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
LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE Report Number: 25116 6767 Perkins Rd Ste 100 Date Filed: 10/5/2011 Baton Rouge, LA 70808-4263
Report Includes Schedules:
2. Date of Election Schedule A-1 Schedule A-3 Schedule E-3 This report covers from 9/1/2011 through 9/30/2011 Schedule E-4
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
KEITH F. DESONIER, MD Chairperson 555 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5700
JOHN W. NOBLE JR., MD Treasurer 1747 Imperial Blvd.
Lake Charles, LA 70605
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 MARY M., DUCOTE
b. Daytime Telephone 225.763.8500
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 Louisiana Campaign Finance Disclosure Act has been deliberately omitted .
This 5th day of October , 2011 .
Keith F. DeSonier MD 337.439.0555 Signature of Committee/Chairperson Daytime Telephone
John W. Noble Jr. MD 337-721-7236 Signature of Committee Treasurer, if any Daytime Telephone
Form 202, Rev. 3/98, Page Rev. 5/01
Report Number 25116 Page 1 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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 LA SEN. JOHN A. ALARIO, JR. STATE SENATE REPUBLICAN Support 1063 Muller Parkway LA PARTY Westwego, LA 70094 008
LA SEN. DANIEL R. MARTINY STATE SENATE REPUBLICAN Support 131 Airline Highway #201 LA PARTY Metairie, LA 70001 010
LA SEN. ERIC LAFLEUR STATE SENATE DEMOCRAT Support PO Box 617 LA PARTY Ville Platte, LA 70586 028
LA REP. J. CAMERON HENRY, JR. STATE HOUSE REPUBLICAN Support 201 Evans Rd Ste 101 LA PARTY New Orleans, LA 70123 082
LA REP. MICHAEL E. DANAHAY STATE HOUSE DEMOCRAT Support 1625 Beglis Pkwy LA PARTY Sulphur, LA 70663-5906 033
LA SEN. DALE ERDEY STATE SENATE REPUBLICAN Support PO Box 908 LA PARTY Livingston, LA 70754 013
LA REP. JIM H. MORRIS STATE HOUSE REPUBLICAN Support P O Box 217 LA PARTY Oil City, LA 71061 001
LA REP. PATRICK C. WILLIAMS STATE HOUSE DEMOCRAT Support 1500 N Market St Ste A-200 LA PARTY Shreveport, LA 71107 004
LA REP. ANDY ANDERS STATE HOUSE DEMOCRAT Support 200 Advocate Row Ste D LA PARTY Vidalia, LA 71373 021
LA REP. RICK NOWLIN STATE HOUSE REPUBLICAN Support 816 University Pkwy #C LA PARTY Natchitoches, LA 71457 023
LA REP. H. BERNARD LEBAS STATE HOUSE DEMOCRAT Support 115 Southwest Railroad Ave LA PARTY Ville Platte, LA 70586 038
LA REP. GREG CROMER STATE HOUSE REPUBLICAN Support PO Box 2088 LA PARTY Slidell, LA 70459 090
LA REP. ERICH PONTI STATE HOUSE REPUBLICAN Support 7341 Jefferson Hwy #J LA PARTY Baton Rouge, LA 70806 069
LA REP. NEIL C. ABRAMSON STATE HOUSE DEMOCRAT Support 365 Canal St Ste 2740 LA PARTY New Orleans, LA 70130 098
Report Number 25116 Page 2 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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 LA REP. FRANK HOFFMANN STATE HOUSE REPUBLICAN Support 204 North 3rd St #A LA PARTY West Monroe, LA 71291 015
LA REP. JEROME RICHARD STATE HOUSE OTHER Support 907 Jackson St LA Thibodaux, LA 70301 055
