5b-Form_3X_Receipts_-_Transaction_Based_Specifications.xlsx

XLSX spreadsheet 151 KB Posted Apr 24, 2018

Attached to: Next Generation eFiling and Disclosure Platform Modernization Federal contract opportunity
Solicitation number: 9531BP18R0004
Issued by: Federal Election Commission

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Other files for this federal contract opportunity

Other files attached to Next Generation eFiling and Disclosure Platform Modernization, newest first.
File	Type	Posted
9531BP18R0004_-_Amd0002.pdf	PDF	May 16, 2018
9531BP18R0004_-_Amd0001.pdf	PDF	May 15, 2018
4b-FEC_Format_v8.2.xlsx	XLSX spreadsheet	Apr 24, 2018
5c-Form_3X_Disbursements_-_Transaction_Based_Specifications.xlsx	XLSX spreadsheet	Apr 24, 2018
7-Past_Performance_Questionnaire.docx	DOCX document	Apr 24, 2018
6-Contractor_NDA.pdf	PDF	Apr 24, 2018
9531BP18R0004_-_NextGen_eFiling_RFP.pdf	PDF	Apr 24, 2018
5a-Form_3_-_Transaction_Based_Specifications.xlsx	XLSX spreadsheet	Apr 24, 2018

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All transactions

Form 3X
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
	21b	In-Kind Out
11a	Ind. In-Kind Bitcoin Receipt		# Bitcoin Not Liquidated
	21b	In-Kind Bitcoin Out	# Bitcoin Not Liquidated
11a	Reattribution
	11a	Reattribution Memo
11a	Returned/Bounced Receipt
11a	Earmark Receipt
	23	Earmark Out
11a	Earmark Receipt (In)
	11a	Earmark Memo
11a	Bitcoin Sold to Ind.		Purchased # Bitcoins
	11a	Bitcoin Memo	# Bitcoins, Previously Disclosed
11b	Party Receipt
11b	Party In-Kind
	21b	In-Kind Out
11b	Party In-Kind Bitcoin Receipt		# Bitcoin Not Liquidated
	21b	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
	21b	In-Kind Out
11b	PAC In-Kind Bitcoin Receipt		# Bitcoin Not Liquidated
	21b	In-Kind Bitcoin Out	# Bitcoin Not Liquidated
11c	Earmark Receipt
	23	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
12	Transfers
12	JF Transfers
	11a	Ind. JF Memo
	11b	Party JF Memo
	11c	PAC JF Memo
12	In-Kind Transfer
	21b	In-Kind Out
13	Loans Received
14	Loan Repayments Received
15	Offsets to Operating Expenditures
16	Refunds of Contributions to Candidate
16	Refunds of Contributions to Other Committees
17	Other Receipts
17	Ind. Recount Receipt		Recount Receipt
17	Party Recount Receipt		Recount Receipt
17	PAC Recount Receipt		Recount Receipt
17	Ind. Receipt - Non-Contribution Account		Non-Contribution Account
17	Other Committee Receipt - Non-Contribution Account		Non-Contribution Account
17	Business/Labor Org. Receipt - Non-Contribution Account		Non-Contribution Account
18a	Transfer from Non-Federal Account
18b	Transfer from Levin Account
21a	Allocated Federal/Non-Federal Expenditure
21a	Credit Card Payment for Allocated Expenditure
	21a	CC Corresponding Memo
21a	Staff Reimbursement for Allocated Expenditure
	21a	Reimb. Corresponding Memo
21a	Payment to Payroll
	21a	Payroll Memo
21a	Direct Candidate Support
	23	DCS - Contribution Memo
	24	DCS - IE Memo
	25	DCS - Coordinated Memo
21a	Void
21b	Operating Expenditure
21b	Credit Card Payment
	21b	CC Corresponding Memo
21b	Staff Reimbursement
	21b	Reimb. Corresponding Memo
21b	Payment to Payroll
	21b	Payroll Memo
21b	Void
22	Transfers to Affiliates/Other Committees
23	Contribution to Candidate
23	Redesignation
	23	Redesignation Memo
23	Contribution to Other Committee
23	Void
24	Independent Expenditure
24	IE Before Dissemination - Memo
	10	Debt to Vendor
24	Credit Card Payment
	24	CC Corresponding Memo
24	Staff Reimbursement
	24	Reimb. Corresponding Memo
24	Payment to Payroll
	24	Payroll Memo
24	VOID
25	Coordinated Party Expenditure
25	Credit Card Payment
	25	CC Corresponding Memo
25	Staff Reimbursement
	25	Reimb. Corresponding Memo
25	Payment to Payroll
	25	Payroll Memo
25	VOID
26	Loan Repayments Made
27	Loans Made
28a	Refund of Ind. Contribution
28a	VOID
28b	Refund of Party Contribution
28b	VOID
28c	Refund of PAC Contribution
28c	VOID
29	Other Disbursements
29	Credit Card Payment
	29	CC Corresponding Memo
29	Staff Reimbursement
	29	Reimb. Corresponding Memo
29	Payment to Payroll
	29	Payroll Memo
29	Recount Disbursements		Recount: Purpose of Disbursement
29	Non-Contribution Account Disbursements		Non-Contribution Account: Purpose of Disbursement
29	Non-Contribution Account Credit Card Payment
	29	CC Corresponding Memo	Non-Contribution Account: Purpose of Disbursement
29	Non-Contribution Account Staff Reimbursement
	29	Reimb. Corresponding Memo	Non-Contribution Account: Purpose of Disbursement
29	Non-Contribution Account Payment to Payroll
	29	Payroll Memo	Non-Contribution Account: Purpose of Disbursement
29	VOID
30a	Allocated FEA Disbursement
30a	Allocated FEA Credit Card Payment
	30a	CC Corresponding Memo
30a	Staff Reimbursement for Allocated FEA Payment
	30a	Reimb. Corresponding Memo
30a	VOID
30b	100% FEA Payment
30b	FEA Credit Card Payment
	30b	CC Corresponding Memo
30b	FEA Staff Reimbursement
	30b	Reimb. Corresponding Memo
30b	Payment to Payroll
	30b	Payroll Memo
30b	VOID

