The file's text, extracted by GovTribe without its formatting.
All disbursements
| Form 3X | | | |
| Line # | Type of Transaction | Corresponding Transactions | Additional Information. |
| 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 | | |
Allocated H4 Purpose
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Allocated H4 CC
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | Credit Card: See Below |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Allocated H4 CC memo
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X (error) | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Allocated H4 reimbursement
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | Reimbursement: See Below |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | X(error) | | |
| (see rule ref) | A/N-1 | X(error) | | |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Allocated H4 reimburse memo
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X (error) | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Allocated H4 Payroll
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | Payroll: See Below |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X (error) | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Allocated H4 Payroll Memo
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X (error) | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
DCS
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
30 YES/NO (Activity is Direct Candidate Support) A/N-1 X (error) X=yes One Act/Event required, but only one may be selected
| 32 | MEMO CODE | A/N-1 | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
DCS 23
SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 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 (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | |
| 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 |
| 36 | CONDUIT NAME | A/N-200 | Middle Organization | If Conduit |
| 37 | CONDUIT STREET 1 | A/N-34 | 45 E Street | |
| 38 | CONDUIT STREET 2 | A/N-34 | | |
| 39 | CONDUIT CITY | A/N-30 | Springfield | |
| 40 | CONDUIT STATE | A/N-2 | MA | |
| 41 | CONDUIT ZIP | A/N-9 | 10111 | |
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
DCS 23 memo SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 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 (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | |
| 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 | X (error) | H98765431 | Used if CAN or CCM |
| 28 | BENEFICIARY CANDIDATE LAST NAME | A/N-30 | X (error) | | Used if CAN or CCM |
| 29 | BENEFICIARY CANDIDATE FIRST NAME | A/N-20 | X (error) | | 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 | X (error) | H | H,S,P | |
| 34 | BENEFICIARY CANDIDATE STATE | A/N-2 | X (error) | FL | AK,AL,... | |
| 35 | BENEFICIARY CANDIDATE DISTRICT | NUM-2 | X (error) | 35 | 01 ... 99 | Only an error is a H candidate |
| 42 | MEMO CODE | A/N-1 | X (error) | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
DCS CE
SCHEDULE F - ITEMIZED COORDINATED EXPENDITURES MADE BY POLITICAL PARTY COMMITTEES OR DESIGNATED AGENT(S) ON BEHALF OF CANDIDATES FOR FEDERAL OFFICE {v6.4 revised layout}
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SF | SF | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | F123456789-3456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | F123456789-1234 | | 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 |
6 YES/NO (Has filer been designated to make Coordinated Expenditures?) A/N-1 Y Y,N Edit: Yes/No
| 7 | DESIGNATING COMMITTEE ID NUMBER | A/N-9 | |
| 8 | DESIGNATING COMMITTEE NAME | A/N-200 | X (warn if field #6=Y) |
| 9 | SUBORDINATE COMMITTEE ID NUMBER | A/N-9 |
| 10 | SUBORDINATE COMMITTEE NAME | A/N-200 |
| 11 | SUBORDINATE STREET 1 | A/N-34 |
| 12 | SUBORDINATE STREET 2 | A/N-34 |
