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 FEC FORM 3 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) FEC FORM 3 (Revised 02/2003) Office Use Only 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 CODE 2. FEC IDENTIFICATION NUMBER 3. IS THIS NEW AMENDED REPORT (N) OR (A) in the Election on State of T TYPE OR PRINT REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5. Covering Period through T T in the Election on State of STATE DISTRICT T T Office Use Only T 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) T Example: If typing, type over the lines. (c) 12FE4M5 23 89104 01 10 ANNETTE TEIJEIRO ANNETTE TEIJEIRO 2014 [Electronically Filed] C00559492 PAGE 1 / 24 2014 07 LAS VEGAS NV ANNETTE TEIJEIRO FOR CONGRESS 1916 HOUSTON DRIVE 10/23/2014 19 : 02 Image# 14952507013 2014 01 30 09 NV
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
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
FEC
FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 02/2003)
Office
Use
Only
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 AMENDED
REPORT (N) OR (A)
in the
Election on State of
TYPE OR PRINT
REPORT OF RECEIPTS
AND DISBURSEMENTSFor An Authorized Committee
5. Covering Period through
in the
Election on State of
STATE DISTRICT
Office 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, type
over the lines.
(c)
12FE4M5
23
89104
01
10
ANNETTE TEIJEIRO
ANNETTE TEIJEIRO
2014
[Electronically Filed]
C00559492
PAGE 1 / 24
201407
LAS VEGAS NV
ANNETTE TEIJEIRO FOR CONGRESS
1916 HOUSTON DRIVE
10/23/2014 19 : 02Image# 14952507013
2014
01 3009
NV
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
This 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 Operating
Expenditures (from Line 14) ................
(c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a)) ......
8. Cash on Hand at Close of
Reporting Period (from Line 27) .................
9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
10987.91
11061.28
103587.27
48054.69
PAGE 2 / 24
2014
48054.69
201407
47491.57
0.00
0.00 0.00
103024.15
10987.91
ANNETTE TEIJEIRO FOR CONGRESS
0.00
Image# 14952507014
0.00
47491.57
01 3009
11061.28
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , .
, , .
FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than
Political 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 OPERATING
EXPENDITURES
(Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS
(Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines 11(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
0.00
0.00
0.00
0.00
0.00
151078.84
10987.91
0.00
38721.71
0.00
0.00
PAGE 3 / 24
2014
3342.20
10987.91
2014
0.00
103024.15
07
0.00
0.00
10987.91
0.00
0.00
0.00
ANNETTE TEIJEIRO FOR CONGRESS
48054.69
103024.15
0.00
Image# 14952507015
48054.69
01
0.00
3009
7645.71
9332.98
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
, , .
, , .
FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total 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 Other
Than 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)..............................................................................................
, , . , , .