All Schedule A Transactions SCHEDULE A - ITEMIZED RECEIPTS - INCLUDED FOR REFERENCE - SEE OTHER SHEETS FOR SPECIFICS BY TRANSACTION TYPE

	COL
SEQ	FIELD
DESCRIPTION	TYPE	REQUIRED	SAMPLE
DATA	VALUE
REFERENCE	RULE
REFERENCE	FIELD-FORM

ASSOCIATION

	1	FORM TYPE	A/N-8	X (error)	SA11AI	SA[line# ref]	Appendix C. SA3L must be used
with the F3L	F3 \| F3X \| F3P \| F3L
	2	FILER COMMITTEE ID NUMBER	A/N-9	X (error)	C00123456			F3 \| F3X \| F3P \| F3L
	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)	F3 \| F3X \| F3P \| F3L
	4	BACK REFERENCE TRAN ID NUMBER	A/N-20		A123456789-1234		Reference to the Tran ID of a Related Record	F3 \| F3X \| F3P \| F3L
	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	F3 \| F3X \| F3P \| F3L

	If Donor is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Donor" information below.
6	ENTITY TYPE	A/N-3	X (error)	IND	CAN,CCM,...	[CAN\|CCM\|COM\|IND\|ORG\|PAC\|PTY]	F3 \| F3X \| F3P \| F3L
7	CONTRIBUTOR ORGANIZATION NAME	A/N-200	X (error)	John Smith & Co.		Required if NOT [IND\|CAN]	F3 \| F3X \| F3P \| F3L
8	CONTRIBUTOR LAST NAME	A/N-30	X (error)	Smith		Required if [IND\|CAN]	F3 \| F3X \| F3P \| F3L
9	CONTRIBUTOR FIRST NAME	A/N-20	X (error)	John		Required if [IND\|CAN]	F3 \| F3X \| F3P \| F3L
10	CONTRIBUTOR MIDDLE NAME	A/N-20		W		Optional if [IND\|CAN]	F3 \| F3X \| F3P \| F3L
11	CONTRIBUTOR PREFIX	A/N-10		Dr		Optional if [IND\|CAN]	F3 \| F3X \| F3P \| F3L
12	CONTRIBUTOR SUFFIX	A/N-10		Jr		Optional if [IND\|CAN]	F3 \| F3X \| F3P \| F3L

