed Below
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Reattribution Memo 2 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | should be a negative amount |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Reattributed From:
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Reattribution Memo 3 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Reattributed To:
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Redesignated Memo 1 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Contribution As Originally Reported. Redesignated Below
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Redesignated Memo 2 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | should be a negative amount |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Redesignated From:
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Redesignated Memo 3 Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Redesignated To:
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Bounced Receipt Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | should be a negative amount |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 Description: Bounced Check
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Earmarked Receipt Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: Contribution Earmarked Through #
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Earmark Out Other Disbursement (17)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
1 FORM TYPE A/N-8 X (error) SB17 SB[line# ref] Appendix C. SB3L must be used with the F3L
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | B56123456789-1234 | | must be unique for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | B123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SB21 | SB[line# ref] | Ref to the Schedule that has the Related Record. SB3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | CCM | CAN,CCM,... | [CAN|CCM|COM|IND|ORG|PAC|PTY] |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | | Required if NOT [IND|CAN] |
| 13 | PAYEE STREET 1 | A/N-34 | X (error) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (error) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (error) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (error) | 1012 |
| 18 | ELECTION CODE | A/N-5 | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | Req if PGI = "OYYYY" |
| 20 | EXPENDITURE DATE | NUM-8 | X (warning) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (warning) | 1500.00 | | Expenditure Amt |
23 EXPENDITURE PURPOSE DESCRIP A/N-100 X (error) Repay Loan Description: Forwarded Earmarked Contribution
24 CATEGORY CODE A/N-3 001 001, 002, ... 012;
and 101 - 107 Codes 001-012 are for use by, and only by, non-Presidential Committees.
Codes 101-107 are used only by Presidential Committees
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Bitcoin Sold to Ind.
Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: Purchased # Bitcoins
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Bitcoin Memo Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: # Bitcoins, Previously Disclosed
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Earmark Receipt Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND |
| 8 | CONTRIBUTOR LAST NAME | A/N-30 | X (error) | Smith |
| 9 | CONTRIBUTOR FIRST NAME | A/N-20 | X (error) | John |
| 10 | CONTRIBUTOR MIDDLE NAME | A/N-20 | | W |
| 11 | CONTRIBUTOR PREFIX | A/N-10 | | Dr |
| 12 | CONTRIBUTOR SUFFIX | A/N-10 | | Jr |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: Contribution Earmarked Through #
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Earmark Memo Individual Receipt (11a)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: Memo: Earmarked Contribution
| 24 | CONTRIBUTOR EMPLOYER | A/N-38 | X (error) | XYZ Company | Req if Donor aggregate >$200 |
| 25 | CONTRIBUTOR OCCUPATION | A/N-38 | X (error) | QC Inspector | Req if Donor aggregate >$200 |
| 43 | MEMO CODE | A/N-1 | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
11(b) Party Receipt Party Receipt (11b)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100
| 26 | DONOR COMMITTEE FEC ID | A/N-9 | Conditional Warning | | Used if CCM, PAC or PTY |
| 27 | DONOR COMMITTEE NAME | A/N-200 | Conditional Warning | Action PAC | Used if CCM, PAC or PTY |
| 28 | DONOR CANDIDATE FEC ID | A/N-9 | Conditional Warning | H98765431 | Used if CAN or CCM |
| 29 | DONOR CANDIDATE LAST NAME | A/N-30 | Conditional Warning | | Used if CAN or CCM |
| 30 | DONOR CANDIDATE FIRST NAME | A/N-20 | Conditional Warning | | If either Last or First name coded; |
both Last & First names required.
| 31 | DONOR CANDIDATE MIDDLE NAME | A/N-20 | | | | |
| 32 | DONOR CANDIDATE PREFIX | A/N-10 | | | | |
| 33 | DONOR CANDIDATE SUFFIX | A/N-10 | | | | |
| 34 | DONOR CANDIDATE OFFICE | A/N-1 | Conditional Warning | H | H,S,P | Used if CAN or CCM |
| 35 | DONOR CANDIDATE STATE | A/N-2 | Conditional Warning | FL | AK,AL,... | Req if Office = Sen or House |
| 36 | DONOR CANDIDATE DISTRICT | NUM-2 | Conditional Warning | 35 | 01 ... 99 | Req if Office = House |
| 37 | CONDUIT NAME | A/N-200 | Middle Organization | If Conduit | |
| 38 | CONDUIT STREET1 | A/N-34 | 45 E Street | | |
| 39 | CONDUIT STREET2 | A/N-34 | | | |
| 40 | CONDUIT CITY | A/N-30 | Springfield | | |
| 41 | CONDUIT STATE | A/N-2 | MA | | |
| 42 | CONDUIT ZIP | A/N-9 | 10111 | | |
| 43 | MEMO CODE | A/N-1 | | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
11(b) Party In-kind Receipt Party Receipt (11b)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: In-kind #
| 26 | DONOR COMMITTEE FEC ID | A/N-9 | Conditional Warning | | Used if CCM, PAC or PTY |
| 27 | DONOR COMMITTEE NAME | A/N-200 | Conditional Warning | Action PAC | Used if CCM, PAC or PTY |
| 28 | DONOR CANDIDATE FEC ID | A/N-9 | Conditional Warning | H98765431 | Used if CAN or CCM |
| 29 | DONOR CANDIDATE LAST NAME | A/N-30 | Conditional Warning | | Used if CAN or CCM |
| 30 | DONOR CANDIDATE FIRST NAME | A/N-20 | Conditional Warning | | If either Last or First name coded; |
both Last & First names required.