LA REP. PATRICIA H. SMITH STATE HOUSE DEMOCRAT Support 251 Florida St #300 LA PARTY Baton Rouge, LA 70801 067
LA REP. JOHN M. SCHRODER, SR. STATE HOUSE REPUBLICAN Support 222 N Vermont Ste K & M LA PARTY Covington, LA 70433 077
LA REP. ROBERT E. BILLIOT STATE HOUSE DEMOCRAT Support #10 Westbank Expressway LA PARTY Westwego, LA 70094 083
LA REP. WALTER LEGER, III STATE HOUSE DEMOCRAT Support 600 Carondelet St LA PARTY 9th Floor 091 New Orleans, LA 70130
LA SEN JACK DONAHUE, JR. STATE SENATE REPUBLICAN Support 3030 E Causeway Approach LA PARTY Mandeville, LA 70448 011
LA REP. CHRIS HAZEL STATE HOUSE REPUBLICAN Support 1013 Main St LA PARTY Pineville, LA 71360 027
LA REP. TOM WILLMOTT STATE HOUSE REPUBLICAN Support 2002 20th St #204-A LA PARTY Kenner, LA 70062 092
LA REP. JEFFREY ARNOLD STATE HOUSE DEMOCRAT Support 3520 General DeGaulle Suite 3071 LA PARTY New Orleans, LA 70114 102
LA REP. JAMES FANNIN STATE HOUSE DEMOCRAT Support 320 6th St LA PARTY Jonesboro, LA 71251 013
LA REP. HAROLD L. RITCHIE STATE HOUSE DEMOCRAT Support 302 Louisiana Ave LA PARTY Bogalusa, LA 70427 075
LA REP. TIMOTHY G. BURNS STATE HOUSE REPUBLICAN Support 1 Sanctuary Blvd #306 LA PARTY Mandeville, LA 70471 089
LA SEN. SHARON BROOME STATE SENATE DEMOCRAT Support PO Box 52783 LA PARTY Baton Rouge, LA 70892 015
Report Number 25116 Page 3 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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 LA SEN. EDWIN R. MURRAY STATE SENATE DEMOCRAT Support 1540 North Broad St LA PARTY New Orleans, LA 70119 004
LA REP CHARLES E. KLECKLEY STATE HOUSE REPUBLICAN Support 130 Jamestown Rd LA PARTY Lake Charles, LA 70605-5712 036
LA SEN. BEN W. NEVERS, SR. STATE SENATE DEMOCRAT Support 724 Avenue F LA PARTY Bogalusa, LA 70427 012
LA SEN. ROBERT KOSTELKA STATE SENATE REPUBLICAN Support PO Box 2122 LA PARTY Monroe, LA 71207 035
LA SEN. LYDIA JACKSON STATE SENATE DEMOCRAT Support 330 Marshall St LA PARTY Shreveport, LA 71101 039
LA REP. ROY BURRELL STATE HOUSE DEMOCRAT Support 820 Jordan St Ste 315 A LA PARTY Shreveport, LA 71101 002
LA REP. BRETT GEYMANN STATE HOUSE REPUBLICAN Support PO Box 12703 LA PARTY Lake Charles, LA 70612 035
LA REP KAREN ST. GERMAIN STATE HOUSE DEMOCRAT Support 57835 Plaquemine St LA PARTY Plaquemine, LA 70764 060
LA REP. JOEL ROBIDEAUX STATE HOUSE REPUBLICAN Support 102 Woodvale Ave #B LA PARTY Lafayette, LA 70503 045
LA SEN. DAN CLAITOR STATE SENATE REPUBLICAN Support 7520 Perkins Rd #170 LA PARTY Baton Rouge, LA 70808 016
LA SEN. JEAN-PAUL MORRELL STATE SENATE DEMOCRAT Support 6305 Elysian Fields Ave #404 LA PARTY New Orleans, LA 70122 003
LA SEN. KAREN C. PETERSON STATE SENATE DEMOCRAT Support 1215 Prytania St #364 LA PARTY New Orleans, LA 70130 005
LA REP. JARED BROSSETT STATE HOUSE DEMOCRAT Support 6305 Elysian Fields Ave #404 LA PARTY New Orleans, LA 70122 097
LA REP. THOMAS G. CARMODY, JR. STATE HOUSE REPUBLICAN Support 5916 Fairfield Ave LA PARTY Shreveport, LA 71106 006
LA REP. STEPHEN CARTER STATE HOUSE REPUBLICAN Support 3115 Old Forge LA PARTY Baton Rouge, LA 70808 068
