Schedule H4 for Report FEC-414722

SCHEDULE H4

DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY

FILING FEC-414722

Committee: INDIANA DEMOCRATIC CONGRESSIONAL VICTORY COMMITTEE

Payee: Anthem BCBS IN GROUP

PO Box 105113
Atlanta, GA 303485113

Purpose of Disbursement: Health Insurance
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        435.51
Federal share      =         91.46
Non-Federal share  =        344.05
Event Year-To-Date =      87190.42

Payee: Anthem Life

Department L-8111
Columbus, OH 432680001

Purpose of Disbursement: Life Insurance
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         41.11
Federal share      =          8.63
Non-Federal share  =         32.48
Event Year-To-Date =      87190.42

Payee: Anthem-COBRA

L-2099
Columbus, OH 432600001

Purpose of Disbursement: Health Insurance
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         50.00
Federal share      =         10.50
Non-Federal share  =         39.50
Event Year-To-Date =      87190.42

Payee: AT&T Capital Services

13160 Collection Center Dr
Chicago, IL 606930131

Purpose of Disbursement: Phone Equipment
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        541.71
Federal share      =        113.76
Non-Federal share  =        427.95
Event Year-To-Date =      87190.42

Payee: AT&T Internet Services

PO Box 650396
Dallas, TX 752650396

Purpose of Disbursement: Internet
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        752.29
Federal share      =        157.98
Non-Federal share  =        594.31
Event Year-To-Date =      87190.42

Payee: At&t Long Distance

PO Box 660688
Dallas, TX 752660688

Purpose of Disbursement: Long Distance
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         54.45
Federal share      =         11.43
Non-Federal share  =         43.02
Event Year-To-Date =      87190.42

Payee: AT&T

1 N Capitol Ave
Ste 1100
Indianapolis, IN 462042028

Purpose of Disbursement: Phone Service
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1483.55
Federal share      =        311.55
Non-Federal share  =       1172.00
Event Year-To-Date =      87190.42

Payee: AT&T

1 N Capitol Ave
Ste 1100
Indianapolis, IN 462042028

Purpose of Disbursement: Fax Line
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         56.01
Federal share      =         11.76
Non-Federal share  =         44.25
Event Year-To-Date =      87190.42

Payee: Blue State Digital

734 15th St. NW Ste. 100
Washington, DC 20005

Purpose of Disbursement: Website
Date of Event = 02/28/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1750.00
Federal share      =        367.50
Non-Federal share  =       1382.50
Event Year-To-Date =      87190.42

Payee: Bright House Networks

3030 Roosevelt Avenue
Indianapolis, IN 462183794

Purpose of Disbursement: Cable
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        115.66
Federal share      =         24.29
Non-Federal share  =         91.37
Event Year-To-Date =      87190.42

Payee: Bucher & Christian Consulting, Inc.

10 W Market St Suite 300
Indianapolis, IN 46204

Purpose of Disbursement: Computer Support
Date of Event = 02/28/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1790.00
Federal share      =        375.90
Non-Federal share  =       1414.10
Event Year-To-Date =      87190.42

Payee: Cameron A. Radford

7522 Fieldstone Ct
Indianapolis, IN 46254

Purpose of Disbursement: Payroll
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        785.84
Federal share      =        165.03
Non-Federal share  =        620.81
Event Year-To-Date =      87190.42

Payee: Cameron A. Radford

7522 Fieldstone Ct
Indianapolis, IN 46254

Purpose of Disbursement: Payroll
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        785.84
Federal share      =        165.03
Non-Federal share  =        620.81
Event Year-To-Date =      87190.42

Payee: Cingular Wireless

10617 E Washington St
Indianapolis, IN 462292611

Purpose of Disbursement: Cellular Phones
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        676.27
Federal share      =        142.02
Non-Federal share  =        534.25
Event Year-To-Date =      87190.42

Payee: Mr. Daniel J Parker

7458 Rooses Way
Indianapolis, IN 462175484

Purpose of Disbursement: Payroll
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       3432.01
Federal share      =        720.72
Non-Federal share  =       2711.29
Event Year-To-Date =      87190.42

Payee: Mr. Daniel J Parker

7458 Rooses Way
Indianapolis, IN 462175484

Purpose of Disbursement: Payroll
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       3432.01
Federal share      =        720.72
Non-Federal share  =       2711.29
Event Year-To-Date =      87190.42

Payee: Denison Parking

36 South Pennsylvania Suite 200
Indianapolis, IN 46204

Purpose of Disbursement: Parking
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        562.50
Federal share      =        118.12
Non-Federal share  =        444.38
Event Year-To-Date =      87190.42

Payee: Duke Realty Corporation

75 Remittance Dr
Dept 3205
Chicago, IL 606753205

Purpose of Disbursement: Rent
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       9141.18
Federal share      =       1919.65
Non-Federal share  =       7221.53
Event Year-To-Date =      87190.42