| 13 | SUBORDINATE CITY | A/N-30 |
| 14 | SUBORDINATE STATE | A/N-2 |
| 15 | SUBORDINATE ZIP | A/N-9 |
| 16 | ENTITY TYPE | A/N-3 | | | |
| 17 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 18 | PAYEE LAST NAME | A/N-30 | X (error) | Smith | Required if [IND|CAN] |
| 19 | PAYEE FIRST NAME | A/N-20 | X (error) | John | Required if [IND|CAN] |
| 20 | PAYEE MIDDLE NAME | A/N-20 | | W | Optional if [IND|CAN] |
| 21 | PAYEE PREFIX | A/N-10 | | Dr | Optional if [IND|CAN] |
| 22 | PAYEE SUFFIX | A/N-10 | | Jr | Optional if [IND|CAN] |
| 23 | PAYEE STREET 1 | A/N-34 | X (warning) | Suite 16 |
| 24 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 25 | PAYEE CITY | A/N-30 | X (warning) | Springfield |
| 26 | PAYEE STATE | A/N-2 | X (warning) | MA |
| 27 | PAYEE ZIP | A/N-9 | X (warning) | 1012 |
| 28 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 29 | EXPENDITURE AMOUNT | AMT-12 | X (error) | 1500.00 | | |
| 30 | AGGREGATE GENERAL ELEC EXPENDED | AMT-12 | X (warning) | 123456.00 | | Aggregate Gen Elec Amt Expended |
| 31 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (warn If Aggreg > 0) | Repay Loan | | A description is required if the Aggregate Expended for the General Election (field #30) is over $0.00 |
| 32 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 012 | Category Code values 001-012 |
33 PAYEE COMMITTEE ID NUMBER A/N-9 C00654323 Used if CCM, COM, PAC or PTY
| 34 | PAYEE CANDIDATE ID NUMBER | A/N-9 | | H98765431 | | Used if CAN or CCM |
| 35 | PAYEE CANDIDATE LAST NAME | A/N-30 | X (error) | Smith | | If either Last or First name coded; |
| 36 | PAYEE CANDIDATE FIRST NAME | A/N-20 | X (error) | Patrick | | both Last & First names required. |
| 37 | PAYEE CANDIDATE MIDDLE NAME | A/N-20 | | Thomas | | |
| 38 | PAYEE CANDIDATE PREFIX | A/N-10 | | Mr. | | |
| 39 | PAYEE CANDIDATE SUFFIX | A/N-10 | | Jr. | | |
| 40 | PAYEE CANDIDATE OFFICE | A/N-1 | X (warning) | H | H,S,P | Edit: OFFICE |
| 41 | PAYEE CANDIDATE STATE | A/N-2 | X (warn if Cand Office=H or S) | FL | AK,AL,... | Edit: ST (if Office = Sen or House) |
| 42 | PAYEE CANDIDATE DISTRICT | NUM-2 | X (warn if Cand Office=H) | 35 | 01 ... 99 | (if Office = House) |
| 43 | MEMO CODE | A/N-1 | X |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | |
DCS CE memo SCHEDULE F - ITEMIZED COORDINATED EXPENDITURES MADE BY POLITICAL PARTY COMMITTEES OR DESIGNATED AGENT(S) ON BEHALF OF CANDIDATES FOR FEDERAL OFFICE {v6.4 revised layout}
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SF | SF | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | F123456789-3456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | F123456789-1234 | | 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 |
6 YES/NO (Has filer been designated to make Coordinated Expenditures?) A/N-1 Y Y,N Edit: Yes/No
| 7 | DESIGNATING COMMITTEE ID NUMBER | A/N-9 | |
| 8 | DESIGNATING COMMITTEE NAME | A/N-200 | X (warn if field #6=Y) |
| 9 | SUBORDINATE COMMITTEE ID NUMBER | A/N-9 |
| 10 | SUBORDINATE COMMITTEE NAME | A/N-200 |
| 11 | SUBORDINATE STREET 1 | A/N-34 |
| 12 | SUBORDINATE STREET 2 | A/N-34 |
| 13 | SUBORDINATE CITY | A/N-30 |
| 14 | SUBORDINATE STATE | A/N-2 |
| 15 | SUBORDINATE ZIP | A/N-9 |
| 16 | ENTITY TYPE | A/N-3 | | | |
| 17 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | Required if NOT [IND|CAN] |
| 18 | PAYEE LAST NAME | A/N-30 | X (error) | Smith | Required if [IND|CAN] |
| 19 | PAYEE FIRST NAME | A/N-20 | X (error) | John | Required if [IND|CAN] |
| 20 | PAYEE MIDDLE NAME | A/N-20 | | W | Optional if [IND|CAN] |
| 21 | PAYEE PREFIX | A/N-10 | | Dr | Optional if [IND|CAN] |
| 22 | PAYEE SUFFIX | A/N-10 | | Jr | Optional if [IND|CAN] |
| 23 | PAYEE STREET 1 | A/N-34 | X (warning) | Suite 16 |
| 24 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 25 | PAYEE CITY | A/N-30 | X (warning) | Springfield |
