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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FE5AN018
FECFORM 3
1. NAME OFCOMMITTEE (in full)
ADDRESS (number and street)
Check if differentthan previouslyreported. (ACC)
FEC FORM 3(Revised 02/2003)
OfceUseOnly
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:12-Day PRE -Election Report for the:
Primary (12P) General (12G) Runoff (12R)
Convention (12C) Special (12S)
30-Day POST -Election Report for the:
General (30G) Runoff (30R) Special (30S)
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
3. IS THIS NEW AMENDEDREPORT (N) OR (A)
in theElection on State of
TYPE OR PRINT
REPORT OF RECEIPTS AND DISBURSEMENTS
For An Authorized Committee
5. Covering Period through
in the
Election on State of
STATE DISTRICT
Ofce Use Only
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
Termination Report (TER)
(b)
Example: If typing, typeover the lines.
(c)
12FE4M5
14
12866-0234
20
04
Elizabeth Fitzpatrick
Elizabeth Fitzpatrick
11
11
2012
[Electronically Filed]
06
06
C00477984
PAGE 1 / 86
201201
NY
NY
Saratoga Springs NY
Chris Gibson for Congress
PO Box 234
04/14/2012 10 : 11Image# 12951416673
2012
01 3103
2012
2012
NY
8/2/2019 Gibson Q1 2012
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, , ., , .
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, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
FE5AN018
COLUMN BElection Cycle-to-Date
COLUMN AThis Period
6. Net Contributions (other than loans)
(a) Total Contributions(other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds(from Line 20(d)) ..................................
(c) Net Contributions (other than loans)
(subtract Line 6(b) from Line 6(a)) ......
7. Net Operating Expenditures
(a) Total Operating Expenditures(from Line 17) ......................................
(b) Total Offsets to OperatingExpenditures (from Line 14) ............. ...
(c) Net Operating Expenditures(subtract Line 7(b) from Line 7(a)) ......
8. Cash on Hand at Close ofReporting Period (from Line 27) .............. ...
9. Debts and Obligations Owed TO the Committee (Itemize all onSchedule C and/or Schedule D) ............... .
10. Debts and Obligations Owed BY the Committee (Itemize all onSchedule C and/or Schedule D) ............... .
For further information contact:
Federal Election Commission999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2SUMMARY PAGE
of Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
207486.15
11106.25
901694.27
1024264.81
PAGE 2 / 86
2012
1022164.81
201201
309199.89
0
1000 2100
0
208486.15
Chris Gibson for Congress
1592.4
Image# 12951416674
0
310792.29
01 3103
11106.25
8/2/2019 Gibson Q1 2012
3/86
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , ., , .
FE5AN018
COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other ThanPolitical Committees(i) Itemized (use Schedule A) ...........
(ii) Unitemized ............. .............. .........(iii) TOTAL of contributions
from individuals .......................
(b) Political Party Committees ............. ....(c) Other Political Committees
(such as PACs) ...................................
(d) The Candidate ............. .............. .........(e) TOTAL CONTRIBUTIONS
(other than loans)(add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES ....................
13. LOANS:(a) Made or Guaranteed by the
Candidate ............................................
(b) All Other Loans .............. ............... ......(c) TOTAL LOANS
(add Lines 13(a) and (b)) .............. ......
14. OFFSETS TO OPERATINGEXPENDITURES(Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS(Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines11(e), 12, 13(c), 14, and 15)(Carry Total to Line 24, page 4) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 12/2003) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
0
531132.56
0
0
3000
1166883.31
91136.15
1592.4
426596.1
3292.16
0
PAGE 3 / 86
2012
8341.15
208486.15
2012
90256.7
50000
01
0
10000
211778.31
100
0
0
Chris Gibson for Congress
480132.25
50000
769.4
Image# 12951416675
1024264.81
01
117250
3103
82795
53536.15
8/2/2019 Gibson Q1 2012
4/86
, , ., , .
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, , ., , .
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, , .
, , .
, , .
, , .
, , .
FE5AN018
COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
17. OPERATING EXPENDITURES .............. .......
18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES .....................
