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SCHEDULE H4

DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY

FILING FEC-766866

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Committee: RHODE ISLAND DEMOCRATIC STATE COMMITTEE

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Payee: 151 Broadway Associates

151 Broadway
Providence, RI 02903

Purpose of Disbursement: Rent and utilities
Date of Event = 12/13/2011

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   =        650.00
Federal share      =        234.00
Non-Federal share  =        416.00
Event Year-To-Date =      97318.05

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Payee: A T & T Mobility

PO Box 536216
Atlanta, GA 30353

Purpose of Disbursement: Cell phone service
Date of Event = 12/13/2011

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   =        135.04
Federal share      =         48.61
Non-Federal share  =         86.43
Event Year-To-Date =      97453.09

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Payee: Beacon Mutual Insurance

One Beacon Centre
Warwick, RI 02886

Purpose of Disbursement: Workers Compensation Insurance
Date of Event = 12/13/2011

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   =        407.00
Federal share      =        146.52
Non-Federal share  =        260.48
Event Year-To-Date =      97860.09

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Payee: Susann Della Rosa

60 Don Avenue
Rumford, RI 02916

Purpose of Disbursement: Accounting services - non employee
Date of Event = 12/13/2011

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   =       1425.00
Federal share      =        513.00
Non-Federal share  =        912.00
Event Year-To-Date =      99285.09

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Payee: Division of Taxation

One Capitol Hill
Providence, RI 02908

Purpose of Disbursement: State payroll taxes
Date of Event = 12/13/2011

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   =        140.61
Federal share      =         50.62
Non-Federal share  =         89.99
Event Year-To-Date =      99425.70

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Payee: Lexisnexis

PO Box 7247-7090
Philadelphia, PA 19170

Purpose of Disbursement: Subscription
Date of Event = 12/13/2011

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   =        150.00
Federal share      =         54.00
Non-Federal share  =         96.00
Event Year-To-Date =      99575.70

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Payee: Verizon

P.O. Box 1100
Albany, NY 12250

Purpose of Disbursement: Telephone service
Date of Event = 12/13/2011

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   =        392.63
Federal share      =        141.35
Non-Federal share  =        251.28
Event Year-To-Date =      99968.33

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Payee: CitiBusiness Card

PO Box 182564
Columbus, OH 43210

Purpose of Disbursement: Credit Card Payment
Date of Event = 12/13/2011

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   =        554.44
Federal share      =        199.60
Non-Federal share  =        354.84
Event Year-To-Date =     100522.77

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Payee: Clear

Dept CH 14365
Palatine, IL 60065

Purpose of Disbursement: Internet service
Date of Event = 12/13/2011

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   =         50.35
Federal share      =         18.13
Non-Federal share  =         32.22
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: CitiBusiness Card

PO Box 182564
Columbus, OH 43210

Purpose of Disbursement: Fees
Date of Event = 12/02/2011

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   =          4.09
Federal share      =          1.47
Non-Federal share  =          2.62
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Crowne Plaza

801 Greenwich Avenue
Warwick, RI 02886

Purpose of Disbursement: Rental deposit for Women's Meeting
Date of Event = 12/13/2011

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   =        500.00
Federal share      =        180.00
Non-Federal share  =        320.00
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Chase Card Services

PO Box 15153
Wilmington, DE 19886

Purpose of Disbursement: Credit Card Payment
Date of Event = 12/13/2011

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   =       1148.72
Federal share      =        413.54
Non-Federal share  =        735.18
Event Year-To-Date =     101671.49

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Payee: US Airways

Theodore Francis Green Airport
Warwick, RI 02886

Purpose of Disbursement: Airfare
Date of Event = 12/13/2011

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   =        469.90
Federal share      =        169.16
Non-Federal share  =        300.74
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Constant Contact

1601 Trapelo Road
Waltham, MA 02451

Purpose of Disbursement: E mail marketing list
Date of Event = 12/13/2011

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   =         85.00
Federal share      =         30.60
Non-Federal share  =         54.40
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Southwest Airlines

Theodore Francis Green Airport
Warwick, RI 02886

Purpose of Disbursement: Airfare
Date of Event = 12/13/2011

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   =        410.10
Federal share      =        147.64
Non-Federal share  =        262.46
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Providence Journal

75 Fountain Street
Providence, RI 02903

Purpose of Disbursement: Subscription
Date of Event = 12/13/2011

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   =         32.00
Federal share      =         11.52
Non-Federal share  =         20.48
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Caesar's Palace

3570 Las Vegas Blvd South
Las Vegas, NV 89101

Purpose of Disbursement: Room deposit
Date of Event = 12/13/2011

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   =        144.48
Federal share      =         52.01
Non-Federal share  =         92.47
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Shutterfly

2800 Bridge Parkway
Redwood City, CA 94605

Purpose of Disbursement: Office supplies
Date of Event = 12/13/2011

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   =          7.24
Federal share      =          2.61
Non-Federal share  =          4.63
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Edwin Pacheco

12 Camp Dixie Road
Pascoag, RI 02859

Purpose of Disbursement: Reimbursement
Date of Event = 12/13/2011

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   =         43.27
Federal share      =         15.58
Non-Federal share  =         27.69
Event Year-To-Date =     101714.76

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Payee: Cuban Revolution

50 Aborn Street
Providence, RI 02903

Purpose of Disbursement: Meeting
Date of Event = 12/13/2011

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   =         43.27
Federal share      =         15.58
Non-Federal share  =         27.69
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Jonathan Boucher

23 Perkins Street
Warwick, RI 02886

Purpose of Disbursement: Net wages
Date of Event = 12/15/2011

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   =        865.64
Federal share      =        311.63
Non-Federal share  =        554.01
Event Year-To-Date =     102580.40

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Payee: Stephanie DeSilva

17 Waldron Avenue
Cranston, RI 02910

Purpose of Disbursement: Net wages
Date of Event = 12/15/2011

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   =       1522.99
Federal share      =        548.28
Non-Federal share  =        974.71
Event Year-To-Date =     104103.39

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Payee: Edwin Pacheco

12 Camp Dixie Road
Pascoag, RI 02859

Purpose of Disbursement: Net wages
Date of Event = 12/15/2011

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   =        531.65
Federal share      =        191.39
Non-Federal share  =        340.26
Event Year-To-Date =     104635.04

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Payee: United States Treasury

PO Box 660351
Dallas, TX 75266

Purpose of Disbursement: Payroll tax deposit
Date of Event = 12/15/2011

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   =       1015.85
Federal share      =        365.71
Non-Federal share  =        650.14
Event Year-To-Date =     105650.89

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Payee: A T & T Mobility

PO Box 536216
Atlanta, GA 30353

Purpose of Disbursement: Cell phone service
Date of Event = 12/27/2011

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   =        147.53
Federal share      =         53.11
Non-Federal share  =         94.42
Event Year-To-Date =     105798.42

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Payee: Blue Cross Blue Shield of Rhode Island

PO Box 1057
Providence, RI 02901

Purpose of Disbursement: Health Insurance
Date of Event = 12/27/2011

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   =       2400.24
Federal share      =        864.09
Non-Federal share  =       1536.15
Event Year-To-Date =     108198.66

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Payee: Cox Communications

P.O. Box 39
Newark, NJ 07101

Purpose of Disbursement: Cable service
Date of Event = 12/27/2011

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   =         62.71
Federal share      =         22.58
Non-Federal share  =         40.13
Event Year-To-Date =     108261.37

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Payee: Extra Space Storage

1640 Hartford Avenue
Johnston, RI 02919

Purpose of Disbursement: Storage rental
Date of Event = 12/27/2011

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   =        181.00
Federal share      =         65.16
Non-Federal share  =        115.84
Event Year-To-Date =     108442.37

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Payee: Postmaster

Turnkey Station
Providence, RI 02940

Purpose of Disbursement: Annual Bulk Mail fee
Date of Event = 12/27/2011

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   =        190.00
Federal share      =         68.40
Non-Federal share  =        121.60
Event Year-To-Date =     108632.37

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Payee: Verizon

P.O. Box 1100
Albany, NY 12250

Purpose of Disbursement: Telephone service
Date of Event = 12/27/2011

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   =        393.05
Federal share      =        141.50
Non-Federal share  =        251.55
Event Year-To-Date =     109025.42

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Payee: Chase Card Services

PO Box 15153
Wilmington, DE 19886

Purpose of Disbursement: Credit Card Payment
Date of Event = 12/28/2011

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   =       1401.99
Federal share      =        504.72
Non-Federal share  =        897.27
Event Year-To-Date =     110427.41

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Payee: Capriccio

2 Pine Street
Providence, RI 02903

Purpose of Disbursement: Meeting
Date of Event = 12/05/2011

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   =         73.30
Federal share      =         26.39
Non-Federal share  =         46.91
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Providence Airport QPS

2000 Post Road
Warwick, RI 02886

Purpose of Disbursement: Airport Parking
Date of Event = 12/11/2011

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   =         60.00
Federal share      =         21.60
Non-Federal share  =         38.40
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Southwest Airlines

Theodore Francis Green Airport
Warwick, RI 02886

Purpose of Disbursement: Airfare
Date of Event = 12/07/2011

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   =        656.71
Federal share      =        236.42
Non-Federal share  =        420.29
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Amtrak

BWI Airport
Baltimore, MD 21240

Purpose of Disbursement: Train fare
Date of Event = 12/13/2011

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   =         12.00
Federal share      =          4.32
Non-Federal share  =          7.68
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Caesar Rao Restaurant

3570 Las Vegas Blvd South
Las Vegas, NV 89101

Purpose of Disbursement: Meals
Date of Event = 12/09/2011

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   =         37.36
Federal share      =         13.45
Non-Federal share  =         23.91
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Caesar's Palace

3570 Las Vegas Blvd South
Las Vegas, NV 89101

Purpose of Disbursement: Lodging
Date of Event = 12/11/2011

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   =        562.62
Federal share      =        202.54
Non-Federal share  =        360.08
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Edwin Pacheco

12 Camp Dixie Road
Pascoag, RI 02859

Purpose of Disbursement: Reimbursement
Date of Event = 12/28/2011

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   =         56.00
Federal share      =         20.16
Non-Federal share  =         35.84
Event Year-To-Date =     110483.41

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Payee: Providence Airport QPS

2000 Post Road
Warwick, RI 02886

Purpose of Disbursement: Airport Parking
Date of Event = 12/13/2011

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   =         18.00
Federal share      =          6.48
Non-Federal share  =         11.52
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Payee: Yellow Checker Star

5225 W Post Road
Las Vegas, NV 89118

Purpose of Disbursement: Taxi fare
Date of Event = 12/11/2011

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   =         38.00
Federal share      =         13.68
Non-Federal share  =         24.32
Event Year-To-Date =          0.00

This is a Memo Memo Description:

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Total Disbursements This Period = 17019.78

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Generated Thu Sep 26 19:13:08 2024