| 26 | PAYEE STATE | A/N-2 | X (warning) | MA |
| 27 | PAYEE ZIP | A/N-9 | X (warning) | 1012 |
| 28 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 29 | EXPENDITURE AMOUNT | AMT-12 | X (error) | 1500.00 | | |
| 30 | AGGREGATE GENERAL ELEC EXPENDED | AMT-12 | X (warning) | 123456.00 | | Aggregate Gen Elec Amt Expended |
| 31 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (warn If Aggreg > 0) | Repay Loan | | A description is required if the Aggregate Expended for the General Election (field #30) is over $0.00 |
| 32 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 012 | Category Code values 001-012 |
33 PAYEE COMMITTEE ID NUMBER A/N-9 C00654323 Used if CCM, COM, PAC or PTY
| 34 | PAYEE CANDIDATE ID NUMBER | A/N-9 | | H98765431 | | Used if CAN or CCM |
| 35 | PAYEE CANDIDATE LAST NAME | A/N-30 | X (error) | Smith | | If either Last or First name coded; |
| 36 | PAYEE CANDIDATE FIRST NAME | A/N-20 | X (error) | Patrick | | both Last & First names required. |
| 37 | PAYEE CANDIDATE MIDDLE NAME | A/N-20 | | Thomas | | |
| 38 | PAYEE CANDIDATE PREFIX | A/N-10 | | Mr. | | |
| 39 | PAYEE CANDIDATE SUFFIX | A/N-10 | | Jr. | | |
| 40 | PAYEE CANDIDATE OFFICE | A/N-1 | X (warning) | H | H,S,P | Edit: OFFICE |
| 41 | PAYEE CANDIDATE STATE | A/N-2 | X (warn if Cand Office=H or S) | FL | AK,AL,... | Edit: ST (if Office = Sen or House) |
| 42 | PAYEE CANDIDATE DISTRICT | NUM-2 | X (warn if Cand Office=H) | 35 | 01 ... 99 | (if Office = House) |
| 43 | MEMO CODE | A/N-1 | X (error) | X |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
DCS IE
SCHEDULE E - ITEMIZED INDEPENDENT EXPENDITURES
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SE | SE | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | E123456789-3456 | | 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] | Reference to the Schedule that has the Related Record |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | | Required if NOT [IND|CAN] |
| 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 (warning) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (warning) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (warning) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (warning) | 1012 |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | [G|P|R|S|C|E|O]+{YYYY} | Values: [G|P|R|S|C|E|O]+{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | | Req if PGI = "O" |
| 20 | DISSEMINATION DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | Error - If Blank and no Date in Field 22 |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (error) | 1500.00 | | |
| 22 | DISBURSEMENT DATE | NUM-8 | X (error) | 20130920 | YYYYMMDD | Error - If Blank and no Date in Field 20 |
| 23 | CALENDAR Y-T-D (per election/office) | AMT-12 | X (warning) | 11000.95 | | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (warning) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
26 PAYEE CMTTE FEC ID NUMBER A/N-9
| 27 | SUPPORT/OPPOSE CODE | A/N-1 | X (warning) | S | S, O | |
| 28 | S/O CANDIDATE ID NUMBER | A/N-9 | | H04MA3210 | | |
| 29 | S/O CANDIDATE LAST NAME | A/N-30 | X (error) | Smith | | If either Last or First name coded; |
| 30 | S/O CANDIDATE FIRST NAME | A/N-20 | X (error) | Patrick | | both Last & First names required. |
| 31 | S/O CANDINATE MIDDLE NAME | A/N-20 | | Thomas | | |
| 32 | S/O CANDIDATE PREFIX | A/N-10 | | Mr. | | |
| 33 | S/O CANDIDATE SUFFIX | A/N-10 | | Jr. | | |
| 34 | S/O CANDIDATE OFFICE | A/N-1 | X (warning) | H | H,S,P | Edit: OFFICE |
| 35 | S/O CANDIDATE DISTRICT | A/N-2 | X (warn if Cand Office=H) | 35 | 01 ... 99 | (if Office = House) |
| 36 | S/O CANDIDATE STATE | A/N-2 | X (warn if Cand Office=H or S) | FL | AK,AL,... | Edit: ST (if Office = Sen or House) |