19. LOAN REPAYMENTS:(a) Of Loans Made or Guaranteed
by the Candidate .............. .............. .....
(b) Of All Other Loans ............. ............... ..(c) TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b)) .............. .......
20. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons OtherThan Political Committees ..................
(b) Political Party Committees ............. .....(c) Other Political Committees
(such as PACs) ....................................
(d) TOTAL CONTRIBUTION REFUNDS(add Lines 20(a), (b), and (c)) ..............
21. OTHER DISBURSEMENTS ............. ............
22. TOTAL DISBURSEMENTS(add Lines 17, 18, 19(c), 20(d), and 21)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4
III. CASH SUMMARY
23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ............... .............. ............... ...
24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) ............. ............... .............. ...........
25. SUBTOTAL (add Line 23 and Line 24) ............. ............... .............. ............... .............. ...........
26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) .............. ............... .............. ...........
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD(subtract Line 26 from Line 25)..............................................................................................
, , ., , .
901694.27
12106.25
0
1000
12106.25
2000
0
2100
50000
50000
0
PAGE 4 / 86
310792.29
100
702022.21
0
0
0
0
913800.52
0
0
211778.31
0
0
Image# 12951416676
11106.25
1000
362892.29
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
400
500
5000
500
50
NY
NY
PO Box 15094
2005 Honest Brook Road
270
16 Chestnut Hill Road N
Chris Gibson for Congress
12211-1665Transaction ID : A-C7786
12212-5094
NYDelhi
Loudonville
Albany
retired
Self
Transaction ID : A-C799613753-1475
Transaction ID : A-C7919
Capital Bauer Insurance
15
27
16
950.00
2012
5
2012
2012
Image# 12951416677
03
03
03
86
David R Bauer
2012
2012
Christine Benson
2012
L. Karen Barkman
retired
Insurance Broker
House Wife
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000
1000
3750
500
100
NY
NY
6 Vista Lane
16 Chestnut Hill Road N
5000
401 W HILL RD
Chris Gibson for Congress
12017Transaction ID : A-C8090
11545-3139
NYLoudonville
Austerlitz
Glen Head
Self
self
Transaction ID : A-C778712211-1665
Transaction ID : A-C7723
goldman sachs
16
02
27
1600.00
2012
6
2012
2012
Image# 12951416678
03
03
03
86
Andrew Berman
2012
2012
Serge A. Bervy Jr.
2012
Christine Benson
House Wife
equity trader
self
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
450
500
250
1000
NY
NY
34714 State Highway 10
22 Century Hill Drive
1000
45 Indian Ladder Drive
Chris Gibson for Congress
12009-4921Transaction ID : A-C7818
13782-1104
NYLatham
Altamont
Hamden
Bette & Cring
Carver Sand & Gravel
Transaction ID : A-C780312110-2137
Transaction ID : A-C7953
Larsen Farm
19
30
19
1750.00
2012
7
2012
2012
Image# 12951416679
03
03
03
86
Suite 200
Robert Bishop
2012
2012
Ciaran Brennan
2012
Matthew J Bette
Contractor
Farmer
Construction
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
500
250
500
1000
NY
NY
28C Orient Avenue
136 Katikell Road
1000
21 N 7th Street
Chris Gibson for Congress
12534-2537Transaction ID : A-C7964
12018-9568
NYCentral Bridge
Hudson
Averill Park
Delaware Engineering
Self
Transaction ID : A-C805512035-2510
Transaction ID : A-C7791
Contractor Equipment
29
16
24
1750.00
2012
8
2012
2012
Image# 12951416680
03
03
03
86
Gerard Calamari
2012
2012
James A Carlucci
2012
John K Brust
Civil Engineer
Equipment Sales
Attorney
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
1200
1500
1000
1000
NY
VA
8 Vatrano Lane
78 Court Street
4250
10700 Paynes Church Drive
Chris Gibson for Congress
22032-2915Transaction ID : A-C8035
12211-2051
NYSaratoga Springs
Fairfax
Loudonville
Northeast Government Consult
