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From: David Allen Fax: (202) 232-2208 To: Fax: (601; 960-1032 Page 1 of 3 04(24/2017 5:29 PM

2017 ELECTION CYCLE


Delbert ItosemaoB

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REPORT OF REC^'^^ ISBURSEMENTS
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2017 tion
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Name of Committee Democracy for America- MS : r-L

Address PD Box 1717, Burlington VT 05402

Tel^hone ^2-651-3200 802-651-3299

Treasurer Shelly Moskwa Email Address oompliance@democracyforamerica.com

Check here if above is different from previous report

TYPE OF REPORT
^ Tuesday. April 25,2017 (January 1,2017, through April 22,2017)....... ....................................... Primary Pre-Election Report

^Tuesday, May 9,2017 (April 23,2017, throu^ May 6,2017)............................................. ......Primary Pre-Runoff Election Report

JTuesday, May30,2017 (January 1,2017, through May 27, 2017*) Pre-Election Report

_Wednesday, January 31,2018 (January 1,2017, throu^ December 31,2017) ..................... ..........Annual Report

Termination Report (Committee will no longer accept contributions or make campaign Required to terminate
expenditures and has no outstanding campaign debt obligation) reporting obl^ations

JMFORTANT
(1) *For committees which filed the Primary Pre-Election Report, the reporting period for the Pre-Election Report doe Tuesday, May 30,
2017 is April 23,2017, through May 6,2017.

(2) Preelection Reports are mandatory if the comnUttec has received contrlbutioas or made expenditures in sapport oi^ or in <q>pMitioD to, a
3017 mnoicipa) candidate.

(3) Annua] Reports are mandatory if the committee has received contributkiBS or made expenditures in support of, or opposition to, a 2017
municipal candidate.

(4) Until a committee filesa Termination Report, annual and pre-election reports must be filed in accordance with Miss. Code Ann. 23-15-
8D7(b)(U)aad(iu),

(5) All munidpal reports are filed with the Municipal Clerks Office. The Municipal Clerk mast be In actual recopt of the required reports
by 5:00 p jn. on the deadline. If the deadline fidls on a weekend or a holiday, the office mast be In actual receipt of the required reports
by 5:00 p jd. on tiie lint working day before the deadline. Reports may be hand delivered, mailed, faxed, or e-raailed.

REPORTED CONTRIBUTIONS AND DLSBURSEMENTS


Calendar
Itemized + Non-lteiuized Tbii Period
year-to-date
+

Total amount of contributions S s 1000 *


o

1000
Total amount of disbursements S j qqq +S 0 $ 1000 S 1000
1 Totel amount of cash on hand 0 1
s

I certify that f and to the best of my knov^dge and belUfU is truoy accurate, and complete,
flA'^ 4/24/2017

Signature of Director or Treasnrer Date

Authority: Miss. Code Ann. 23-15^01, et seq.


SOS 12-1$
Ftom: David Allen Fax: f202) 232*2208 To: Fax; (601;9S0-1032 Page 2 of 3 04/24/2017 5:29 PM

Page of r*
Name of Candidate or Committee | DamoorecyfofAmtea-Ms
Reporting period T through

ITEMIZED RECEIPTS
A.Sotrca; p Corporation PAC |^ Individual Loan Amount of each
Date
receipt
(Mo., Day, Year)
Puli rVMrn
|~ Other (please speciM I s^^ai^B^sssssssss
this pi^ed
fo3 /|w /fir
I UsnBaiider 250.00
Malting AddrMn
r/C/r
11300 HigNand Cirde
CHy. State. Zip Code r/j-/r
I Salida CO, 81201
^taim of Emplovef (Remikedl

SO^ Research Foundatkx) r ,r,r


Aggregate
I Research Sdmtist year-to-date 2SO.OO

B. Source: f Corporation |~ PAC |x IrwJivIdual f Loan Amount of each


Date
(Mo., Day. Year) receipt
p Other (please specify). this period
Full name fw /Fm /Ii7
25D.00
Peto^ Georges
Maiing Address r ,r,r
525 Boytston Street
Chy, State, 2Sp Code
*r
BrocMine, MA 02445 r,r/r
Maine of EmptovT IReauiredl r,r,r
I N/A
Ocdiation (Requiredl Aggregate
250.00
Retired year-to-date
C. Smirce (~~ Corporation f~ PAC Indtviduai |~ Loan
>Mnount of each
Date
r Other (please spectfvif receipt
(Mo., Day, Year)
this period
guMnamw / Im f ii? $ j 500.00
Peter
MelHng Addiess
r/F/r
3101 Old Pecos Trail #691
city. Stats, Zip Code
Santa Fe. NM 87505 r,r,r
IBSS 0fBliC*0T(tteQuired> r/T/r
I SeM Employed r
Occuoatipo (Beqtfimd) Aggregate
[ ArtiBt 600.00
year-te-data
O. Source: P Corporation P/Xt I indivld^l r~* Loan
Amount of each
Date
f~ CMier (plaase speeti^) receipt
(Mo., Day, Year)
this period
Fui name

Msaine Address
r/F/r
Mats. ZM Code
r/F/r r
C/Q/F
NMBlSl tearmeoMlrad), F/F,r

(Rtfltilffd) Aggregate
TT-
yaaMo^ata
,\\\-
X
SS044I5
Pag J_of 1
Name of Candidate or Committee Democracy for America-ms
Reporting period 1/1/2017______________ through ^f22f^o^7

ITEMIZED DISBURSEMENTS
A. Fuli name
Date Amount of each
Committee to Elect Chokwe A. Lumumba (Mo., Day, Year) disbursement this period
Maisng Addnas
PO Box 31762 03/ 06/17 $ 1000.00
CHy, state, zip Code
Jackson, MS 38286 / / S
fhirpoM of DfetHinemant {Option^}
Aggregate $
Contributicxi Year-to-date 1000.00
B. PuB name Date Amount of each
(Mo., Day, Year) disbursement this period
MaMng Adtenea
f / $

City, State, Zip Code


/ J $

Purpose of Olsbunemerrt (OptiorKri) Aggregate


Year-to-date
S

C. Full name Date Amount of each


(Mo., Day, Year) disbursement this period
Maiing Address
/ / S

City, Stete, Zip Code


/ / $

Purpose of Disbursement (OpUtmal) Aggregate $


Year-to-date

D. Full name Date Amount of each


(Mo., Day, Year) disbursement this pwiod

Mailing Address
/ / S

Ci^, State, Zip Code


/ / S

Purpose of Disbursement (Option^} Aggregate


Yeer-to-date
E. Fidl name Date Amount of each
(Mo., Day, Year) disbursement this period

Mailing Address
/ / $

City, State, Zip Cede


/ / S

Purpose of DIsInirsement (Optional} Aggregate $


Yeer-to-date

F. Fufl name ^. Date Amount of each


(Mo., Day, Year) disbursement this period
Mailing Address \i iVJ i $
/ /

City, Stete. Zip Code ..it


,:7:;iny S^^^oa! / / S

Purpose of Dfsbtesemsnt (Optional) Aggregate $


Year-todate

S504-06

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