Report Number 25116 Page 4 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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
LA REP. CHARLES R. CHANEY STATE HOUSE REPUBLICAN Support PO Box 8 LA PARTY Rayville, LA 71269 019
LA REP. HERBERT DIXON STATE HOUSE DEMOCRAT Support 804 Broadway Ave LA PARTY Alexandria, LA 71302 026
LA REP. JOHN BEL EDWARDS STATE HOUSE DEMOCRAT Support PO Box 160 LA PARTY Amite, LA 70422 072
LA REP. A. B. FRANKLIN STATE HOUSE DEMOCRAT Support 2808 E Broad St LA PARTY Lake Charles, LA 70615-4961 034
LA REP. HUNTER GREENE STATE HOUSE REPUBLICAN Support 8708 Jefferson Hwy #B LA PARTY Baton Rouge, LA 70809 066
LA REP. GIROD H. JACKSON, III STATE HOUSE DEMOCRAT Support 2010 Woodmere Blvd Unit G LA PARTY Harvey, LA 70058 087
LA REP. ROBERT JOHNSON STATE HOUSE DEMOCRAT Support PO Box 467 LA PARTY Marksville, LA 71351 028
LA REP. NANCY LANDRY STATE HOUSE REPUBLICAN Support 109 S College Rd LA PARTY Lafayette, LA 70503 031
LA REP. JOSEPH P. LOPINTO, III STATE HOUSE REPUBLICAN Support 4532 W Napoleon Ave LA PARTY Suite 202-B 080 Metairie, LA 70001
LA REP. JACK MONTOUCET STATE HOUSE DEMOCRAT Support 112 East Hutchinson Ave LA PARTY Crowley, LA 70526 042
LA REP. J. KEVIN PEARSON STATE HOUSE REPUBLICAN Support 1349 Corporate Square Ste 6 LA PARTY Slidell, LA 70458 076
LA REP. J. ROGERS POPE STATE HOUSE REPUBLICAN Support PO Box 555 LA PARTY Denham Springs, LA 70727 071
LA REP. CLIFTON RICHARDSON STATE HOUSE REPUBLICAN Support PO Box 78280 LA PARTY Baton Rouge, LA 70837 065
LA REP. SCOTT SIMON STATE HOUSE REPUBLICAN Support PO Box 1297 LA PARTY Abita Springs, LA 70420 074
Report Number 25116 Page 5 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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 LA REP. RICHARD BURFORD STATE HOUSE REPUBLICAN Support 671 Hwy 171 #E LA PARTY Stonewall, LA 71078 007
LA SEN. FRED H. MILLS, JR STATE SENATE REPUBLICAN Support 800 S Lewis St Ste 201 LA PARTY New Iberia, LA 70767 022
MACK WHITE, JR. STATE SENATE REPUBLICAN Support 13841 Blackwater Rd LA PARTY Central, LA 70714 006
MICHAEL JACKSON STATE SENATE DEMOCRAT Support 6015 Government St LA PARTY Baton Rouge, LA 70806 014
RONNIE JOHNS STATE SENATE REPUBLICAN Support 1032 Laura Circle LA PARTY Sulphur, LA 70663 027
RICK GALLOT STATE SENATE DEMOCRAT Support P O Box 1117 LA PARTY Ruston, LA 71273 029
LA SEN. CONRAD APPEL STATE SENATE REPUBLICAN Support 3525 N Causewy Blvd LA PARTY Suite 602 009 Metairie, LA 70002
PATRICK CORTEZ STATE SENATE REPUBLICAN Support 111 Southwark Dr LA PARTY Lafayette, LA 70508 023
LA SEN. JONATHAN PERRY STATE SENATE REPUBLICAN Support 407 Charity Suite 102 LA PARTY Abbeville, LA 70510 026
LA REP. ALAN SEABAUGH STATE HOUSE REPUBLICAN Support 610 Marshall St Suite 700 LA PARTY Shreveport, LA 71101 005
MICHAEL ECHOLS STATE HOUSE REPUBLICAN Support 1800 Riverside Dr LA PARTY Monroe, LA 71201 014
JAY MORRIS STATE HOUSE REPUBLICAN Support 2705 Oak Dr LA PARTY Monroe, LA 71201 014
STEVEN E. PYLANT STATE HOUSE REPUBLICAN Support 292 Southern Rd. LA PARTY Dehli, LA 71232 020
BARRETT BYRD STATE HOUSE REPUBLICAN Support P O Box 12382 LA PARTY Alexandria, LA 71315 025