13	CONTRIBUTOR STREET 1	A/N-34	X (warning)	123 Main Street			F3 \| F3X \| F3P \| F3L
14	CONTRIBUTOR STREET 2	A/N-34					F3 \| F3X \| F3P \| F3L
15	CONTRIBUTOR CITY	A/N-30	X (warning)	Anytown			F3 \| F3X \| F3P \| F3L
16	CONTRIBUTOR STATE	A/N-2	X (warning)	WA	AK,AL,...,ZZ	Edit: ST	F3 \| F3X \| F3P \| F3L
17	CONTRIBUTOR ZIP	A/N-9	X (warning)	981110123			F3 \| F3X \| F3P \| F3L

18	ELECTION CODE	A/N-5	P2012	G,P,O[YYYY]	Values: [G\|P\|R\|S\|C\|E\|O]+Year{YYYY}	F3 \| F3X \| F3P
19	ELECTION OTHER DESCRIPTION	A/N-20			Req if Item Election Code = "OYYYY"	F3 \| F3X \| F3P

	20	CONTRIBUTION DATE	NUM-8	X (warning)	20120615	YYYYMMDD		F3 \| F3X \| F3P
	21	CONTRIBUTION AMOUNT {F3L Bundled}	AMT-12	X (warning)	250.00		Contribution (F3L Bundled) Amount	F3 \| F3X \| F3P \| F3L
	22	CONTRIBUTION AGGREGATE
{F3L Semi-annual Bundled}	AMT-12		1000.00		F3 \| F3P - Cycle to Date; F3X - YTD;
F3L - Semi-annual Bundled Total	F3 \| F3X \| F3P \| F3L

23 CONTRIBUTION PURPOSE DESCRIP A/N-100 F3 | F3X | F3P

24	CONTRIBUTOR EMPLOYER	A/N-38	XYZ Company	Req if Donor aggregate >$200	F3 \| F3X \| F3P \| F3L
25	CONTRIBUTOR OCCUPATION	A/N-38	QC Inspector	Req if Donor aggregate >$200	F3 \| F3X \| F3P

26	DONOR COMMITTEE FEC ID	A/N-9	Conditional Warning		Used if CCM, PAC or PTY	F3 \| F3X \| F3P \| F3L
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC	Used if CCM, PAC or PTY	F3 \| F3X \| F3P \| F3L

	28	DONOR CANDIDATE FEC ID	A/N-9	Conditional Warning	H98765431		Used if CAN or CCM	F3 \| F3X \| F3P \| F3L
	29	DONOR CANDIDATE LAST NAME	A/N-30	Conditional Warning			Used if CAN or CCM	F3 \| F3X \| F3P \| F3L
	30	DONOR CANDIDATE FIRST NAME	A/N-20	Conditional Warning			If either Last or First name coded;
both Last & First names required.	F3 \| F3X \| F3P \| F3L
	31	DONOR CANDIDATE MIDDLE NAME	A/N-20					F3 \| F3X \| F3P \| F3L
	32	DONOR CANDIDATE PREFIX	A/N-10					F3 \| F3X \| F3P \| F3L
	33	DONOR CANDIDATE SUFFIX	A/N-10					F3 \| F3X \| F3P \| F3L
	34	DONOR CANDIDATE OFFICE	A/N-1	Conditional Warning	H	H,S,P	Used if CAN or CCM	F3 \| F3X \| F3P \| F3L
	35	DONOR CANDIDATE STATE	A/N-2	Conditional Warning	FL	AK,AL,...	Req if Office = Sen or House	F3 \| F3X \| F3P \| F3L
	36	DONOR CANDIDATE DISTRICT	NUM-2	Conditional Warning	35	01 ... 99	Req if Office = House	F3 \| F3X \| F3P \| F3L

37	CONDUIT NAME	A/N-200	Middle Organization	If Conduit	F3 \| F3X \| F3P
38	CONDUIT STREET1	A/N-34	45 E Street		F3 \| F3X \| F3P
39	CONDUIT STREET2	A/N-34			F3 \| F3X \| F3P
40	CONDUIT CITY	A/N-30	Springfield		F3 \| F3X \| F3P
41	CONDUIT STATE	A/N-2	MA		F3 \| F3X \| F3P
42	CONDUIT ZIP	A/N-9	10111		F3 \| F3X \| F3P