| 37 | COMPLETING LAST NAME | A/N-30 | X (error) | Smith | |
| 38 | COMPLETING FIRST NAME | A/N-20 | X (error) | Patrick | |
| 39 | COMPLETING MIDDLE NAME | A/N-20 | | Thomas | |
| 40 | COMPLETING PREFIX | A/N-10 | | Mr. | |
| 41 | COMPLETING SUFFIX | A/N-10 | | Jr. | |
| 42 | DATE SIGNED | NUM-8 | X (error) | 20120820 | YYYYMMDD |
| 43 | MEMO CODE | A/N-1 | X | X = True (added 2/22/00) |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
DCS IE memo
SCHEDULE E - ITEMIZED INDEPENDENT EXPENDITURES
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | SE | SE | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | E123456789-3456 | | 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] | Reference to the Schedule that has the Related Record |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith & Co. | | Required if NOT [IND|CAN] |
| 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 (warning) | Suite 16 |
| 14 | PAYEE STREET 2 | A/N-34 | | 30 Oak Street |
| 15 | PAYEE CITY | A/N-30 | X (warning) | Springfield |
| 16 | PAYEE STATE | A/N-2 | X (warning) | MA |
| 17 | PAYEE ZIP | A/N-9 | X (warning) | 1012 |
| 18 | ELECTION CODE | A/N-5 | X (error) | P2012 | [G|P|R|S|C|E|O]+{YYYY} | Values: [G|P|R|S|C|E|O]+{YYYY} |
| 19 | ELECTION OTHER DESCRIPTION | A/N-20 | | | | Req if PGI = "O" |
| 20 | DISSEMINATION DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | Error - If Blank and no Date in Field 22 |
| 21 | EXPENDITURE AMOUNT | AMT-12 | X (error) | 1500.00 | | |
| 22 | DISBURSEMENT DATE | NUM-8 | X (error) | 20130920 | YYYYMMDD | Error - If Blank and no Date in Field 20 |
| 23 | CALENDAR Y-T-D (per election/office) | AMT-12 | X (warning) | 11000.95 | | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (warning) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
26 PAYEE CMTTE FEC ID NUMBER A/N-9
| 27 | SUPPORT/OPPOSE CODE | A/N-1 | X (warning) | S | S, O | |
| 28 | S/O CANDIDATE ID NUMBER | A/N-9 | | H04MA3210 | | |
| 29 | S/O CANDIDATE LAST NAME | A/N-30 | X (error) | Smith | | If either Last or First name coded; |
| 30 | S/O CANDIDATE FIRST NAME | A/N-20 | X (error) | Patrick | | both Last & First names required. |
| 31 | S/O CANDINATE MIDDLE NAME | A/N-20 | | Thomas | | |
| 32 | S/O CANDIDATE PREFIX | A/N-10 | | Mr. | | |
| 33 | S/O CANDIDATE SUFFIX | A/N-10 | | Jr. | | |
| 34 | S/O CANDIDATE OFFICE | A/N-1 | X (warning) | H | H,S,P | Edit: OFFICE |
| 35 | S/O CANDIDATE DISTRICT | A/N-2 | X (warn if Cand Office=H) | 35 | 01 ... 99 | (if Office = House) |
| 36 | S/O CANDIDATE STATE | A/N-2 | X (warn if Cand Office=H or S) | FL | AK,AL,... | Edit: ST (if Office = Sen or House) |
| 37 | COMPLETING LAST NAME | A/N-30 | X (error) | Smith | |
| 38 | COMPLETING FIRST NAME | A/N-20 | X (error) | Patrick | |
| 39 | COMPLETING MIDDLE NAME | A/N-20 | | Thomas | |
| 40 | COMPLETING PREFIX | A/N-10 | | Mr. | |
| 41 | COMPLETING SUFFIX | A/N-10 | | Jr. | |
| 42 | DATE SIGNED | NUM-8 | X (error) | 20120820 | YYYYMMDD |
| 43 | MEMO CODE | A/N-1 | X (error) | X | X = True (added 2/22/00) |
| 44 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Allocated H4 VOID
SCHEDULE H4 - DISBURSEMENTS FOR ALLOCATED FEDERAL/NON-FEDERAL ACTIVITY
| COL | | |
| SEQ | FIELD | | |
| DESCRIPTION | TYPE | REQUIRED | SAMPLE |
| DATA | VALUE | | |
| REFERENCE | RULE | | |
REFERENCE
| 1 | FORM TYPE | A/N-8 | X (error) | H4 | H4 | Appendix C |
| 2 | FILER COMMITTEE ID NUMBER | A/N-9 | X (error) | C00123456 | | |
| 3 | TRANSACTION ID NUMBER | A/N-20 | X (error) | H4.123.456 | | must be unique and UPPER CASE for the life of the report (original + all amendments) |
| 4 | BACK REFERENCE TRAN ID NUMBER | A/N-20 | | A.1234.5678 | | must contain a valid tran id |
| 5 | BACK REFERENCE SCHED NAME | A/N-8 | | SA11AI | SA[line# ref] | schedule of related tran id |
| 6 | ENTITY TYPE | A/N-3 | | IND | CAN,CCM,... | Edit: Entity |
