SCHEDULE H4
DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY
FILING FEC-1150364
Committee: MISSOURI REPUBLICAN STATE COMMITTEE-FEDERAL
Payee: Jon Prouty
PO Box 65Jefferson City, MO 651020065
Purpose of Disbursement: Postage Expense
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1700.00 Federal share = 255.00 Non-Federal share = 1445.00 Event Year-To-Date = 24561.47
Payee: John Hancock
1561 Candish LnChesterfield, MO 630175612
Purpose of Disbursement: Travel
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1442.20 Federal share = 216.33 Non-Federal share = 1225.87 Event Year-To-Date = 24561.47
Payee: Brittany Wagner
8313 Julia DriveSaint Louis, MO 631236822
Purpose of Disbursement: Travel
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 316.32 Federal share = 47.45 Non-Federal share = 268.87 Event Year-To-Date = 24561.47
Payee: The Wright Direction
16105 Swingley Ridge RoadPO Box 902
Chesterfield, MO 630065001
Purpose of Disbursement: Fundraising Expense
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 11500.00 Federal share = 1725.00 Non-Federal share = 9775.00 Event Year-To-Date = 24561.47
Payee: Republic Services, Inc.
18500 N. Allied WayPhoenix, AZ 85054
Purpose of Disbursement: Trash Service
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 45.20 Federal share = 6.78 Non-Federal share = 38.42 Event Year-To-Date = 24561.47
Payee: Mason Enterprises
21 N Meramec Ave.Clayton, MO 631053843
Purpose of Disbursement: Compliance
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 8000.00 Federal share = 1200.00 Non-Federal share = 6800.00 Event Year-To-Date = 24561.47
Payee: United Healthcare Of The Midwest
P.O. Box 956019Saint Louis, MO 63195
Purpose of Disbursement: Health Insurance
Date of Event = 01/03/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1557.75 Federal share = 233.66 Non-Federal share = 1324.09 Event Year-To-Date = 24561.47
Payee: Automatic Data Processing
12200 Weber Hill RdSappington, MO 631271599
Purpose of Disbursement: Payroll Service
Date of Event = 01/06/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 68.95 Federal share = 10.34 Non-Federal share = 58.61 Event Year-To-Date = 24630.42
Payee: Garrett Poorman
105 E High StreetJefferson City, MO 651012959
Purpose of Disbursement: Payroll
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 640.49 Federal share = 96.07 Non-Federal share = 544.42 Event Year-To-Date = 43161.45
Payee: Ray Bozarth
1021 Hulen DriveColumbia, MO 652031478
Purpose of Disbursement: Payroll
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1862.64 Federal share = 279.40 Non-Federal share = 1583.24 Event Year-To-Date = 43161.45
Payee: Kristen Blanchard-Ansley
5500 W 70th StreetPrairie Village, KS 662082055
Purpose of Disbursement: Payroll
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 2431.07 Federal share = 364.66 Non-Federal share = 2066.41 Event Year-To-Date = 43161.45
Payee: Brittany Wagner
8313 Julia DriveSaint Louis, MO 631236822
Purpose of Disbursement: Payroll
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1867.71 Federal share = 280.16 Non-Federal share = 1587.55 Event Year-To-Date = 43161.45
Payee: Mid-MO Telecom
2409 Hyde Park RdJefferson City, MO 651094732
Purpose of Disbursement: Telephone Service
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1799.75 Federal share = 269.96 Non-Federal share = 1529.79 Event Year-To-Date = 43161.45
Payee: American Express
Suite 001Chicago, IL 60679
Purpose of Disbursement: CREDIT CARD: SEE BELOW
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 6000.00 Federal share = 900.00 Non-Federal share = 5100.00 Event Year-To-Date = 43161.45
Payee: CenturyLink
P.O. Box 650270Dallas, TX 752650270
Purpose of Disbursement: Telephone Service
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 635.91 Federal share = 95.39 Non-Federal share = 540.52 Event Year-To-Date = 43161.45
Payee: Missouri-American Water Company
P.O. Box 5974Indianapolis, IN 46255
Purpose of Disbursement: Water at 105 E High
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 16.69 Federal share = 2.50 Non-Federal share = 14.19 Event Year-To-Date = 43161.45
Payee: Fedexkinkos
11623 Olive Blvd.Creve Coeur, MO 63141
Purpose of Disbursement: Shipping Charges
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 26.66 Federal share = 4.00 Non-Federal share = 22.66 Event Year-To-Date = 43161.45
Payee: Missouri Department Of Revenue
P.O. Box 999Jefferson City, MO 651080999
Purpose of Disbursement: Payroll Tax
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 312.62 Federal share = 46.89 Non-Federal share = 265.73 Event Year-To-Date = 43161.45
Payee: AmerenUE
P.O. Box 66892Saint Louis, MO 63166
Purpose of Disbursement: Utilities
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 232.88 Federal share = 34.93 Non-Federal share = 197.95 Event Year-To-Date = 43161.45
Payee: AmerenUE
P.O. Box 66892Saint Louis, MO 63166
Purpose of Disbursement: Utilities