103587.27
11061.28
0.00
0.00
11061.28
0.00
0.00
0.00
0.00
0.00
0.00
PAGE 4 / 24
47491.57
0.00
103660.64
0.00
0.00
0.00
0.00
114648.55
0.00
0.00
10987.91
0.00
0.00
Image# 14952507016
11061.28
0.00
47491.57
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash Jar
40.00
702.78
742.78
20.00
500.00
NV
NV
Anonymous
5835 Calle de Honra
Anonymous
500.00
ANNETTE TEIJEIRO FOR CONGRESS
89118Transaction ID : SA11AI.4601
89118
NVLas Vegas
Las Vegas
Las Vegas
Comprehensive Cancer Centers
Anonymous
Transaction ID : SA11AI.476989120
Transaction ID : SA11AI.4600
Anonymous
08
09
12
560.00
2014
5
2014
Image# 14952507017
07
07
09
24
Anonymous Anonymous
2014
2014
Anonymous Anonymous
2014
Heather Allen
Physician
Anonymous
Anonymous
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash
Cash Jar
35.00
830.78
865.78
43.00
45.00
NV
NV
Anonymous
Anonymous
Anonymous
787.78
ANNETTE TEIJEIRO FOR CONGRESS
89118Transaction ID : SA11AI.4603
89118
NVLas Vegas
Las Vegas
Las Vegas
Anonymous
Anonymous
Transaction ID : SA11AI.460289118
Transaction ID : SA11AI.4670
Anonymous
27
07
09
123.00
2014
6
2014
2014
Image# 14952507018
08
08
07
24
Anonymous Anonymous
2014
2014
Anonymous Anonymous
2014
Anonymous Anonymous
Anonymous
Anonymous
Anonymous
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash
Cash
Cash
29.00
897.78
926.78
5.00
27.00
NV
NV
Anonymous
Anonymous
Anonymous
892.78
ANNETTE TEIJEIRO FOR CONGRESS
89118Transaction ID : SA11AI.4674
89118
NVLas Vegas
Las Vegas
Las Vegas
Anonymous
Anonymous
Transaction ID : SA11AI.467189118
Transaction ID : SA11AI.4673
Anonymous
09
13
14
61.00
2014
7
2014
2014
Image# 14952507019
08
08
08
24
Anonymous Anonymous
2014
2014
Anonymous Anonymous
2014
Anonymous Anonymous
Anonymous
Anonymous
Anonymous
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash
Cash
Cash
37.00
1007.78
1044.78
38.00
43.00
NV
NV
Anonymous
Anonymous
Anonymous
969.78
ANNETTE TEIJEIRO FOR CONGRESS
89118Transaction ID : SA11AI.4680
89118
NVLas Vegas
Las Vegas
Las Vegas
Anonymous
Anonymous
Transaction ID : SA11AI.467589118
Transaction ID : SA11AI.4679
Anonymous
15
20
22
118.00
2014
8
2014
2014
Image# 14952507020
08
08
08
24
Anonymous Anonymous
2014
2014
Anonymous Anonymous
2014
Anonymous Anonymous
Anonymous
Anonymous
Anonymous
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash
Cash jar
40.00
1138.49
1178.49
48.71
45.00
NV
NV
Anonymous
Anonymous
Anonymous
1089.78
ANNETTE TEIJEIRO FOR CONGRESS
89118Transaction ID : SA11AI.4655
89118
NVLas Vegas
Las Vegas
Las Vegas
Anonymous
Anonymous
Transaction ID : SA11AI.459989118
Transaction ID : SA11AI.4596
Anonymous
03
17
20
133.71
2014
9
2014
2014
Image# 14952507021
09
09
09
24
Anonymous Anonymous
2014
2014
Anonymous Anonymous
2014
Anonymous Anonymous
Anonymous
Anonymous
Anonymous
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
Cash Jar
500.00
1228.49
500.00
40.00
10.00
NV
NV
Anonymous
Anonymous
2816 Vista Del Sol
1188.49
ANNETTE TEIJEIRO FOR CONGRESS
89120Transaction ID : SA11AI.4784
89118
NVLas Vegas
Las Vegas
Las Vegas
Anonymous
Retired
Transaction ID : SA11AI.466389118
Transaction ID : SA11AI.4598
Anonymous
21
24
02
550.00
2014
10
2014
2014
Image# 14952507022
09
09
09
24
Anonymous Anonymous
2014
2014
Gary Cantor
2014
Anonymous Anonymous
Anonymous
Anonymous
Physician
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
750.00
750.00
750.00
250.00
250.00
NV
NV
1933 Grey Eagle St
1933 Grey Eagle St
3005 WindySurf Court
500.00
ANNETTE TEIJEIRO FOR CONGRESS
89128Transaction ID : SA11AI.4801
89074
NVHenderson
Las Vegas
Henderson
Desert Inn Women's Care
Decastroverde Law
Transaction ID : SA11AI.459489074
Transaction ID : SA11AI.4662
Desert Inn Women's Care
29
29
05
1250.00
2014
11
2014
2014
Image# 14952507023
08
09
09
24
Paul Chao
2014
2014
Alex DeCastroverde
2014
Paul Chao
Physician
Physician
Attorney
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
400.00
300.00
400.00
100.00
250.00
NV
NV
398 Otsego Court
5375 S. Fort Apache
848 N. Rainbow Blvd #2408
1150.00
ANNETTE TEIJEIRO FOR CONGRESS
89107Transaction ID : SA11AI.4788
89012
NVLas Vegas
Las Vegas
Henderson
TrimCare
Retired
Transaction ID : SA11AI.459089148
Transaction ID : SA11AI.4773
Self
21
07
26
750.00
2014
12
2014
2014
Image# 14952507024
08
08
09
24
#103
Joanne Heins
2014
2014
Christopher Hisgen
2014
Ivan Goldsmith
Physician
Certified R.N. Anethesist
Retired
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
1000.00
300.00
2000.00
300.00
250.00
NV
NV
9728 Verlaine Court
3025 Lullingstone St.
9600 Grand Isle Ln
250.00
ANNETTE TEIJEIRO FOR CONGRESS
89144Transaction ID : SA11AI.4740
89145
NVLas Vegas
Las Vegas
Las Vegas
Retired
Optum
Transaction ID : SA11AI.468189135
Transaction ID : SA11AI.4718
Bone and Joint Specialists
21
21
27
1550.00
2014
13
2014
2014
Image# 14952507025
09
09
09
24
James Manning
2014
2014
Robert McBeath
2014
Sandra Mallin
Retired
Physician
Physician
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
500.00
220.00
500.00
