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SCHEDULE A

ITEMIZED RECEIPTS
Line #: 11AI


Committee: REFORM AMERICA FUND

Contributor's Name Contributor's Address Employer/Occupation Memo/Description Memo Text Date Amount ($) Aggregate ($) Limits
Michael Landry W238 N3239 High Meadow Ct
Pewaukee, Wisconsin 530725701
Information Requested / Information Requested
10/03/2016 800.00 800.00
Diane Hendricks PO Box 65
Afton, Wisconsin 535010065
Hendricks Holding Co., Inc. / Chairman
10/03/2016 1273500.00 2648500.00
Diane Hendricks PO Box 65
Afton, Wisconsin 535010065
Hendricks Holding Co., Inc. / Chairman
10/06/2016 1396100.00 4044600.00
Diane Hendricks PO Box 65
Afton, Wisconsin 535010065
Hendricks Holding Co., Inc. / Chairman
10/13/2016 1423100.00 5467700.00


Total Donation Amount (Non-Memo) $4093500
Total Memo Amount $0
Number of Transactions (Non-Memo) 4
Number of Transactions (Memo) 0

Generated Fri Jul 21 22:43:58 2017