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 335.50 Federal share = 50.32 Non-Federal share = 285.18 Event Year-To-Date = 43161.45
Payee: United States Treasury
UnknownAustin, TX 78730
Purpose of Disbursement: Payroll Tax
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 2354.47 Federal share = 353.17 Non-Federal share = 2001.30 Event Year-To-Date = 43161.45
Payee: Jefferson City Utilities
PO Box 1278Jefferson City, MO 65102
Purpose of Disbursement: Sewer
Date of Event = 01/15/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 14.64 Federal share = 2.20 Non-Federal share = 12.44 Event Year-To-Date = 43161.45
Payee: Daggar Group, LLC
600 E CapitolJefferson City, MO 651013064
Purpose of Disbursement: Rent
Date of Event = 01/20/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 800.00 Federal share = 120.00 Non-Federal share = 680.00 Event Year-To-Date = 44030.40
Payee: Automatic Data Processing
12200 Weber Hill RdSappington, MO 631271599
Purpose of Disbursement: Payroll Service
Date of Event = 01/20/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 68.95 Federal share = 10.34 Non-Federal share = 58.61 Event Year-To-Date = 44030.40
Payee: Automatic Data Processing
12200 Weber Hill RdSappington, MO 631271599
Purpose of Disbursement: Payroll Service
Date of Event = 01/26/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 193.50 Federal share = 29.02 Non-Federal share = 164.48 Event Year-To-Date = 44223.90
Payee: Kristen Blanchard-Ansley
5500 W 70th StreetPrairie Village, KS 662082055
Purpose of Disbursement: Payroll
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 2622.19 Federal share = 393.33 Non-Federal share = 2228.86 Event Year-To-Date = 68137.00
Payee: Ray Bozarth
1021 Hulen DriveColumbia, MO 652031478
Purpose of Disbursement: Payroll
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1862.64 Federal share = 279.40 Non-Federal share = 1583.24 Event Year-To-Date = 68137.00
Payee: Jon Prouty
PO Box 65Jefferson City, MO 651020065
Purpose of Disbursement: Travel
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 130.00 Federal share = 19.50 Non-Federal share = 110.50 Event Year-To-Date = 68137.00
Payee: Kristen Blanchard-Ansley
5500 W 70th StreetPrairie Village, KS 662082055
Purpose of Disbursement: Travel and Hotel
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 941.63 Federal share = 141.24 Non-Federal share = 800.39 Event Year-To-Date = 68137.00
Payee: Brittany Wagner
8313 Julia DriveSaint Louis, MO 631236822
Purpose of Disbursement: Payroll
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1867.70 Federal share = 280.16 Non-Federal share = 1587.54 Event Year-To-Date = 68137.00
Payee: United States Treasury
UnknownAustin, TX 78730
Purpose of Disbursement: Payroll Tax
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 2258.09 Federal share = 338.71 Non-Federal share = 1919.38 Event Year-To-Date = 68137.00
Payee: CenturyLink
P.O. Box 650270Dallas, TX 752650270
Purpose of Disbursement: Telephone Service
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 1039.38 Federal share = 155.91 Non-Federal share = 883.47 Event Year-To-Date = 68137.00
Payee: Husch Blackwell Sanders LLP
Monroe House235 E. High St., Ste. 300
Jefferson City, MO 651013206
Purpose of Disbursement: Legal Fees
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 2496.00 Federal share = 374.40 Non-Federal share = 2121.60 Event Year-To-Date = 68137.00
Payee: City of Jefferson City
320 E. McCarty St.Jefferson City, MO 651013169
Purpose of Disbursement: Parking
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 10.00 Federal share = 1.50 Non-Federal share = 8.50 Event Year-To-Date = 68137.00
Payee: Hancock & Prouty
PO Box 7171Chesterfield, MO 630067171
Purpose of Disbursement: Strategic Consulting
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 6000.00 Federal share = 900.00 Non-Federal share = 5100.00 Event Year-To-Date = 68137.00
Payee: Missouri Department Of Revenue
P.O. Box 999Jefferson City, MO 651080999
Purpose of Disbursement: Payroll Tax
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 313.60 Federal share = 47.04 Non-Federal share = 266.56 Event Year-To-Date = 68137.00
Payee: United Healthcare Of The Midwest
P.O. Box 956019Saint Louis, MO 63195
Purpose of Disbursement: Health Insurance
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 371.87 Federal share = 55.78 Non-Federal share = 316.09 Event Year-To-Date = 68137.00
Payee: Mason Enterprises
21 N Meramec Ave.Clayton, MO 631053843
Purpose of Disbursement: Compliance
Date of Event = 01/31/2017
Allocated Activity or Event:
Activity is Administrative - OnlyActivity is Generic Voter Drive - Only
Activity is Direct Fundraising
Activity is Exempt Activity
Activity is Direct Candidate Support
Activity is Public Communications Referring Only to Party {Made by PAC}
Amount Disbursed = 4000.00 Federal share = 600.00 Non-Federal share = 3400.00 Event Year-To-Date = 68137.00