Chwat & Co, Inc
Transaction ID : A-C780812866-3324
Transaction ID : A-C7802
Teal Becker & Chiaramote
19
19
20
2500.00
2012
9
2012
2012
Image# 12951416681
03
03
03
86
John Chiaramonte
2012
2012
John Chwat
2012
David S Carroll
Managing Director
CPA
Government Relations
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
1000
750
1000
500
NY
OH
168 Jefferson Heights
122 Smith Road
500
9273 Lerwick Drive
Chris Gibson for Congress
43017-9492Transaction ID : A-C7779
12414-1215
NYKinderhook
Dublin
Catskill
American Bio Medica
Clark Lytle Geduldig
Transaction ID : A-C787212106-2819
Transaction ID : A-C8066
Clark Respiratory
26
26
14
2000.00
2012
10
2012
2012
Image# 12951416682
03
03
03
86
James L. Clark
2012
2012
Stephen B Clark
2012
Stanley Cipkowski
CEO
Medical Services
Partner
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2500
5000
5000
1500
1500
NY
NY
775 Park Avenue
27 Central Avenue
1500
775 Park Avenue
Chris Gibson for Congress
10021-4269Transaction ID : A-C8080
10021-4269
NYCortland
New York
New York
Wendcentral Corp.
Pouschine Cook Capital Manag
Transaction ID : A-C808313045-2611
Transaction ID : A-C8065
Pouschine Cook Capital Manag
30
28
28
5500.00
2012
11
2012
2012
Image# 12951416683
03
03
03
86
Floor 5D
Floor 5D
Everett R Cook
2012
2012
Everett R Cook
2012
Jeffrey Coghlan
Accountant
Investment Mgr
Investment Mgr
8/2/2019 Gibson Q1 2012
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SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
220
500
200
250
NY
NY
794 Eichybush Road
16 Cedar Street
250
PO Box 217
Chris Gibson for Congress
12132-0217Transaction ID : A-C7817
12106-2604
NYCatskill
North Chatham
Kinderhook
Greene County
Columbia County NY
Transaction ID : A-C803812414-1105
Transaction ID : A-C7958
Columbia County
20
30
20
950.00
2012
12
2012
2012
Image# 12951416684
03
03
03
86
David M Costanzo
2012
2012
Paul Czajka
2012
Dominic J Cornelius III
Public Defender
Assistant DA
District Attorney
8/2/2019 Gibson Q1 2012
13/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
5000
250
2500
1000
NY
NY
13 Ashley Place
516 Locust Grove Road
3500
6 Bradford Drive
Chris Gibson for Congress
12866-8577Transaction ID : A-C7924
12804-2503
NYGreenfield Center
Saratoga Springs
Queensbury
Stewarts Shops
Dente Engineering
Transaction ID : A-C779612833-1701
Transaction ID : A-C7800
D.A. Collins
19
19
27
3750.00
2012
13
2012
2012
Image# 12951416685
03
03
03
86
John Davidson
2012
2012
Frederick A Dente
2012
Gary C Dake
President
Executive
Engineer
8/2/2019 Gibson Q1 2012
14/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
500
500
500
250
NY
NY
758 W End Road
65 Rose Terrace
1400
166 Van Rensselaer Boulevard
Chris Gibson for Congress
12204-1709Transaction ID : A-C7789
13365-6816
NYSchenectady
Menands
Little Falls
Self / Northwestern Mutual
Ketco, Inc
Transaction ID : A-C791812309-3145
Transaction ID : A-C7822
Tioga Construction
27
20
16
1250.00
2012
14
2012
2012
Image# 12951416686
03
03
03
86
Timothy Dillon
2012
2012
Bruce W DiStefano
2012
Patrick A DiCerbo
Insurance Sales
Contractor
Contractor
8/2/2019 Gibson Q1 2012
15/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2500
500
2500
500
500
NY
NY
11 Saratoga Circle
7 Nottingham Way
500
26 Wing Road
Chris Gibson for Congress
12545-5017Transaction ID : A-C7992
12866-1029
NYCohoes
Millbrook
Saratoga Springs
Ind. Power Producers
Millbrook Vinyards
Transaction ID : A-C780412047-4971
Transaction ID : A-C7955
Self
19
30
29
3500.00
2012
15
2012
2012
Image# 12951416687
03
03
03
86
Robert F Doran
2012
2012
John S Dyson
2012
Gavin J Donohue
President
Lawyer
Owner
8/2/2019 Gibson Q1 2012
16/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
1000
1000
500
250
VA
VA
116 Queen Street
3211 Old Dominion Bouevard
250
116 Queen Street
Chris Gibson for Congress
22314-2611Transaction ID : A-C7968
22314-2611
VAAlexandria
Alexandria
Alexandria
Ellis & Company, L.L.C.