Report Number 25116 Page 6 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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 DON MENARD STATE HOUSE REPUBLICAN Support 372 Credeur Rd LA PARTY Sunset, LA 70584 039
STUART J. BISHOP STATE HOUSE REPUBLICAN Support 103 Giverny Place LA PARTY Lafayette, LA 70508 043
LA REP. DALTON HONORE STATE HOUSE DEMOCRAT Support 8776 Scenic Highway LA PARTY Baton Rouge, LA 70807 063
ERIC MARTIN STATE HOUSE OTHER Support 6482 Resweber Hwy LA St. Martinville, LA 70582 096
LA REP. WESLEY T. BISHOP STATE HOUSE DEMOCRAT Support 5630 Crowder Blvd Ste 205 LA PARTY New Orleans, LA 70126 099
LA REP. NICK J. LORUSSO STATE HOUSE REPUBLICAN Support 3535 Canal St Ste 103 LA PARTY New Orleans, LA 70119 094
Report Number 25116 Page 7 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE SUMMARY PAGE
RECEIPTS This Period
1. Contributions (Schedule A-1) $ 7,645.00
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) $ 7,645.00
5. Other Receipts (Schedule A-3) $ 1.15
6. Loans Received (Schedule B) $ 0.00
7. Loan Repayments Received (Schedule D) $ 0.00
8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 7,646.15
DISBURSEMENTS This Period
9. General Expenditures (Schedule E-1) $ 0.00
10. In-Kind Expenditures (Schedule E-2) $ 0.00
11. Contributions made to Candidates (Schedule E-3) $ 76,500.00
12. TOTAL EXPENDITURES (Lines 9 + 10 + 11) $ 76,500.00
13. Other Disbursements (Schedule E-4) $ 779.84
14. Loan Repayments Made (Schedule B) $ 0.00
15. Funds Loaned (Schedule D) $ 0.00
16. TOTAL DISBURSEMENTS (Lines 12 + 13 + 14 + 15) $ 77,279.84
FINANCIAL SUMMARY Amount
17. Funds on hand at beginning of reporting period $ 220,520.08 (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) $ 7,646.15 (Line 8 above minus line 2 above)
19. Less total disbursements this period (less in-kind expenditures) $ 77,279.84 (Line 16 above minus line 10 above) 20. Funds on hand at close of reporting period $ 150,886.39
Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 8 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE SUMMARY PAGE (continued)
INVESTMENTS Amount
21. Of funds on hand at beginning of reporting period (Line 17, above), amount held in $ 158,234.75 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 $ 114,735.72 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 25116 Page 9 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
JOSEPH GILLESPIE 09/09/2011 $200.00 $200.00 1103 Kaliste Saloom Rd Ste 202 Lafayette, LA 70508-5705
POLITICAL COMMITTEE? PARTY COMMITTEE?
RONALD HAMMETT 09/09/2011 $200.00 $400.00 102 Thomas Rd Ste 104 Pulmonary & Internal Medicine West Monroe, LA 71291-7365
POLITICAL COMMITTEE? PARTY COMMITTEE?
ELIZABETH MCBURNEY 09/09/2011 $200.00 $200.00 1051 Gause Blvd Ste 460 Slidell, LA 70458-2985
POLITICAL COMMITTEE? PARTY COMMITTEE?
EVERETT SCHNEIDER 09/09/2011 $100.00 $100.00 4114 Pleasant Dr Lake Charles, LA 70605-4460
POLITICAL COMMITTEE? PARTY COMMITTEE?
DAVID BARNES 09/21/2011 $200.00 $200.00 3400 Medical Park Dr Ste C Monroe, LA 71203-2300
POLITICAL COMMITTEE? PARTY COMMITTEE?
