SCHEDULE B
ITEMIZED DISBURSEMENTS
All Listed Line Numbers
Committee: DAVE CROOKS FOR CONGRESS
| Disbursement To | Address | Election Type | Date of Disbursement | Extra Description | Amount This Period | Text | Memo |
|---|---|---|---|---|---|---|---|
| Baron P Hill |
4920 Mallard View Dr
Indianapolis, Indiana 462262189 |
|
04/05/2012 | mailing list | 30.12 |
|
|
| The Angerholzer Team |
499 S Capitol St SW
Ste 404
Washington, DC 200034004 |
|
04/04/2012 | Strategic fund raising fee | 2622.74 |
|
|
| United States Post Office |
405 Center St
Washington, Indiana 475013665 |
|
04/04/2012 | Postage | 225.00 |
|
|
| United States Post Office |
405 Center St
Washington, Indiana 475013665 |
|
04/16/2012 | Postage | 675.00 |
|
|
| Indiana Democratic Party |
115 W Washington St
Ste 1165
Indianapolis, Indiana 462043418 |
|
04/02/2012 | Staff payroll expenses | 11314.86 |
|
|
| Anthem BCBS |
PO Box 105113
Atlanta, Georgia 303485113 |
|
04/02/2012 | Staff health insurance expense | 581.80 |
|
MEMO |
| Anthem Life |
Department L-8111
Columbus, Ohio 432680001 |
|
04/02/2012 | Staff life insurance expense | 17.10 |
|
MEMO |
| Ms. Jessie D Davis |
2697 E 250 S
Washington, Indiana 475017953 |
|
04/02/2012 | Staff payroll expense | 1227.90 |
|
MEMO |
| Indiana Democratic Party |
115 W Washington St
Ste 1165
Indianapolis, Indiana 462043418 |
|
04/02/2012 | Payroll processing fee | 90.00 |
|
MEMO |
| Indiana Department of Revenue |
100 N Senate Ave
Indianapolis, Indiana 462042273 |
|
04/02/2012 | Staff state and county withholding taxes | 371.02 |
|
MEMO |
| Indiana Department of Workforce Develop |
PO Box 847
Indianapolis, Indiana 462060847 |
|
04/02/2012 | Staff state unemployment taxes | 437.00 |
|
MEMO |
| Boris Medzhibovsky |
606 Front St.
Washington, Indiana 475012819 |
|
04/02/2012 | Staff payroll expense | 4145.27 |
|
MEMO |
| United States Treasury |
Internal Revenue Service
Cincinnati, Ohio 459990005 |
|
04/02/2012 | Staff federal payroll taxes | 2493.01 |
|
MEMO |
| Andrew Woods |
606 Front St.
Washington, Indiana 47501 |
|
04/02/2012 | Staff payroll expense | 1951.76 |
|
MEMO |
| Mr. Dave Crooks |
1205 Winbrook Ln
Washington, Indiana 475011333 |
|
04/04/2012 | Travel - lodging | 812.20 |
|
|
| Courtyard by Marriott Washington Capito |
140 L St SE
Washington, DC 200033335 |
|
04/04/2012 | Travel - lodging expense | 812.20 |
|
MEMO |
| Boris Medzhibovsky |
606 Front St.
Washington, Indiana 475012819 |
|
04/04/2012 | Travel - airfare | 513.20 |
|
|
| Delta Air Lines, Inc. |
PO Box 20706
Delta Blvd
Atlanta, Georgia 303206001 |
|
04/04/2012 | Travel - airfare | 513.20 |
|
MEMO |
| Total Disbursement Amount (Non-Memo) | 16193.12 |
| Total Memo Amount | 12640.26 |
| Number of Transactions (Non-Memo) | 7 |
| Number of Transactions (Memo) | 11 |