| 7 | PAYEE ORGANIZATION NAME | A/N-200 | X (error) | John Smith Co. | | Required if NOT [IND|CAN] |
| 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 ACCOUNT/EVENT IDENTIFIER A/N-90 (Activity or Event Identifier)
| 19 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 20 | TOTAL FED-NONFED AMOUNT | AMT-12 | X (error) | 10000.00 | | Should be a negative number |
| 21 | FEDERAL SHARE | AMT-12 | X (error) | 5000 | | Should be a negative number |
| 22 | NONFEDERAL SHARE | AMT-12 | X (error) | 5000.00 | | Should be a negative number |
| 23 | ACTIVITY/EVENT TOTAL YTD | AMT-12 | X (error) | 30000.00 | | |
| 24 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | |
| 25 | CATEGORY CODE | A/N-3 | | 001 | 001, 002, ... 010 | Category Code values 001-010 |
| 26 | YES/NO (Activity is Administrative - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 27 | YES/NO (Activity is Direct Fundraising) | A/N-1 | X(error) |
| (see rule ref) | X | X=yes | One Act/Event required, but only one may be selected | |
| 28 | YES/NO (Activity is an Exempt Activity) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 29 | YES/NO (Activity is Generic Voter Drive - Only) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 30 | YES/NO (Activity is Direct Candidate Support) | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 31 | YES/NO (Activity is Public Communications {Referring Only to Party} Made by PAC | A/N-1 | X(error) |
| (see rule ref) | | X=yes | One Act/Event required, but only one may be selected | |
| 32 | MEMO CODE | A/N-1 | X | X = True (added 2/4/2000) |
| 33 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Operating Expenditure SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 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 |
| 20 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | |
| 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 | | |
Credit Card SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | 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 |
| 20 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | Credit Card: See Below |
| 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.
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Credit Card Memo SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 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 |
| 20 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 22 | SEMI-ANNUAL REFUNDED BUNDLED AMT | AMT-12 | | 2500.00 | | Used for F3L only. Semi-annual Bundled Refund. |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | |
| 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.
| 42 | MEMO CODE | A/N-1 | X (error) | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | | |
Reimbursement SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 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 |
| 20 | EXPENDITURE DATE | NUM-8 | X (error) | 20120720 | YYYYMMDD | |
| 21 | EXPENDITURE AMOUNT {F3L Bundled} | AMT-12 | X (error) | 1500.00 | | Expenditure (F3L Bundled Refund) Amt |
| 23 | EXPENDITURE PURPOSE DESCRIP | A/N-100 | X (error) | Repay Loan | | Reimbursement: See Below |
| 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.
| 42 | MEMO CODE | A/N-1 | X | X = True |
| 43 | MEMO TEXT/DESCRIPTION | A/N-100 | | |
Reimbursement Memo SCHEDULE B - ITEMIZED DISBURSEMENTS {v6.4 revised layout}
| 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
| If Payee is a Candidate, Campaign Committee, PAC or Party [CAN, CCM, PAC, or PTY], fill in "Beneficiary" information below. | | | | | |
| 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. | | Required if NOT [IND|CAN] |
| 8 | PAYEE LAST NAME | A/N-30 | X (error) | Smith | | Required if [IND|CAN] |
This is the start of the file's text. The full file is on GovTribe.