ANDREW BENSON 09/21/2011 $200.00 $200.00 2243 Gause Blvd E Slidell, LA 70461-4232
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 1,100.00 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 25116 Page 10 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
MARY BORDLEE 09/21/2011 $300.00 $300.00 1301 W Dumbarton Dr Lake Charles, LA 70605-2558
POLITICAL COMMITTEE? PARTY COMMITTEE?
JOHN CHIDLOW 09/21/2011 $100.00 $100.00 404 Evangeline Pl Shreveport, LA 71106-2314
POLITICAL COMMITTEE? PARTY COMMITTEE?
K. BARTON FARRIS 09/21/2011 $300.00 $300.00 1101 Medical Center Blvd Laboratory Marrero, LA 70072-3147
POLITICAL COMMITTEE? PARTY COMMITTEE?
CHRISSY LALONDE 09/21/2011 $100.00 $200.00 1268 Attakapas Dr Ste 102 Opelousas, LA 70570-6515
POLITICAL COMMITTEE? PARTY COMMITTEE?
BRIAN SMITH 09/21/2011 $200.00 $200.00 451 Grover Atwell Road Pollock, LA 71467-4191
POLITICAL COMMITTEE? PARTY COMMITTEE?
SALLYE TONIETTE 09/21/2011 $100.00 $100.00 521 Cypress St Sulphur, LA 70663-5049
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 1,100.00 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 25116 Page 11 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
GERALD BERENSON 09/21/2011 $200.00 $200.00 505 Northline St Metairie, LA 70005-4435
POLITICAL COMMITTEE? PARTY COMMITTEE?
ROBERT BLEREAU 09/21/2011 $200.00 $300.00 1122 8th St Morgan City, LA 70380-1916
POLITICAL COMMITTEE? PARTY COMMITTEE?
MICHAEL BUCK 09/21/2011 $200.00 $200.00 301 4th St Medical Terrace Alexandria, LA 71301-8423
POLITICAL COMMITTEE? PARTY COMMITTEE?
WILLIAM DALY 09/21/2011 $300.00 $300.00 5501 Cherlyn Dr New Orleans, LA 70124-1136
POLITICAL COMMITTEE? PARTY COMMITTEE?
DONALD PALMISANO 09/21/2011 $300.00 $300.00 5000 W Esplanade Ave # 432 Metairie, LA 70006-2551
POLITICAL COMMITTEE? PARTY COMMITTEE?
LISA ALTMANN 09/21/2011 $200.00 $200.00 520 North Lewis St #204-A New Iberia, LA 70563-2094
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 1,400.00 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 25116 Page 12 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
WILLIAM BEACHAM 09/21/2011 $200.00 $200.00 15748 Medical Arts Dr Hammond, LA 70403-1446
POLITICAL COMMITTEE? PARTY COMMITTEE?
TRENT FOGLEMAN 09/21/2011 $200.00 $200.00 2602 North Dr Abbeville, LA 70510-4043
POLITICAL COMMITTEE? PARTY COMMITTEE?
GILLIAN REDLICH 09/21/2011 $200.00 $200.00 520 N Lewis St Ste 204A New Iberia, LA 70563-2094
POLITICAL COMMITTEE? PARTY COMMITTEE?
W. BROWN 09/21/2011 $100.00 $100.00 155 Hospital Dr Ste 206 Lafayette, LA 70503-2852
POLITICAL COMMITTEE? PARTY COMMITTEE?
KENNETH FOURNET 09/21/2011 $100.00 $100.00 406 N Main St Saint Martinville, LA 70582-4119
POLITICAL COMMITTEE? PARTY COMMITTEE?
WILLIAM LACORTE 09/06/2011 $200.00 $200.00 519 Metairie Rd # 100 Metairie, LA 70005-4311
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 1,000.00 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 25116 Page 13 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
KEELY WHEELER 09/08/2011 $25.00 $25.00 512 Beverly Garden Dr Metairie, LA 70001-2110
POLITICAL COMMITTEE? PARTY COMMITTEE?
SURESHKUMAR BHATT 09/12/2011 $25.00 $25.00 2971 Villere St Mandeville, LA 70448-4873
POLITICAL COMMITTEE? PARTY COMMITTEE?
