FEC FORM 3X
REPORT OF RECEIPTS AND DISBURSEMENTS
For Other Than An Authorized Committee
FILING FEC-168519
1. American Dental Political Action Cmte.
1111 14th Street NW
Suite 1100
Washington, DC 20005
2. FEC Committee ID #: C00000729
3. This committee HAS qualified as a multicandidate committee (see FEC Form 1M)
4. Report Type = OCT MONTHLY
This IS an amended REPORT
Filed: 03/21/2005
SUMMARY PAGE
DETAILED SUMMARY PAGE
Schedule A Filings (ITEMIZED RECEIPTS)
Schedule B Filings (ITEMIZED DISBURSEMENTS)
SUMMARY PAGE
5. Covering Period 09/01/2004 Through 09/30/2004
For Other Than An Authorized Committee
FILING FEC-168519
1. American Dental Political Action Cmte.
1111 14th Street NW
Suite 1100
Washington, DC 20005
2. FEC Committee ID #: C00000729
3. This committee HAS qualified as a multicandidate committee (see FEC Form 1M)
4. Report Type = OCT MONTHLY
This IS an amended REPORT
Filed: 03/21/2005
SUMMARY PAGE
DETAILED SUMMARY PAGE
Schedule A Filings (ITEMIZED RECEIPTS)
Schedule B Filings (ITEMIZED DISBURSEMENTS)
SUMMARY PAGE
5. Covering Period 09/01/2004 Through 09/30/2004
DETAILED SUMMARY PAGE
Schedule A Filings (ITEMIZED RECEIPTS)
Schedule B Filings (ITEMIZED DISBURSEMENTS)
| Column A This Period | Column B Year To Date | |
|---|---|---|
| 6. (a) Cash on hand, January 1, 2004 | 875923.51 | |
| (b) Cash on hand at Beginning of Reporting Period | 768040.15 | |
| (c) Total Receipts (from line 19) | 97694.30 | 715668.48 |
| (d) Subtotal (6(b) + 6(c) for A, 6(a) + 6(c) for B) | 865734.45 | 1591591.99 |
| 7. Total Disbursements | 174602.90 | 900460.44 |
| 8. Cash on Hand at Close of Reporting Period | 691131.55 | 691131.55 |
| 9. Debts and Obligations Owed TO the Committee | 0.00 | |
| Itemize all on SCHEDULE C or SCHEDULE D | ||
| 10. Debts and Obligations Owed BY the Committee | 0.00 | |
| Itemize all on SCHEDULE C or SCHEDULE D | ||
Treasurer: Frank McLaughlin
Date Signed: 03/21/2005
(End Summary Page, FEC FORM 3X)
DETAILED SUMMARY PAGE
Of Receipts And Disbursements
| Column A This Period | Column B Calendar Year | |
|---|---|---|
| I. Receipts | ||
| 11. Contributions (other than loans) From: | ||
| (a) Individuals/Persons Other than Political Committees | ||
| (i) Itemized | 4820.00 | 10445.00 |
| (ii) Unitemized | 92340.00 | 464349.08 |
| (iii) Total (11(a)(i) + 11(a)(ii)) | 97160.00 | 474794.08 |
| (b) Political Party Commitees | 0.00 | 0.00 |
| (c) Other Political Committees (such as PACS) | 0.00 | 0.00 |
| (d) Total Contributions (11(a)(iii) + (b) + (c)) | 97160.00 | 474794.08 |
| 12. Transfers From Affiliated/Other Party Committees | 280.00 | 234299.32 |
| 13. All Loans Received | 0.00 | 0.00 |
| 14. Loan Repayments Received | 0.00 | 0.00 |
| 15. Offsets to Operating Expenditures (Refunds, Rebates, etc) | 0.00 | 483.87 |
| 16. Refunds of Contributions made to Fed. Candidates and other Political Committees | 0.00 | 3000.00 |
| 17. Other Federal Receipts (Dividends, Interest, etc) | 254.30 | 3091.21 |
| 18. Transfers from Non-Federal and Levin Funds | ||
| (a) Non-Federal Account (SCHEDULE H3) | 0.00 | 0.00 |
| (b) Levin Funds (SCHEDULE H5) | 0.00 | 0.00 |
| (c) Total Transfers ( 18(a) + 18(b) ) | 0.00 | 0.00 |
| 19. Total Receipts (11(d) + 12 + 13 + 14 + 15 + 16 + 17 + 18) | 97694.30 | 715668.48 |
| 20. Total Federal Receipts (19 - 18(c)) | 97694.30 | 715668.48 |
| II. Disbursements | ||
| 21. Operating Expenditures | ||
| (a) Shared Federal/Nonfederal Activity (SCHEDULE H4) | ||
| (i) Federal Share | 0.00 | 0.00 |
| (ii) Nonfederal Share | 0.00 | 0.00 |
| (b) Other Federal Operating Expenditures | 102.90 | 2140.18 |
| (c) Total Operating Expenditures (21(a)(i) + (a)(ii) + (b)) | 102.90 | 2140.18 |
| 22. Transfers to Affiliated/Other Party Committees | 0.00 | 0.00 |
| 23. Contributions to Fed. Candidates/Committees and Other Political Committees | 174500.00 | 868016.26 |
| 24. Independent Expenditures (SCHEDULE E) | 0.00 | 26500.00 |
| 25. Coordinated Expenditures Made by Party Committees (SCHEDULE F) | 0.00 | 0.00 |
| 26. Loan Repayments Made | 0.00 | 0.00 |
| 27. Loans Made | 0.00 | 0.00 |
| 28. Refunds of Contributions To: | ||
| (a) Individuals/Persons Other Than Political Committees | 0.00 | 0.00 |
| (b) Political Party Committees | 0.00 | 0.00 |
| (c) Other Political Committees (such as PACs) | 0.00 | 0.00 |
| (d) Total Contribution Refunds (28(a) + (b) + (c)) | 0.00 | 0.00 |
| 29. Other Disbursements | 0.00 | 3804.00 |
| 30. Federal Election Activity | ||
| (a) (i) Allocated Federal Election Activity - Federal Share (SCHEDULE H6) | 0.00 | 0.00 |
| (a) (ii) Allocated Federal Election Activity - Levin Share (SCHEDULE H6) | 0.00 | 0.00 |
| (b) Federal Election Activity Paid Entirely with Federal Funds | 0.00 | 0.00 |
| (c) Total Federal Election Activity ( 30(a)(i)+30(a)(ii)+30(b) ) | 0.00 | 0.00 |
| 31. Total Disbursements ( 21(c)+23+24+25+26+27+28(d)+29+30(c) ) | 174602.90 | 900460.44 |
| 32. Total Federal Disbursements (31-21(a)(ii)-30(a)(ii)) | 174602.90 | 900460.44 | III. Net Contributions/Operating Expenditures |
| 33. Total Contributions (other than loans) (11(d)) | 97160.00 | 474794.08 |
| 34. Total Contribution Refunds (28(d)) | 0.00 | 0.00 |
| 35. Net Contributions (other than loans) (32 - 33) | 97160.00 | 474794.08 |
| 36. Total Federal Operating Expenditures (21(a)(i) + 21(b)) | 102.90 | 2140.18 |
| 37. Offsets to Operating Expenditures (15) | 0.00 | 483.87 |
| 38. Net Operating Expenditures | 102.90 | 1656.31 |