ETA
Transaction ID : A-C793022305
Transaction ID : A-C7708
ETA
28
24
27
1250.00
2012
16
2012
2012
Image# 12951416688
03
02
03
86
James Ervin
2012
2012
James Ervin
2012
Peggy Ellis
Strategist
President
President
8/2/2019 Gibson Q1 2012
17/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
1000
650
1000
1000
NY
NY
223 Chestnut Ridge Road
30 Commerce Park Drive
1000
38 Masters Cmn S
Chris Gibson for Congress
12804-9764Transaction ID : A-C7840
12804-7321
NYNiskayuna
Queensbury
Queensbury
Self
Gastroenterology Associates
Transaction ID : A-C782012309
Transaction ID : A-C7788
Self
19
16
24
2250.00
2012
17
2012
2012
Image# 12951416689
03
03
03
86
Gloria G. Ford
2012
2012
Howard P Fritz M.D.
2012
Lawrence A Farrelly
Manufacturer
Real Estate Broker
Physician
8/2/2019 Gibson Q1 2012
18/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
1500
650
3500
250
100
NY
NY
29 Harrington Dr
29 Harrington Dr
650
145 Podpadic Road
Chris Gibson for Congress
12149-2205Transaction ID : A-C7794
12017
NYAusterlitz
Richmondville
Austerlitz
retired
Lancaster Development Inc.
Transaction ID : A-C770012017
Transaction ID : A-C7749
retired
06
06
16
1850.00
2012
18
2012
2012
Image# 12951416690
03
03
01
86
Cono Fusco
2012
2012
Mark A Galasso
2012
Cono Fusco
retired
retired
President
8/2/2019 Gibson Q1 2012
19/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
1500
500
1000
1000
NY
NY
101 Davies Lane
145 Podpadic Road
3500
158 Deepkill Road
Chris Gibson for Congress
12182-4007Transaction ID : A-C7806
12043-5075
NYRichmondville
Troy
Cobleskill
Lancaster Development Inc.
Gallivan Companies LLC
Transaction ID : A-C779512149-2205
Transaction ID : A-C7809
Lancaster Development Inc.
16
19
19
2500.00
2012
19
2012
2012
Image# 12951416691
03
03
03
86
Martin A Galasso Jr.
2012
2012
Sean M Gallivan
2012
Mark A Galasso
President
Construction
Owner
8/2/2019 Gibson Q1 2012
20/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
300
450
325
250
250
NY
NY
37 Williams Street
1519 Pathfinder Lane
500
10 Country
Chris Gibson for Congress
12203Transaction ID : A-C7785
12106-2016
VAMclean
Albany
Kinderhook
Clark Lytle Geduldig
Self
Transaction ID : A-C796722101-3509
Transaction ID : A-C7965
N/a
26
24
16
800.00
2012
20
2012
2012
Image# 12951416692
03
03
03
86
Barbara A Gibson
2012
2012
Robert Gibson
2012
Sam Geduldig
Partner
Homemaker
Attorney
8/2/2019 Gibson Q1 2012
21/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
225
700
25
500
NY
VA
2 Martin Court
6126 11th Road N
1000
6354 Alderman Drive
Chris Gibson for Congress
22315-3731Transaction ID : A-C7784
12106-1710
VAArlington
Alexandria
Kinderhook
Livingston Group
Self
Transaction ID : A-C796622205-1704
Transaction ID : A-C8021
IRS
24
15
14
775.00
2012
21
2012
2012
Image# 12951416693
03
03
03
86
Kimberly A Gray
2012
2012
Robert J Gray
2012
Geoffrey Gleason
Consultant
Agent
Consultant
8/2/2019 Gibson Q1 2012
22/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
250
1050
250
2500
NY
NY
95 Mansion Street
51 N Milton Road
5000
48 Wincrest Drive
Chris Gibson for Congress
12804-1345Transaction ID : A-C7855
12051-1223
NYSaratoga Springs
Queensbury
Coxsackie
Palette Stone
Self
Transaction ID : A-C779912866-6137
Transaction ID : A-C8050
DynaBil Ind.