43	MEMO CODE	A/N-1	X	X = True	F3 \| F3X \| F3P \| F3L
44	MEMO TEXT/DESCRIPTION	A/N-100			F3 \| F3X \| F3P \| F3L

45	Reference to SI or SL system code that identifies the Account	A/N-9		123xyzABC	Must contain a valid system code used in a Schedule I or L.	F3 \| F3X \| F3P
46	TRANSACTION TYPE IDENTIFIER	A/N-12	X (error)	INDV_REC		F3 \| F3X \| F3P

Individual Receipt Individual Receipt (11a)

	COL
SEQ	FIELD
DESCRIPTION	TYPE	REQUIRED	SAMPLE
DATA	VALUE
REFERENCE	RULE
REFERENCE	Note

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	CAN - Candidate, CCM - Candidate Committee, COM - Committee, IND - Individual (a person), ORG - Organization (not a committee and not a person), PAC - Political Action Committee, PTY - Party Organization
8	CONTRIBUTOR LAST NAME	A/N-30	X (error)	Smith		"None" for single name people?
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		Best Efforts?
16	CONTRIBUTOR STATE	A/N-2	X (error)	WA	Edit: ST
17	CONTRIBUTOR ZIP	A/N-9	X (error)	981110123

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615		Payroll Deductions?
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00
22	CONTRIBUTION AGGREGATE	AMT-12	X (error)	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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) INDV_REC

Partnership Contribution Partnership Contribution 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)	ORG
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

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615	YYYYMMDD
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00
22	CONTRIBUTION AGGREGATE	AMT-12	X (error)	1000.00		YTD

23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) Description: See Memos Below

43	MEMO CODE	A/N-1	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_CON

Partnership Memo PARTNERSHIP MEMO (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	X (error)	A123456789-1234		Reference to the Tran ID of a Related Record
5	BACK REFERENCE SCHED NAME	A/N-8	X (error)	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

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615	YYYYMMDD
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00
22	CONTRIBUTION AGGREGATE	AMT-12	X (error)	1000.00		YTD

23 CONTRIBUTION PURPOSE DESCRIP A/N-100 X (error) 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 (error)	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_MEMO

Tribal Receipt Tribal 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)	Jo Smith & Co.

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

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615	YYYYMMDD
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00
22	CONTRIBUTION AGGREGATE	AMT-12	X (error)	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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) TRIB_REC

In-Kind Receipt In-Kind 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

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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) IK_REC

In-Kind Out In-Kind Out (21b)

	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

with the F3L

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
9	PAYEE FIRST NAME	A/N-20	X (error)	John
10	PAYEE MIDDLE NAME	A/N-20		W
11	PAYEE PREFIX	A/N-10		Dr
12	PAYEE SUFFIX	A/N-10		Jr

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

20 EXPENDITURE DATE NUM-8 X (error) 20120720

23	EXPENDITURE PURPOSE DESCRIP	A/N-100	X (error)	Repay Loan	Description: In-Kind #
24	CATEGORY CODE	A/N-3		001

42	MEMO CODE	A/N-1
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) IK_OUT

Ind In-Kind Bitcoin Receipt In-Kind Bitcoin 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

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: XX Bitcoins 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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) IK_BC_REC

Ind In-Kind Bitcoin Out In-Kind Bitcoin not sold (21b)

	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

with the F3L

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
9	PAYEE FIRST NAME	A/N-20	X (error)	John
10	PAYEE MIDDLE NAME	A/N-20		W
11	PAYEE PREFIX	A/N-10		Dr
12	PAYEE SUFFIX	A/N-10		Jr

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

20	EXPENDITURE DATE	NUM-8	X (error)	20120720
21	EXPENDITURE AMOUNT {F3L Bundled}	AMT-12	X (error)	1500.00

23	EXPENDITURE PURPOSE DESCRIP	A/N-100	Repay Loan	Description: XX Bitcoins not liquidated
24	CATEGORY CODE	A/N-3	001

42	MEMO CODE	A/N-1
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) IK_BC_OUT

Reattribution from original REATTRIBUTION FROM ORIGINAL (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

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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) REATT_FROM

Reattribution to REATTRIBUTION TO (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

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: Reattribution from XX on MMDDYYYY

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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) REATT_TO

ReturnedBounced Receipt Returned/Bounced 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

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615	YYYYMMDD
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00		Negative Number
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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) RET_REC

Earmark Receipt 11a Earmark 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

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) Earmarked for XX

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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) EARMARK_REC

Earmark Receipt 23 Earmark Receipt-Disbursement (23)

	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	PAYEE ORGANIZATION NAME	A/N-200	X (error)	John Smith & Co.