| 31 | DONOR CANDIDATE MIDDLE NAME | A/N-20 | | | | |
| 32 | DONOR CANDIDATE PREFIX | A/N-10 | | | | |
| 33 | DONOR CANDIDATE SUFFIX | A/N-10 | | | | |
| 34 | DONOR CANDIDATE OFFICE | A/N-1 | Conditional Warning | H | H,S,P | Used if CAN or CCM |
| 35 | DONOR CANDIDATE STATE | A/N-2 | Conditional Warning | FL | AK,AL,... | Req if Office = Sen or House |
| 36 | DONOR CANDIDATE DISTRICT | NUM-2 | Conditional Warning | 35 | 01 ... 99 | Req if Office = House |
| 37 | CONDUIT NAME | A/N-200 | Middle Organization | If Conduit | |
| 38 | CONDUIT STREET1 | A/N-34 | 45 E Street | | |
| 39 | CONDUIT STREET2 | A/N-34 | | | |
| 40 | CONDUIT CITY | A/N-30 | Springfield | | |
| 41 | CONDUIT STATE | A/N-2 | MA | | |
| 42 | CONDUIT ZIP | A/N-9 | 10111 | | |
| 43 | MEMO CODE | A/N-1 | | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Party In-kind Out Operating Expenditure (17)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
1 FORM TYPE A/N-8 X (error) SB17 SB[line# ref] Appendix C. SB3L must be used with the F3L
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | B56123456789-1234 | | must be unique for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | B123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SB21 | SB[line# ref] | Ref to the Schedule that has the Related Record. SB3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | CCM | CAN,CCM,... | [CAN|CCM|COM|IND|ORG|PAC|PTY] |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | | Required if NOT [IND|CAN] |
| 13 | PAYEE STREET 1 | A/N-34 | X (error) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (error) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (error) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (error) | 1012 |
| 18 | ELECTION CODE | A/N-5 | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | Req if PGI = "OYYYY" |
| 20 | EXPENDITURE DATE | NUM-8 | X (warning) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (warning) | 1500.00 | | Expenditure Amt |
23 EXPENDITURE PURPOSE DESCRIP A/N-100 X (error) Repay Loan Description: In-kind #
24 CATEGORY CODE A/N-3 001 001, 002, ... 012;
and 101 - 107 Codes 001-012 are for use by, and only by, non-Presidential Committees.
Codes 101-107 are used only by Presidential Committees
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
11(b) Bitcoin In-kind Party Receipt (11b)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: In-Kind: # Bitcoin Not Liquidated
| 26 | DONOR COMMITTEE FEC ID | A/N-9 | Conditional Warning | | Used if CCM, PAC or PTY |
| 27 | DONOR COMMITTEE NAME | A/N-200 | Conditional Warning | Action PAC | Used if CCM, PAC or PTY |
| 28 | DONOR CANDIDATE FEC ID | A/N-9 | Conditional Warning | H98765431 | Used if CAN or CCM |
| 29 | DONOR CANDIDATE LAST NAME | A/N-30 | Conditional Warning | | Used if CAN or CCM |
| 30 | DONOR CANDIDATE FIRST NAME | A/N-20 | Conditional Warning | | If either Last or First name coded; |
both Last & First names required.
| 31 | DONOR CANDIDATE MIDDLE NAME | A/N-20 | | | | |
| 32 | DONOR CANDIDATE PREFIX | A/N-10 | | | | |
| 33 | DONOR CANDIDATE SUFFIX | A/N-10 | | | | |
| 34 | DONOR CANDIDATE OFFICE | A/N-1 | Conditional Warning | H | H,S,P | Used if CAN or CCM |
| 35 | DONOR CANDIDATE STATE | A/N-2 | Conditional Warning | FL | AK,AL,... | Req if Office = Sen or House |
| 36 | DONOR CANDIDATE DISTRICT | NUM-2 | Conditional Warning | 35 | 01 ... 99 | Req if Office = House |
| 37 | CONDUIT NAME | A/N-200 | Middle Organization | If Conduit | |
| 38 | CONDUIT STREET1 | A/N-34 | 45 E Street | | |
| 39 | CONDUIT STREET2 | A/N-34 | | | |
| 40 | CONDUIT CITY | A/N-30 | Springfield | | |
| 41 | CONDUIT STATE | A/N-2 | MA | | |
| 42 | CONDUIT ZIP | A/N-9 | 10111 | | |
| 43 | MEMO CODE | A/N-1 | | X | X = True |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Bitcoin In-kind Out Operating Expenditure (17)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
1 FORM TYPE A/N-8 X (error) SB17 SB[line# ref] Appendix C. SB3L must be used with the F3L
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | B56123456789-1234 | | must be unique for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | B123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SB21 | SB[line# ref] | Ref to the Schedule that has the Related Record. SB3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | CCM | CAN,CCM,... | [CAN|CCM|COM|IND|ORG|PAC|PTY] |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | | Required if NOT [IND|CAN] |
| 13 | PAYEE STREET 1 | A/N-34 | X (error) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (error) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (error) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (error) | 1012 |
| 18 | ELECTION CODE | A/N-5 | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | Req if PGI = "OYYYY" |
| 20 | EXPENDITURE DATE | NUM-8 | X (warning) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (warning) | 1500.00 | | Expenditure Amt |
23 EXPENDITURE PURPOSE DESCRIP A/N-100 X (error) Repay Loan Description: In-Kind: # Bitcoin Not Liquidated
24 CATEGORY CODE A/N-3 001 001, 002, ... 012;
and 101 - 107 Codes 001-012 are for use by, and only by, non-Presidential Committees.
Codes 101-107 are used only by Presidential Committees
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
11(b) Bitcoin Sold Party Receipt (11b)
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SA11AI | SA[line# ref] | |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID | A/N-20 | X (error) | A56123456789-1234 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A123456789-1234 | | Reference to the Tran ID of a Related Record |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | Ref to the Schedule that has the Related Record. SA3L must be used |
| 6 | ENTITY TYPE | A/N-3 | X (error) | IND | |
| 7 | CONTRIBUTOR ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 13 | CONTRIBUTOR STREET 1 | A/N-34 | X (error) | 123 Main Street | | |
| 14 | CONTRIBUTOR STREET 2 | A/N-34 | | | | |
| 15 | CONTRIBUTOR CITY | A/N-30 | X (error) | Anytown | | |
| 16 | CONTRIBUTOR STATE | A/N-2 | X (error) | WA | AK,AL,...,ZZ | Edit: ST |
| 17 | CONTRIBUTOR ZIP | A/N-9 | X (error) | 981110123 | | |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | G,P,O[YYYY] | Values: [G|P|R|S|C|E|O]+Year{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | X (error) | | | Req if Item Election Code = "OYYYY" |
| 20 | CONTRIBUTION DATE | NUM-8 | X (error) | 20120615 | YYYYMMDD | |
| 21 | CONTRIBUTION AMOUNT | AMT-12 | X (error) | 250.00 | | |
| 22 | CONTRIBUTION AGGREGATE | AMT-12 | | 1000.00 | | YTD |
23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: Purchased # Bitcoins
| 26 | DONOR COMMITTEE FEC ID | A/N-9 | Conditional Warning | | Used if CCM, PAC or PTY |
| 27 | DONOR COMMITTEE NAME | A/N-200 | Conditional Warning | Action PAC | Used if CCM, PAC or PTY |
| 28 | DONOR CANDIDATE FEC ID | A/N-9 | Conditional Warning | H98765431 | Used if CAN or CCM |
| 29 | DONOR CANDIDATE LAST NAME | A/N-30 | Conditional Warning | | Used if CAN or CCM |
| 30 | DONOR CANDIDATE FIRST NAME | A/N-20 | Conditional Warning | | If either Last or First name coded; |
both Last & First names required.
| 31 | DONOR CANDIDATE MIDDLE NAME | A/N-20 | | | | |
| 32 | DONOR CANDIDATE PREFIX | A/N-10 | | | | |
| 33 | DONOR CANDIDATE SUFFIX | A/N-10 | | | | |
| 34 | DONOR CANDIDATE OFFICE | A/N-1 | Conditional Warning | H | H,S,P | Used if CAN or CCM |
This is the start of the file's text. The full file is on GovTribe.