19
29
24
3000.00
2012
22
2012
2012
Image# 12951416694
03
03
03
86
Michael D Grosso Jr.
2012
2012
John l. Haanen
2012
Stephen C. Griffen
VP Operations
CEO
Engineer
8/2/2019 Gibson Q1 2012
23/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000
1000
1000
1000
1000
NY
NY
24 CR 412
118 Lawson Lake Road
1200
95 Stippa Road
Chris Gibson for Congress
12051-1818Transaction ID : A-C8056
12193
NYFeura Bush
Coxsackie
Westerlo
Hannay Reels
PSH Medical
Transaction ID : A-C781012067-2703
Transaction ID : A-C7762
Hannay Reels
19
12
29
3000.00
2012
23
2012
2012
Image# 12951416695
03
03
03
86
Roger A Hannay
2012
2012
Pamela T Hassett
2012
Eric A Hannay
Manufacturing
Manufacturing
Principal
8/2/2019 Gibson Q1 2012
24/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
700
500
250
100
NY
NY
104 Westside Drive
6 Steamboat Landing
300
107 Old Niskayuna Road
Chris Gibson for Congress
12211-1321Transaction ID : A-C7816
12019-2028
NYWaterford
Loudonville
Ballston Lake
Maximum Security Products Corp.
Couch-White
Transaction ID : A-C782812188-4011
Transaction ID : A-C7746
N/a
20
06
20
850.00
2012
24
2012
2012
Image# 12951416696
03
03
03
86
Peter G Herman
2012
2012
Joel M Howard III
2012
Harold M Hatfield
owner
Retired
Attorney
8/2/2019 Gibson Q1 2012
25/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
500
500
500
500
NY
DC
20 Birch Hill Road
125 Mannis Road
1200
2260 48th Street NW
Chris Gibson for Congress
20007Transaction ID : A-C7920
12019-1577
NYQueensbury
Washington
Ballston Lake
self
Hurt, Norton & Associates, Inc.
Transaction ID : A-C793812804-1365
Transaction ID : A-C7825
Apple
28
20
27
1500.00
2012
25
2012
2012
Image# 12951416697
03
03
03
86
Scott W Hughes
2012
2012
Robert H Hurt
2012
Robert J Hughes
Physician
Technology Executive
Principal
8/2/2019 Gibson Q1 2012
26/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
2750
2750
250
250
NY
NY
23 Windsor Court
74 Sandhill Road
550
23 Windsor Court
Chris Gibson for Congress
12054-4303Transaction ID : A-C7776
12054-4303
NYGreenfield Center
Delmar
Delmar
Bramley Financial Group
GT
Transaction ID : A-C784312833-1206
Transaction ID : A-C7775
GT
24
14
14
750.00
2012
26
2012
2012
Image# 12951416698
03
03
03
86
Harold N. Iselin
2012
2012
Harold N. Iselin
2012
Sherry K Imbarrato
Financial Advisor
attorney
attorney
8/2/2019 Gibson Q1 2012
27/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
500
250
500
100
NY
NY
9 Newport Drive
533 Old Post Road
400
1470 Lucas Avenue Extension
Chris Gibson for Congress
12419-5107Transaction ID : A-C7675
12065-1843
NYGhent
Cottekill
Clifton Park
N/a
Chazen Companies
Transaction ID : A-C774012075-3608
Transaction ID : A-C7815
Campello Heating & Plumbing
06
20
05
850.00
2012
27
2012
2012
Image# 12951416699
01
03
03
86
Roger H Jones
2012
2012
Mark Kastner
2012
Erika M Johnson
Retired
Fiscal Officer
Engineer
8/2/2019 Gibson Q1 2012
28/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
250
300
250
100
250
NY
MD
29 Front Street
1094 Bold Forbes Court
300
6405 Tree Top Circle
Chris Gibson for Congress
21045-2895Transaction ID : A-C8094
12845-5800
KYUnion
Columbia
Lake George
n/a
Clark & Weinstock
Transaction ID : A-C792841091-7929
Transaction ID : A-C7754
N/A
28
06
31
600.00
2012
28
2012
2012
Image# 12951416700
03
03
03
86
John H Kearney
2012
2012
Edward S Kutler
2012
Stephen E Kaufmann
retired
Retired
Senior Partner
8/2/2019 Gibson Q1 2012
29/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
250
500
250
1000
NY
NY
196 Auney Way
1116 Sapphire Drive
1000
494 Western Turnpike
Chris Gibson for Congress
12009-2007Transaction ID : A-C7805
12832-4727
NYEndwell
Altamont
Granville
Corning
Carver Sand and Gravel
Transaction ID : A-C805113760-7020
Transaction ID : A-C7870
The Pines
29
25
19
1750.00
2012
29
2012
2012
Image# 12951416701
03
03
03
86
David A Lamando
2012
2012
Carver Laraway
2012
Amar Lal
senior analyst
Nursing Home Administrator
Principal
8/2/2019 Gibson Q1 2012
30/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
100
5000
350
2500
250
NY
NY
PO Box 191
3601 Connecticut Avenue NW
250
207 Glen Burnie Road
Chris Gibson for Congress
13753-2243Transaction ID : A-C7860
12118-0191
DCWashington
Delhi
Mechanicville
Clark & Weinstock
n/a
Transaction ID : A-C773120008-2466
Transaction ID : A-C7801
DA Collins
26
19
24
2850.00
2012
30
2012
2012
Image# 12951416702
03
03
02
86
Apt. 605
Thomas F. Longe
2012
2012
Nancy Z Mable
2012
Paul Lobo
Lobbyist
Owner
Retired
8/2/2019 Gibson Q1 2012
31/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
500
500
500
500
500
NY
NY
7 Wildwood Drive
16 Fairhill Road
700
339 Loudon Road
Chris Gibson for Congress
12211-1701Transaction ID : A-C7792
12211-1431
NYClifton Park
Loudonville
Loudonville
GTM Payroll Services, Inc.
j h maloy inc
Transaction ID : A-C774512065-8730
Transaction ID : A-C7896
The Malicki Group LLC
06
06
16
1500.00
2012
31
2012
2012
Image# 12951416703
03
03
03
86
John Malicki
2012
2012
Peter J Maloy
2012
Guy T Maddalone
Accountant/CEO
Financial Planner
engineer
8/2/2019 Gibson Q1 2012
32/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
200
250
650
250
1500
NY
NY
2 Loudon Heights N
7 Rolling Brook Drive
2000
3 Starting Gate Court
Chris Gibson for Congress
12866-7340Transaction ID : A-C7851
12211-2012
NYSaratoga Springs
Saratoga Springs
Loudonville
Fort Miller
Capital Living & Rehab Ctr
Transaction ID : A-C794712866-6439
Transaction ID : A-C7793
Frederick Marra DMD
30
16
24
1950.00
2012
32
2012
2012
Image# 12951416704
03
03
03
86
Frederick J Marra
2012
2012
Patrick R Martone
2012
Henry J Marcelle
Executive
Dentist
CEO
8/2/2019 Gibson Q1 2012
33/86
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) .............. ................ ............... ............... ................TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:Primary GeneralOther (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributingfederal political committee. C
PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)
for each category of theDetailed Summary Page
11a 11b 11c 11d
12 13b13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Re