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]
19	ELECTION OTHER DESCRIPTION	A/N-20

20	EXPENDITURE DATE	NUM-8	X (warning)	20120720	YYYYMMDD
21	EXPENDITURE AMOUNT {F3L Bundled}	AMT-12	X (warning)	1500.00		Expenditure (F3L Bundled Refund) Amt

23	EXPENDITURE PURPOSE DESCRIP	A/N-100	X (error)	Repay Loan		Earmark from
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

25	BENEFICIARY COMMITTEE FEC ID	A/N-9	C00654323	Used if CCM, PAC or PTY
26	BENEFICIARY COMMITTEE NAME	A/N-200	John Smith & Co.	Used if CCM, PAC or PTY

27	BENEFICIARY CANDIDATE FEC ID	A/N-9	H98765431	Used if CAN or CCM
28	BENEFICIARY CANDIDATE LAST NAME	A/N-30		Used if CAN or CCM
29	BENEFICIARY CANDIDATE FIRST NAME	A/N-20		If either Last or First name coded;

both Last & First names required.

30	BENEFICIARY CANDIDATE MIDDLE NAME	A/N-20
31	BENEFICIARY CANDIDATE PREFIX	A/N-10
32	BENEFICIARY CANDIDATE SUFFIX	A/N-10
33	BENEFICIARY CANDIDATE OFFICE	A/N-1	H	H,S,P
34	BENEFICIARY CANDIDATE STATE	A/N-2	FL	AK,AL,...
35	BENEFICIARY CANDIDATE DISTRICT	NUM-2	35	01 ... 99

42	MEMO CODE	A/N-1	X	X = True
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error)

Earmark Receipt Memo Earmark Receipt-Memo (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

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) Earmarked for XX

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 (error)	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) EAR_MEM

Earmark Receipt Memo 23 Earmark Receipt-Disbursement (23)

	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	PAYEE ORGANIZATION NAME	A/N-200	X (error)	John Smith & Co.

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]
19	ELECTION OTHER DESCRIPTION	A/N-20

20 EXPENDITURE DATE NUM-8 X (error) 20120720 YYYYMMDD

23	EXPENDITURE PURPOSE DESCRIP	A/N-100	X (error)	Repay Loan		Earmark from
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

25	BENEFICIARY COMMITTEE FEC ID	A/N-9	C00654323	Used if CCM, PAC or PTY
26	BENEFICIARY COMMITTEE NAME	A/N-200	John Smith & Co.	Used if CCM, PAC or PTY

27	BENEFICIARY CANDIDATE FEC ID	A/N-9	H98765431	Used if CAN or CCM
28	BENEFICIARY CANDIDATE LAST NAME	A/N-30		Used if CAN or CCM
29	BENEFICIARY CANDIDATE FIRST NAME	A/N-20		If either Last or First name coded;

both Last & First names required.

30	BENEFICIARY CANDIDATE MIDDLE NAME	A/N-20
31	BENEFICIARY CANDIDATE PREFIX	A/N-10
32	BENEFICIARY CANDIDATE SUFFIX	A/N-10
33	BENEFICIARY CANDIDATE OFFICE	A/N-1	H	H,S,P
34	BENEFICIARY CANDIDATE STATE	A/N-2	FL	AK,AL,...
35	BENEFICIARY CANDIDATE DISTRICT	NUM-2	35	01 ... 99

42	MEMO CODE	A/N-1	X (error)	X	X = True
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-15 X (error) EAR_MEM_23

Bitcoin sold to individual Bitcoin sold to Individual (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

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 Purchase of XX Bitcoin

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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) BC_TO_IND

Bitcoin previously disclosed Bitcoin previously disclosed, now sold to Individual (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

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 XX Bitcoins, contribution 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

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) BC_PREV

Party Receipt 11b 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	A/N-200	X (error)	John Smith & Co.

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

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
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_REC

In-Kind Party Receipt 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	A/N-200	X (error)	John Smith & Co.

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

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
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_REC_IK

In-Kind Out Party In-Kind Out Party (21b)

	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

with the F3L

6	ENTITY TYPE	A/N-3	X (error)	CCM	CAN,CCM,...	[CAN\|CCM\|COM\|IND\|ORG\|PAC\|PTY]
7	PAYEE ORGANIZATION NAME	A/N-200	X (error)	John Smith & Co.

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

20	EXPENDITURE DATE	NUM-8	X (error)	20120720
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00
22	CONTRIBUTION AGGREGATE	AMT-12		1000.00	YTD
23	EXPENDITURE PURPOSE DESCRIP	A/N-100	X (error)	Repay Loan	Description: In-Kind #
24	CATEGORY CODE	A/N-3		001
25	BENEFICIARY COMMITTEE FEC ID	A/N-9		C00654323	Used if CCM, PAC or PTY
26	BENEFICIARY COMMITTEE NAME	A/N-200		John Smith & Co.	Used if CCM, PAC or PTY

42	MEMO CODE	A/N-1	X	X = True
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_OUT_IK

Party In-Kind Bitcoin Receipt Party In-Kind Bitcoin 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	A/N-200	X (error)	John Smith & Co.

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

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: XX Bitcoins not liquidated

26	DONOR COMMITTEE FEC ID	A/N-9	Conditional Warning
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1			X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100
46	TRANSACTION TYPE IDENTIFIER	A/N-12	X (error)	PAR_IK_BC_REC

Party Bitcoin InKind Out bitcoin In-Kind Out Party (21b)

	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

with the F3L

6	ENTITY TYPE	A/N-3	X (error)	CCM	CAN,CCM,...	[CAN\|CCM\|COM\|IND\|ORG\|PAC\|PTY]
7	PAYEE ORGANIZATION NAME	A/N-200	X (error)	John Smith & Co.

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

20 EXPENDITURE DATE NUM-8 X (error) 20120720

23	EXPENDITURE PURPOSE DESCRIP	A/N-100	X (error)	Repay Loan	Description: # Bitcoins not liquidated
24	CATEGORY CODE	A/N-3		001
25	BENEFICIARY COMMITTEE FEC ID	A/N-9		C00654323	Used if CCM, PAC or PTY
26	BENEFICIARY COMMITTEE NAME	A/N-200		John Smith & Co.	Used if CCM, PAC or PTY

42	MEMO CODE	A/N-1
43	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_BC_IK_OUT

Bitcoin Purchase Party Party Purchase of Bitcoin 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	A/N-200	X (error)	John Smith & Co.

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

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: Purchase # Bitcoins

26	DONOR COMMITTEE FEC ID	A/N-9	Conditional Warning
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1			X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100
46	TRANSACTION TYPE IDENTIFIER	A/N-12	X (error)	PAR_BC_PUR

Bitcoin Purchase Party Memo Party Purchase of Bitcoin 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	A/N-200	X (error)	John Smith & Co.

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

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: Purchase # Bitcoins, contribution previously disclosed

26	DONOR COMMITTEE FEC ID	A/N-9	Conditional Warning
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1	X (error)	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_BC_PUR_MEM

Party Return or Void Party VOID (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	A/N-200	X (error)	John Smith & Co.

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

20	CONTRIBUTION DATE	NUM-8	X (error)	20120615	YYYYMMDD
21	CONTRIBUTION AMOUNT	AMT-12	X (error)	250.00		Negative Amount
22	CONTRIBUTION AGGREGATE	AMT-12		1000.00
23	CONTRIBUTION PURPOSE DESCRIP	A/N-100				Description: Return/Void

26	DONOR COMMITTEE FEC ID	A/N-9	Conditional Warning
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAR_RET

PAC Receipt 11c PAC Receipt (11c)

	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	A/N-200	X (error)	John Smith & Co.

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

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
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

43	MEMO CODE	A/N-1	X	X = True
44	MEMO TEXT/DESCRIPTION	A/N-100

46 TRANSACTION TYPE IDENTIFIER A/N-12 X (error) PAC_REC

In-Kind PAC Receipt In-Kind PAC Receipt (11c)

	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	A/N-200	X (error)	John Smith & Co.

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

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
27	DONOR COMMITTEE NAME	A/N-200	Conditional Warning	Action PAC

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