Payee: EasyPermit Postage

PO Box 856042
Louisville, KY 40285

Purpose of Disbursement: Postage
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1770.75
Federal share      =        371.86
Non-Federal share  =       1398.89
Event Year-To-Date =      87190.42

Payee: IKON Office Solutions

PO Box 13487
Macon, GA 312083487

Purpose of Disbursement: Copier
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1969.87
Federal share      =        413.67
Non-Federal share  =       1556.20
Event Year-To-Date =      87190.42

Payee: Indiana Department of Revenue

100 North Senate Ave
Indianapolis, IN 46204

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        290.38
Federal share      =         60.98
Non-Federal share  =        229.40
Event Year-To-Date =      87190.42

Payee: Indiana Department of Revenue

100 North Senate Ave
Indianapolis, IN 46204

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        290.38
Federal share      =         60.98
Non-Federal share  =        229.40
Event Year-To-Date =      87190.42

Payee: Indiana Dept of Workforce Development

10 N Senate Ave
Indianapolis, IN 462042201

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         19.79
Federal share      =          4.16
Non-Federal share  =         15.63
Event Year-To-Date =      87190.42

Payee: Indiana Dept of Workforce Development

10 N Senate Ave
Indianapolis, IN 462042201

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         19.79
Federal share      =          4.16
Non-Federal share  =         15.63
Event Year-To-Date =      87190.42

Payee: Internal Revenue Service

Cincinnati Commerce Ctr
Cincinnati, OH 45999

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1811.55
Federal share      =        380.43
Non-Federal share  =       1431.12
Event Year-To-Date =      87190.42

Payee: Internal Revenue Service

Cincinnati Commerce Ctr
Cincinnati, OH 45999

Purpose of Disbursement: Payroll Taxes
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       1811.55
Federal share      =        380.43
Non-Federal share  =       1431.12
Event Year-To-Date =      87190.42

Payee: LexisNexis

PO Box 2314
Carol Stream, IL 601320001

Purpose of Disbursement: Legal Press
Date of Event = 02/28/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        695.00
Federal share      =        145.95
Non-Federal share  =        549.05
Event Year-To-Date =      87190.42

Payee: Lord Abbett

PO Box 219336
Kansas City, MO 64121

Purpose of Disbursement: 401k
Date of Event = 02/15/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        416.67
Federal share      =         87.50
Non-Federal share  =        329.17
Event Year-To-Date =      87190.42

Payee: PBCC

PO Box 856460
Louisville, KY 402856460

Purpose of Disbursement: Postage Machine
Date of Event = 02/13/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       7315.59
Federal share      =       1536.27
Non-Federal share  =       5779.32
Event Year-To-Date =      87190.42

Payee: Quench USA

PO Box 13604
Philadelphia, PA 191013604

Purpose of Disbursement: WaterCooler
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =        102.09
Federal share      =         21.44
Non-Federal share  =         80.65
Event Year-To-Date =      87190.42

Payee: Skyline Club

1 American Sq Fl 36
Indianapolis, IN 46282

Purpose of Disbursement: Membership Fee
Date of Event = 02/02/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         97.34
Federal share      =         20.44
Non-Federal share  =         76.90
Event Year-To-Date =      87190.42

Payee: Westin Indianapolis

50 South Capitol Ave
Indianapolis, IN 46204

Purpose of Disbursement: Catering
Date of Event = 02/27/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =      22647.48
Federal share      =       6341.29
Non-Federal share  =      16306.19
Event Year-To-Date =      22647.48

Payee: FIA Card Services

PO Box 15715
Wilmington, DE 198865715

Purpose of Disbursement: Travel
Date of Event = 02/10/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       6871.32
Federal share      =       1442.98
Non-Federal share  =       5428.34
Event Year-To-Date =      87190.42

Payee: Omni Shoreham Hotel

2500 Calvert NW
Washington, DC 20008

Purpose of Disbursement: Travel
Date of Event = 02/10/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =       6856.32
Federal share      =       1439.83
Non-Federal share  =       5416.49
Event Year-To-Date =      87190.42

This is a Memo Memo Description:

Payee: US Airways

Indianapolis Intl Airport
Indianapolis, IN 46241

Purpose of Disbursement: Travel
Date of Event = 02/10/2009

Allocated Activity or Event:

Activity is Administrative - Only

Activity 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   =         15.00
Federal share      =          3.15
Non-Federal share  =         11.85
Event Year-To-Date =      87190.42

This is a Memo Memo Description:

Total Disbursements This Period = 78886.80

Generated Sat Oct 19 16:25:26 2024

SCHEDULE H4

DISBURSEMENT FOR ALLOCATEDFEDERAL/NONFEDERAL ACTIVITY

FILING FEC-414722

Committee: INDIANA DEMOCRATIC CONGRESSIONAL VICTORY COMMITTEE

Payee: Anthem BCBS IN GROUP

Allocated Activity or Event:

Amount Disbursed = 435.51 Federal share = 91.46 Non-Federal share = 344.05 Event Year-To-Date = 87190.42

Payee: Anthem Life

Allocated Activity or Event:

Amount Disbursed = 41.11 Federal share = 8.63 Non-Federal share = 32.48 Event Year-To-Date = 87190.42

Payee: Anthem-COBRA

Allocated Activity or Event:

Amount Disbursed = 50.00 Federal share = 10.50 Non-Federal share = 39.50 Event Year-To-Date = 87190.42

Payee: AT&T Capital Services

Allocated Activity or Event:

Amount Disbursed = 541.71 Federal share = 113.76 Non-Federal share = 427.95 Event Year-To-Date = 87190.42

Payee: AT&T Internet Services

Allocated Activity or Event:

Amount Disbursed = 752.29 Federal share = 157.98 Non-Federal share = 594.31 Event Year-To-Date = 87190.42

Payee: At&t Long Distance

Allocated Activity or Event:

Amount Disbursed = 54.45 Federal share = 11.43 Non-Federal share = 43.02 Event Year-To-Date = 87190.42

Payee: AT&T

Allocated Activity or Event:

Amount Disbursed = 1483.55 Federal share = 311.55 Non-Federal share = 1172.00 Event Year-To-Date = 87190.42

Payee: AT&T

Allocated Activity or Event:

Amount Disbursed = 56.01 Federal share = 11.76 Non-Federal share = 44.25 Event Year-To-Date = 87190.42

Payee: Blue State Digital

Allocated Activity or Event:

Amount Disbursed = 1750.00 Federal share = 367.50 Non-Federal share = 1382.50 Event Year-To-Date = 87190.42

Payee: Bright House Networks

Allocated Activity or Event:

Amount Disbursed = 115.66 Federal share = 24.29 Non-Federal share = 91.37 Event Year-To-Date = 87190.42

Payee: Bucher & Christian Consulting, Inc.

Allocated Activity or Event:

Amount Disbursed = 1790.00 Federal share = 375.90 Non-Federal share = 1414.10 Event Year-To-Date = 87190.42

Payee: Cameron A. Radford

Allocated Activity or Event:

Amount Disbursed = 785.84 Federal share = 165.03 Non-Federal share = 620.81 Event Year-To-Date = 87190.42

Payee: Cameron A. Radford

Allocated Activity or Event:

Amount Disbursed = 785.84 Federal share = 165.03 Non-Federal share = 620.81 Event Year-To-Date = 87190.42

Payee: Cingular Wireless

Allocated Activity or Event:

Amount Disbursed = 676.27 Federal share = 142.02 Non-Federal share = 534.25 Event Year-To-Date = 87190.42

Payee: Mr. Daniel J Parker

Allocated Activity or Event:

Amount Disbursed = 3432.01 Federal share = 720.72 Non-Federal share = 2711.29 Event Year-To-Date = 87190.42

Payee: Mr. Daniel J Parker

Allocated Activity or Event:

Amount Disbursed = 3432.01 Federal share = 720.72 Non-Federal share = 2711.29 Event Year-To-Date = 87190.42

Payee: Denison Parking

Allocated Activity or Event:

Amount Disbursed = 562.50 Federal share = 118.12 Non-Federal share = 444.38 Event Year-To-Date = 87190.42

Payee: Duke Realty Corporation

Allocated Activity or Event:

Amount Disbursed = 9141.18 Federal share = 1919.65 Non-Federal share = 7221.53 Event Year-To-Date = 87190.42

Payee: EasyPermit Postage

Allocated Activity or Event:

Amount Disbursed = 1770.75 Federal share = 371.86 Non-Federal share = 1398.89 Event Year-To-Date = 87190.42

Payee: IKON Office Solutions

Allocated Activity or Event:

Amount Disbursed = 1969.87 Federal share = 413.67 Non-Federal share = 1556.20 Event Year-To-Date = 87190.42

Payee: Indiana Department of Revenue

Allocated Activity or Event:

Amount Disbursed = 290.38 Federal share = 60.98 Non-Federal share = 229.40 Event Year-To-Date = 87190.42

Payee: Indiana Department of Revenue

Allocated Activity or Event:

Amount Disbursed = 290.38 Federal share = 60.98 Non-Federal share = 229.40 Event Year-To-Date = 87190.42

Payee: Indiana Dept of Workforce Development

Allocated Activity or Event:

Amount Disbursed = 19.79 Federal share = 4.16 Non-Federal share = 15.63 Event Year-To-Date = 87190.42

Payee: Indiana Dept of Workforce Development

Allocated Activity or Event:

Amount Disbursed = 19.79 Federal share = 4.16 Non-Federal share = 15.63 Event Year-To-Date = 87190.42

Payee: Internal Revenue Service

Allocated Activity or Event:

Amount Disbursed = 1811.55 Federal share = 380.43 Non-Federal share = 1431.12 Event Year-To-Date = 87190.42

Payee: Internal Revenue Service

DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY