COMMITTEE’S REPORT (filed by committees that support or oppose one or more candidates and/or propositions and that are not candidate committees)

1. Full Name and Address of Political Committee OFFICE USE ONLY

LA HOSPITAL ASSOCIATION PAC (HOSPPAC) Report Number: 76580 9521 Brookline Avenue Date Filed: 4/10/2019 Baton Rouge, LA 70809

Report Includes Schedules: Schedule A-1 2. Date of Primary Monthly Schedule A-3 Schedule E-1 This report covers from 3/1/2019 through 3/31/2019 Schedule E-3

3. Type of Report:

180th day prior to primary 40th day after general

90th day prior to primary Annual (future election) X 30th day prior to primary Monthly

10th day prior to primary

10th day prior to general Amendment to prior report

4. All Committee Officers (including Chairperson, Treasurer, if any, and any other committee officers) a. Name b. Position c. Address

JASON COBB Chairperson 9521 Brookline Avenue

Baton Rouge, LA 70809

JENNIFER MCMAHON Treasurer 9521 Brookline Avenue

Baton Rouge, LA 70809

5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose

On attached sheet

6. Is the Committee supporting the entire ticket of a political party? Yes X No If “yes”, which party?

7. a. Name of Person Preparing Report WILLIAM POTTER

b. Daytime Telephone 225-922-4600

8. WE HEREBY CERTIFY that the information contained in this report and the attached schedules is true and correct to the best of our knowledge , information and belief, and that no expenditures have been made nor contributions received that have not been reported herein, and that no information required to be reported by the Campaign Finance Disclosure Act has been deliberately omitted .

This 10th day of April , 2019 .

Jason Cobb 225-928-0026 Signature of Committee/Chairperson Daytime Telephone

Jennifer McMahon 225-928-0026 Signature of Committee Treasurer, if any Daytime Telephone

Form 202, Rev. 3/98, Page Rev. 5/01

Report Number 76580 Page 1 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose JAMES ARMES, III LA Senate- Dist 30 Democrat Support 2255 University Parkway Leesville, LA 71446

LAWRENCE "LARRY" BAGLEY LA House Representative- Dist 7 Republican Support 1104 Dennis Street Logansport, LA 71049

JOHN "JOHNNY" BERTHELOT LA House Representative- Dist 88 Republican Support 1939 South Tiffani Avenue Gonzales, LA 70737

STUART BISHOP LA House Representative- Dist 43 Republican Support 111 Southwark Drive Lafayette, LA 70508

WESLEY BISHOP LA Senate- Dist 4 Democrat Support 7001 Cove Drive New Orleans, LA 70126

GERALD BOUDREAUX LA Senate- Dist 24 Democrat Support P.O. Box 91245 Lafayette, LA 70509

JOSEPH BOUIE, JR. LA House Representative- Dist 97 Democrat Support 4701 Franklin Avenue New Orleans, LA 70122

RYAN BOURRIAQUE LA House Representative- Dist 47 Republican Support P.O. Box 5062 Lake Charles, LA 70606

GARY CARTER LA House Representative- Dist 102 Democrat Support P.O. Box 741471 New Orleans, LA 70174

JEAN-PAUL COUSSAN LA House Representative- Dist 45 Republican Support 113 Bernice Avenue Lafayette, LA 70503

PHILLIP DEVILLIER LA House Representative- Dist 41 Republican Support 439 Highway 758 Eunice, LA 70535

MICHAEL DIRESTO LA House Representative- Dist 70 Republican Support 728 France Street Baton Rouge, LA 70802

ROYCE DUPLESSIS LA House Representative- Dist 93 Democrat Support 643 Magazine Street, Suite 302 New Orleans, LA 70130

RAYMOND "RAY" GAROFALO, JR. LA House Representative- Dist 103 Republican Support 2304 Etienne Drive Meraux, LA 70075

Report Number 76580 Page 2 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose JIMMY HARRIS LA House Representative- Dist 99 Democrat Support 5201 Sandhurst Drive New Orleans, LA 70126

SHARON HEWITT LA Senate- Dist 1 Republican Support 105 Ayshire Court Slidell, LA 70461

STEPHANIE HILFERTY LA House Representative- Dist 94 Republican Support 98 Spanish Fort Boulevard New Orleans, LA 70124

EDWARD "TED" JAMES LA House Representative- Dist 101 Democrat Support 830 Main Street Baton Rouge, LA 70802

MIKE JOHNSON US Representative, LA Dist 4 Republican Support P.O. Box 6075 Bossier City, LA 71171

EDMOND JORDAN LA House Representative- Dist 29 Democrat Support 5763 Hooper Road, Suite B Baton Rouge, LA 70811

JEREMY LACOMBE LA House Representative- Dist 18 Democrat Support 1811 False River Drive New Roads, LA 70760

EDDIE LAMBERT LA Senate- Dist 18 Republican Support P.O. Box 88 Gonzales, LA 70707

RODNEY LYONS, SR. LA House Representative- Dist 87 Democrat Support 3813 Accacia Lane Harvey, LA 70058

TANNER MAGEE LA House Representative- Dist 53 Republican Support 312 Central Avenue Houma, LA 70364

ROYCE WAYNE MCMAHEN LA House Representative, Dist 10 Republican Support 1012 Janice Drive Springhill, LA 71075

DUSTIN MILLER LA House Representative- Dist 40 Democrat Support 1565 Market Street Opelousas, LA 70570

FRED MILLS, JR. LA Senate- Dist 22 Republican Support 4711-A Main Highway St. Martinville, LA 70582

VINCENT PIERRE LA House Representative- Dist 44 Democrat Support P.O. Box 93022 Lafayette, LA 70509

JOE STAGNI LA House Representative- Dist 92 Republican Support 1700 Taylor Street Kenner, LA 70062

Report Number 76580 Page 3 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose

JOHN STEFANSKI LA House Representative- Dist 42 Republican Support 924 East 5th Street Crowley, LA 70526

KIRK TALBOT LA House Representative- Dist 78 Republican Support 9523 Jefferson Hwy, Suite B River Ridge, LA 70123

GREGORY TARVER LA Senate- Dist 39 Democrat Support 1024 Pierre Avenue Shreveport, LA 71109

CHRISTOPHER TURNER LA House Representative- Dist 12 Republican Support 296 Belle Pointe Drive Ruston, LA 71270

RICK WARD, III LA Senate- Dist 17 Republican Support 3741 LA Hwy 1 South Port Allen, LA 70767

MACK "BODI" WHITE, JR. LA Senate- Dist 6 Republican Support 13841 Blackwater Road Baker, LA 70714

MALINDA WHITE LA House Representative- Dist 75 Democrat Support 116 Georgia Avenue, Suite B Bogalusa, LA 70427

Report Number 76580 Page 4 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SUMMARY PAGE

RECEIPTS This Period

1. Contributions (Schedule A-1) $ 3,516.00

2. In-kind Contributions (Schedule A-2) $ 0.00

3. Campaign paraphernalia sales of $25 or less $ 0.00

4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) $ 3,516.00

5. Other Receipts (Schedule A-3) $ 3,305.00

6. Loans Received (Schedule B) $ 0.00

7. Loan Repayments Received (Schedule D) $ 0.00

8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 6,821.00

DISBURSEMENTS This Period

9. General Expenditures (Schedule E-1) $ 12,500.00

10. In-Kind Expenditures (Schedule E-2) $ 0.00

11. Contributions made to Candidates (Schedule E-3) $ 18,250.00

12. TOTAL EXPENDITURES (Lines 9 + 10 + 11) $ 30,750.00

13. Other Disbursements (Schedule E-4) $ 0.00

14. Loan Repayments Made (Schedule B) $ 0.00

15. Funds Loaned (Schedule D) $ 0.00

16. TOTAL DISBURSEMENTS (Lines 12 + 13 + 14 + 15) $ 30,750.00

FINANCIAL SUMMARY Amount

17. Funds on hand at beginning of reporting period $ 505,913.48 (Must equal funds on hand at close from last report or -0- if first report for this committee)

18. Plus total receipts this period (less in-kind contributions received) $ 6,821.00 (Line 8 above minus line 2 above)

19. Less total disbursements this period (less in-kind expenditures) $ 30,750.00 (Line 16 above minus line 10 above) 20. Funds on hand at close of reporting period $ 481,984.48

Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 5 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SUMMARY PAGE (continued)

INVESTMENTS Amount

21. Of funds on hand at beginning of reporting period (Line 17, above), amount held in $ 0.00 investments (i.e., savings accounts, CD’s, money market funds, etc.)

22. Of funds on hand at close of reporting period (Line 20, above), amount held in $ 0.00 investments

SPECIAL TRANSACTIONS This Period

23. Contributions received from political committees $ 0.00 (From Schedules A-1 and A-2)

24. All proceeds from the sale of tickets to fundraising events (Receipts from the sale of tickets are contributions and must also be reported on $ 0.00 Schedule A-1)

25. Proceeds from the sale of campaign paraphernalia (Receipts from the sale of campaign paraphernalia are contributions and must also $ 0.00 be reported on Schedule A-1 or Line 3 above)

26. Expenditures from petty cash fund (Must also be reported on Schedule E-1) $ 0.00

NOTICE

A political committee must register in each calendar year in which it will have over $500 of financial activity. The registration is accomplished by filing a Statement of Organization form and paying the $100 filing fee. Statements of Organization are filed annually by January 31. Any committee which realizes that it will have over $500 of financial activity after January 31 must register within ten days of its realization of that fact. However, if this occurs during the ten day period prior to an election the Statement of Organization must be filed within three days.

Political committees must file reports of receipts and disbursements on an annual basis. Annual reports are due by February 15 and should cover the preceding calendar year. Also, committees must file reports of receipts and disbursements on the same schedule as the candidates it supports or opposes. Reports are also due in connection with propositions (ballot issues) the committee supports or opposes. Schedules of reporting and filing dates for all elections

Form 202, Rev. 3/98, Page Rev. 3/00

Report Number 76580 Page 6 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

KENNETH ALEXANDER 03/15/2019 $50.00 $250.00 12650 Lazy K Avenue Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

KENNETH ALEXANDER 03/29/2019 $50.00 $300.00 12650 Lazy K Avenue Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

FRANCES ARLEDGE 03/15/2019 $20.00 $100.00 13256 Natchez Court Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

FRANCES ARLEDGE 03/29/2019 $20.00 $120.00 13256 Natchez Court Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

MELISSA ARTHUR 03/29/2019 $10.00 $60.00 7596 Hickory Ridge Drive Denham Springs, LA 70706

POLITICAL COMMITTEE? PARTY COMMITTEE?

MELISSA ARTHUR 03/15/2019 $10.00 $50.00 7596 Hickory Ridge Drive Denham Springs, LA 70706

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 160.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 7 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

LAUREN BARLEYCORN 03/29/2019 $1.00 $6.00 1437 Lansdowne Drive Denham Springs, LA 70726

POLITICAL COMMITTEE? PARTY COMMITTEE?

LAUREN BARLEYCORN 03/15/2019 $1.00 $5.00 1437 Lansdowne Drive Denham Springs, LA 70726

POLITICAL COMMITTEE? PARTY COMMITTEE?

LYNN BARRETT 03/15/2019 $10.00 $50.00 4708 Bayou Court Drive Alexandria, LA 71303

POLITICAL COMMITTEE? PARTY COMMITTEE?

LYNN BARRETT 03/29/2019 $10.00 $60.00 4708 Bayou Court Drive Alexandria, LA 71303

POLITICAL COMMITTEE? PARTY COMMITTEE?

KEVIN BRIDWELL 03/15/2019 $75.00 $375.00 16352 Anna Belle Drive Prairieville, LA 70769

POLITICAL COMMITTEE? PARTY COMMITTEE?

KEVIN BRIDWELL 03/29/2019 $75.00 $450.00 16352 Anna Belle Drive Prairieville, LA 70769

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 75.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 8 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

CYNTHIA BROUGHTON 03/29/2019 $20.00 $120.00 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

CYNTHIA BROUGHTON 03/15/2019 $20.00 $100.00 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

LANE CARROLL 03/29/2019 $5.00 $30.00 17673 Chancellorsville Avenue Baton Rouge, LA 70817

POLITICAL COMMITTEE? PARTY COMMITTEE?

LANE CARROLL 03/15/2019 $5.00 $25.00 17673 Chancellorsville Avenue Baton Rouge, LA 70817

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHELLE CLEMENT 03/15/2019 $25.00 $125.00 2142 Oakcliff Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHELLE CLEMENT 03/29/2019 $25.00 $150.00 2142 Oakcliff Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 25.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 9 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

CYNTHIA DAVIDSON 03/15/2019 $20.00 $100.00 2450 Severn Avenue, Suite 210 Metairie, LA 70001

POLITICAL COMMITTEE? PARTY COMMITTEE?

CYNTHIA DAVIDSON 03/29/2019 $20.00 $120.00 2450 Severn Avenue, Suite 210 Metairie, LA 70001

POLITICAL COMMITTEE? PARTY COMMITTEE?

MYRA FOLEY 03/29/2019 $20.00 $120.00 113 Doubloon Drive Lafayette, LA 70508

POLITICAL COMMITTEE? PARTY COMMITTEE?

MYRA FOLEY 03/15/2019 $20.00 $100.00 113 Doubloon Drive Lafayette, LA 70508

POLITICAL COMMITTEE? PARTY COMMITTEE?

MERLE FRANCIS 03/29/2019 $10.00 $60.00 8617 Myrtlelake Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

MERLE FRANCIS 03/15/2019 $10.00 $50.00 8617 Myrtlelake Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 10.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 10 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

DAWN JOHNSON-HATCHER 03/19/2019 $450.00 $450.00 1701 Oak Park Boulevard Lake Charles, LA 70601

POLITICAL COMMITTEE? PARTY COMMITTEE?

DAWN JOHNSON-HATCHER 03/19/2019 $50.00 $500.00 1701 Oak Park Boulevard Lake Charles, LA 70601

POLITICAL COMMITTEE? PARTY COMMITTEE?

MEGAN KAHAO 03/15/2019 $12.00 $60.00 1701 Lobdell Avenue, Apt. 24 Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

MEGAN KAHAO 03/29/2019 $12.00 $72.00 1701 Lobdell Avenue, Apt. 24 Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

ANNIE LACOMBE 03/26/2019 $95.00 $95.00 594 Armand-Thevenot Road Cottonport, LA 71327

POLITICAL COMMITTEE? PARTY COMMITTEE?

ANGELA LOCKHART 03/29/2019 $12.50 $75.00 12684 Lake Terrace Drive Walker, LA 70785

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 107.50 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 11 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

ANGELA LOCKHART 03/15/2019 $12.50 $62.50 12684 Lake Terrace Drive Walker, LA 70785

POLITICAL COMMITTEE? PARTY COMMITTEE?

AMY MESSINA 03/15/2019 $5.00 $25.00 6416 East Castledale Drive Greenwell Springs, LA 70739

POLITICAL COMMITTEE? PARTY COMMITTEE?

AMY MESSINA 03/29/2019 $5.00 $30.00 6416 East Castledale Drive Greenwell Springs, LA 70739

POLITICAL COMMITTEE? PARTY COMMITTEE?

JOSEPH MITCHELL 03/18/2019 $1,000.00 $1,000.00 411 North Eastern Avenue Crowley, LA 70526

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHAEL MOUISSET 03/15/2019 $25.00 $125.00 308 Stelly Road Carencro, LA 70520

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHAEL MOUISSET 03/29/2019 $25.00 $150.00 308 Stelly Road Carencro, LA 70520

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 50.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 12 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

KATHRYN MOUNT 03/29/2019 $15.00 $90.00 2408 Terrace Avenue Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

KATHRYN MOUNT 03/15/2019 $15.00 $75.00 2408 Terrace Avenue Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

MEAGHAN MUSSO 03/15/2019 $12.50 $62.50 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

MEAGHAN MUSSO 03/29/2019 $12.50 $75.00 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

LEIF PEDERSEN 03/29/2019 $100.00 $100.00 1701 Oak Park Boulevard Lake Charles, LA 70601

POLITICAL COMMITTEE? PARTY COMMITTEE?

KENDRA POWELL 03/29/2019 $10.00 $60.00 10795 Mead Road, Apt. 602 Baton Rouge, LA 70816

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 110.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 13 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

KENDRA POWELL 03/15/2019 $10.00 $50.00 10795 Mead Road, Apt. 602 Baton Rouge, LA 70816

POLITICAL COMMITTEE? PARTY COMMITTEE?

ADAM RANEY 03/29/2019 $5.00 $30.00 9521 Brookeline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

ADAM RANEY 03/15/2019 $5.00 $25.00 9521 Brookeline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

FLOYD ROBERTS, JR. 03/15/2019 $30.00 $150.00 1243 Steele Boulevard Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

FLOYD ROBERTS, JR. 03/29/2019 $30.00 $180.00 1243 Steele Boulevard Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

PAUL SALLES 03/29/2019 $125.00 $750.00 2522 University Club Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 155.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 14 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

PAUL SALLES 03/15/2019 $125.00 $625.00 2522 University Club Drive Baton Rouge, LA 70810

POLITICAL COMMITTEE? PARTY COMMITTEE?

DONNA SHIELDS 03/11/2019 $450.00 $450.00 600 Deciduous Loop Madisonville, LA 70447

POLITICAL COMMITTEE? PARTY COMMITTEE?

TERRY SHIELDS 03/11/2019 $50.00 $50.00 600 Deciduous Loop Madisonville, LA 70447

POLITICAL COMMITTEE? PARTY COMMITTEE?

BELINDA SMITH 03/15/2019 $10.00 $50.00 2450 Severn Avenue, Suite 210 Metairie, LA 70001

POLITICAL COMMITTEE? PARTY COMMITTEE?

BELINDA SMITH 03/29/2019 $10.00 $60.00 2450 Severn Avenue, Suite 210 Metairie, LA 70001

POLITICAL COMMITTEE? PARTY COMMITTEE?

CELESTE SMITH 03/29/2019 $20.00 $120.00 1919 Beechgrove Drive Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 30.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 15 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

CELESTE SMITH 03/15/2019 $20.00 $100.00 1919 Beechgrove Drive Baton Rouge, LA 70806

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHELLE SMITH 03/15/2019 $12.50 $62.50 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHELLE SMITH 03/29/2019 $12.50 $75.00 9521 Brookline Avenue Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHAEL THOMPSON, JR. 03/15/2019 $20.00 $100.00 4854 Mimosa Street Baton Rouge, LA 70808

POLITICAL COMMITTEE? PARTY COMMITTEE?

MICHAEL THOMPSON, JR. 03/29/2019 $20.00 $120.00 4854 Mimosa Street Baton Rouge, LA 70808

POLITICAL COMMITTEE? PARTY COMMITTEE?

DAWN VERRETT 03/29/2019 $10.00 $60.00 1423 John Drive Denham Springs, LA 70726

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 30.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 16 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributions received by the committee during this reporting period, except for in-kind contributions, whether received from a political committee or some other person or entity. Contributions made by the committee are reported on SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check “yes” if the contributor is a political committee and “no” if not. For anonymous contributions, see SCHEDULE F. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Year a. Date(s) b. Amount(s)

DAWN VERRETT 03/15/2019 $10.00 $50.00 1423 John Drive Denham Springs, LA 70726

POLITICAL COMMITTEE? PARTY COMMITTEE?

GREGORY WADDELL 03/15/2019 $50.00 $250.00 5175 Floynell Drive Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

GREGORY WADDELL 03/29/2019 $50.00 $300.00 5175 Floynell Drive Baton Rouge, LA 70809

POLITICAL COMMITTEE? PARTY COMMITTEE?

ROBERT SCOTT WHITE 03/29/2019 $20.00 $120.00 12452 Grand Villa Court Baton Rouge, LA 70817

POLITICAL COMMITTEE? PARTY COMMITTEE?

ROBERT SCOTT WHITE 03/15/2019 $20.00 $100.00 12452 Grand Villa Court Baton Rouge, LA 70817

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $ 20.00 N/A

5. TOTAL (complete only on last page of this schedule) $ 3,516.00 N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES ONLY:

SUBTOTAL (this page) $ 0.00 TOTAL (complete only on last page of this schedule) $ 0.00 Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 17 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE A-3: OTHER RECEIPTS

This schedule is used to report those receipts that are not “contributions”; that is, monies received by the committee that are not paid to it for the purpose of supporting, opposing or otherwise influencing the nomination or election of candidates to public office or supporting or opposing propositions or questions submitted to the voters . Examples include interest or investment income. Receipts should be reported on this schedule only if they have not been reported elsewhere in this report. The explanation of the receipt should state the reason the payment was made to the committee.

1. Name and Address of Source 2. Explanation 3. Date 4. Amount

TAYLOR BARRAS Return of contribution 03/22/2019 $805.00 705 Oak Manor Drive New Iberia, LA 70563

RONNIE JOHNS Return of contribution 03/26/2019 $2,500.00 3701 Maplewood Drive Sulphur, LA 70663

5. Total OTHER RECEIPTS during this reporting period $ 3,305.00 Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 18 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE E-1: GENERAL EXPENDITURES

Use this schedule to report information on most committee expenditures, during this reporting period. If the expenditure directly benefited a particular candidate(s), list the candidate(s) ’ name under Item 1. However, (1) in-kind expenditures, and (2) expenditures to candidates or their committees should be reported on SCHEDULES E-2 and E-3, respectively, and should not be reported on this schedule. An “expenditure” is any payment made for the purpose of supporting or opposing the election of a candidate for public office or supporting or opposing a proposition or question submitted to the voters. Expenditures include monies spent for the committee’s general operating expenses . Any payments made that are not “expenditures” should be reported on SCHEDULE E-4: OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional but will assist in completing the Summary Page.

1. Name and Address of Recipient 2. Expenditures this Reporting Period a. Date(s) b. Purpose(s) c. Amount(s) JACK PAC 03/08/2019 PAC to PAC contribution $ 2,500.00 P.O. Box 143 Jonesboro, LA 71251

LEADERSHIP FOR LOUISIANA 03/06/2019 PAC to PAC contribution $ 10,000.00 1200 Camelia Blvd, Suite 101 Lafayette, LA 70508

3. SUBTOTAL (optional) $ 12,500.00

4. TOTAL (optional - complete only on last page of this schedule) $ 12,500.00 Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 19 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES

The following information must be provided for direct contributions made to candidates or their campaign committees, during this reporting period, except for in-kind expenditures. All candidates listed on this schedule should also be listed on the Cover Page in Item 5. Report all in-kind expenditures, including those made to candidates, on SCHEDULE E-2: IN-KIND EXPENDITURES. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page.

1. Name and Address of Recipient Candidate 2. Contributions Made this Reporting Period a. Date(s) b. Amount(s)

JAMES ARMES, III 03/06/2019 $ 1,000.00 2255 University Parkway Leesville, LA 71446

WESLEY BISHOP 03/20/2019 $ 1,000.00 7001 Cove Drive New Orleans, LA 70126

GERALD BOUDREAUX 03/18/2019 $ 1,000.00 P.O. Box 91245 Lafayette, LA 70509

JOSEPH BOUIE, JR. 03/13/2019 $ 500.00 4701 Franklin Avenue New Orleans, LA 70122

GARY CARTER, JR. 03/08/2019 $ 500.00 P.O. Box 741471 New Orleans, LA 70174

JEAN-PAUL COUSSAN 03/18/2019 $ 1,000.00 113 Bernice Avenue Lafayette, LA 70503

PHILLIP DEVILLIER 03/18/2019 $ 500.00 439 Highway 758 Eunice, LA 70535

MICHAEL DIRESTO 03/18/2019 $ 250.00 728 France Street Baton Rouge, LA 70802

3. SUBTOTAL (optional) $ 5,750.00

4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 20 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES

The following information must be provided for direct contributions made to candidates or their campaign committees, during this reporting period, except for in-kind expenditures. All candidates listed on this schedule should also be listed on the Cover Page in Item 5. Report all in-kind expenditures, including those made to candidates, on SCHEDULE E-2: IN-KIND EXPENDITURES. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page.

1. Name and Address of Recipient Candidate 2. Contributions Made this Reporting Period a. Date(s) b. Amount(s)

ROYCE DUPLESSIS 03/27/2019 $ 500.00 643 Magazine Street, Suite 302 New Orleans, LA 70130

JIMMY HARRIS 03/08/2019 $ 500.00 5201 Sandhurst Drive New Orleans, LA 70126

SHARON HEWITT 03/27/2019 $ 1,000.00 105 Ayshire Court Slidell, LA 70461

STEPHANIE HILFERTY 03/20/2019 $ 1,000.00 98 Spanish Fort Boulevard New Orleans, LA 70124

JEREMY LACOMBE 03/06/2019 $ 2,500.00 1811 False River Drive New Roads, LA 70760

EDWARD LARVADAIN, III 03/27/2019 $ 500.00 626 8th Street Alexandria, LA 71301

RODNEY LYONS, SR. 03/26/2019 $ 500.00 3813 Accacia Lane Harvey, LA 70058

WAYNE MCMAHEN 03/27/2019 $ 1,500.00 1012 Janice Drive Springhill, LA 71075

3. SUBTOTAL (optional) $ 1,500.00

4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 21 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC) SCHEDULE E-3: CONTRIBUTIONS MADE TO CANDIDATES

The following information must be provided for direct contributions made to candidates or their campaign committees, during this reporting period, except for in-kind expenditures. All candidates listed on this schedule should also be listed on the Cover Page in Item 5. Report all in-kind expenditures, including those made to candidates, on SCHEDULE E-2: IN-KIND EXPENDITURES. Totals and subtotals at bottom of the page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page.

1. Name and Address of Recipient Candidate 2. Contributions Made this Reporting Period a. Date(s) b. Amount(s)

DUSTIN MILLER 03/13/2019 $ 2,500.00 1565 Market Street Opelousas, LA 70570

FRED MILLS, JR. 03/18/2019 $ 1,000.00 4711-A Main Highway St. Martinville, LA 70582

VINCENT PIERRE 03/08/2019 $ 500.00 P.O. Box 93022 Lafayette, LA 70509

JOHN STEFANSKI 03/18/2019 $ 500.00 924 East 5th Street Crowley, LA 70526

3. SUBTOTAL (optional) $ 6,000.00

4. TOTAL (optional - complete only on last page of this schedule) $ 18,250.00 Form 202, Rev. 3/98, Page Rev. 3/98

Report Number 76580 Page 22 of 22 LA HOSPITAL ASSOCIATION PAC (HOSPPAC)