200.00
250.00
NV
NV
2105 E. Alexander Rd.
2096 Mountain City St.
7301 Peak Dr
250.00
ANNETTE TEIJEIRO FOR CONGRESS
89128Transaction ID : SA11AI.4751
89131
NVHenderson
Las Vegas
North Las Vegas
Retired
SDMI
Transaction ID : SA11AI.458289052
Transaction ID : SA11AI.4584
Self
30
30
26
950.00
2014
14
2014
2014
Image# 14952507026
09
09
09
24
Linda Sanders
2014
2014
David Steinberg
2014
Sam Palermo
Retired
Kennel Operator/Owner
Physician
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
250.00
500.00
250.00
500.00
600.00
NV
NV
9065 Herrera Ave.
1305 Radwick Dr.
5 Isleworth Dr.
600.00
ANNETTE TEIJEIRO FOR CONGRESS
89052Transaction ID : SA11AI.4658
89129
NVLas Vegas
Henderson
Las Vegas
Retired
HPN
Transaction ID : SA11AI.458189110
Transaction ID : SA11AI.4790
Independent contractor
27
19
19
1350.00
2014
15
2014
2014
Image# 14952507027
09
08
09
24
Antonia Turner
2014
2014
William VonTobel
2014
Lynn Thornhill
Retired
Certified Registered Nurse A
Physician
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 contributions
or 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 contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 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)
250.00
7326 W. Cheyenne Ave
250.00
ANNETTE TEIJEIRO FOR CONGRESS
7645.71
NVLas Vegas
S. Young DO Ltd
Transaction ID : SA11AI.466089129
30
250.00
2014
16
Image# 14952507028
09
24
2014
Scott Young
Anesthesiologist
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or 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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
3305 N. Jones
3305 N. Jones
3305 N. Jones
1900.00
30.00
520.00
ANNETTE TEIJEIRO FOR CONGRESS
Transaction ID : SB17.4705
NV
NV
NV
89108
89108
89108
Transaction ID : SB17.4697
Transaction ID : SB17.4703
08
09
Call System
08
Call System
Call System
2014
2450.00
Battleground LLC
2014
Battleground LLC
2014
Battleground LLC
17
2014
2014
2014
Image# 14952507029
13
24
30
10
Las Vegas
Las Vegas
Las Vegas
001
001
006
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or 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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1321 W. Sunset Rd.
1321 W. Sunset Rd.
82 Magical Mystery
2500.00
100.92
102.50
ANNETTE TEIJEIRO FOR CONGRESS
Transaction ID : SB17.4701
NV
NV
NV
89014
89074
89014
Transaction ID : SB17.4687
Transaction ID : SB17.4690
07
08
Telephone Service
07
Consultant
2014
2703.42
Body Lan. Succ.
2014
Century Link
2014
Century Link
18
2014
2014
2014
Image# 14952507030
19
24
19
14
Henderson
Henderson
Henderson
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or 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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1000 Mark St
1000 Mark St
1000 Mark St
164.55
131.55
120.04
ANNETTE TEIJEIRO FOR CONGRESS
Transaction ID : SB17.4709
NV
NV
NV
89104
89104
89104
Transaction ID : SB17.4696
Transaction ID : SB17.4702
08
09
Food for Fundraiser
08
Office Supplies
Office Supplies
2014
416.14
Costco
2014
Costco
2014
Costco
19
2014
2014
2014
Image# 14952507031
10
24
29
30
Las Vegs
Las Vegs
Las Vegs
007
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or 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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
801 S. Rancho Dr.
801 S. Rancho Dr.
801 S. Rancho Dr.
761.89
157.50
2006.48
ANNETTE TEIJEIRO FOR CONGRESS
Transaction ID : SB17.4708
NV
NV
NV
89106
89106
89106
Transaction ID : SB17.4682
Transaction ID : SB17.4707
09
09
Printing
09 2014
2925.87
Over the River LLC
2014
Over the River LLC
2014
Over the River LLC
20
2014
2014
2014
Image# 14952507032
11
24
15
26
Las Vegas
Las Vegas
Las Vegas
006
006
006
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or 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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
8940 W Washburn Rd.
1725 S. Rainbow Blvd.
1404.22
193.24
300.00
ANNETTE TEIJEIRO FOR CONGRESS
10392.89
Transaction ID : SB17.4736
NV
NV
89149
89146
Transaction ID : SB17.4706
Transaction ID : SB17.4809
09
07
09
Printed materials
2014
1897.46
Package Printing
2014
Pay Pal
2014
Republican Women Southern Nevada PAC
21
2014
2014
2014
Image# 14952507033
10
24
30
01
Las Vegas
Las Vegas
004
006
001
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.4303
[PERSONAL FUNDS]
ANNETTE TEIJEIRO
NV
ANNETTE TEIJEIRO FOR CONGRESS
201301
1916 HOUSTON DRIVE
0.0011
LAS VEGAS
2991.89
2014
2991.89
22
2991.89
Image# 14952507034
24
2018
89104
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.4304
[PERSONAL FUNDS]
ANNETTE TEIJEIRO
NV
ANNETTE TEIJEIRO FOR CONGRESS
201431
1916 HOUSTON DRIVE
0.0003
LAS VEGAS
100000.00
2014
100000.00
23
100000.00
Image# 14952507035
24
2018
89104
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.4566
ANNETTE TEIJEIRO
NV
ANNETTE TEIJEIRO FOR CONGRESS
2014
103024.15
12
1916 HOUSTON DRIVE
06
LAS VEGAS
32.26
2014
32.26
24
32.26
Image# 14952507036
24
89104
Related Documents