ROBERTO QUINTAL-AVILES 09/13/2011 $200.00 $200.00 3715 Prytania St. #400 New Orleans, LA 70115-3768
POLITICAL COMMITTEE? PARTY COMMITTEE?
DENISE MCKNIGHT 09/20/2011 $200.00 $200.00 920 Riser Rd Ruston, LA 71270-8668
POLITICAL COMMITTEE? PARTY COMMITTEE?
MICHAEL CAREY 09/29/2011 $20.00 $20.00 900 Amethyst St New Orleans, LA 70124-3606
POLITICAL COMMITTEE? PARTY COMMITTEE?
PHILIP GARAVAGLIA 09/29/2011 $300.00 $300.00 1800 Buckner St Ste C120 Shreveport, LA 71101-4453
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 770.00 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 25116 Page 14 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
LAWRENCE MCMANUS 09/29/2011 $200.00 $200.00 26 Birdie Dr Slidell, LA 70460-5208
POLITICAL COMMITTEE? PARTY COMMITTEE?
JENNIFER STRANEY 09/29/2011 $25.00 $25.00 224 Coolidge St. Jefferson, LA 70121-3914
POLITICAL COMMITTEE? PARTY COMMITTEE?
MICHAEL STRANEY 09/29/2011 $25.00 $25.00 224 Coolidge St. New Orleans, LA 70121-3914
POLITICAL COMMITTEE? PARTY COMMITTEE?
HARISH ANAND 09/29/2011 $300.00 $300.00 120 Meadowcrest St Ste 245 Gretna, LA 70056-5280
POLITICAL COMMITTEE? PARTY COMMITTEE?
JOHN FAMBROUGH 09/29/2011 $200.00 $200.00 15781 Professional Plz Hammond, LA 70403-1452
POLITICAL COMMITTEE? PARTY COMMITTEE?
MATTHEW FONTENOT 09/29/2011 $200.00 $200.00 1214 Coolidge Blvd Ste 1-751 Lafayette, LA 70503-2621
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 950.00 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 25116 Page 15 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
LEO LOWENTRITT 09/29/2011 $200.00 $200.00 3311 Prescott Rd Ste 100 Alexandria, LA 71301-3917
POLITICAL COMMITTEE? PARTY COMMITTEE?
ROBERT TAYLOR 09/29/2011 $100.00 $200.00 3311 Prescott Rd Ste 203 Alexandria, LA 71301-3917
POLITICAL COMMITTEE? PARTY COMMITTEE?
JAMES INGRAM 09/29/2011 $25.00 $25.00 155 Hospital Dr Ste 201 Lafayette, LA 70503-2852
POLITICAL COMMITTEE? PARTY COMMITTEE?
ANIL DANIVAS 09/29/2011 $100.00 $300.00 501 Medical Center Drive Suite 100 Alexandria, LA 71301-8124
POLITICAL COMMITTEE? PARTY COMMITTEE?
C. REDDY 09/29/2011 $100.00 $100.00 501 Medical Center Dr Suite 100 Alexandria, LA 71301-8124
POLITICAL COMMITTEE? PARTY COMMITTEE?
MICHAEL FELTON 09/29/2011 $200.00 $200.00 814 S Broadway Church Point, LA 70525-4402
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 725.00 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 25116 Page 16 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
ADRIAN TALBOT 09/20/2011 $200.00 $200.00 1410 Gause Blvd Slidell, LA 70458-2206
POLITICAL COMMITTEE? PARTY COMMITTEE?
KEITH KELLUM 09/20/2011 $200.00 $200.00 446 Corporate Dr Houma, LA 70360-2461
POLITICAL COMMITTEE? PARTY COMMITTEE?
JOSEPH KUEBEL 09/20/2011 $200.00 $200.00 71380 Highway 21 Ste 101 Covington, LA 70433-7245
POLITICAL COMMITTEE? PARTY COMMITTEE?
4. SUBTOTAL (this page) $ 600.00 N/A
5. TOTAL (complete only on last page of this schedule) $ 7,645.00 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 25116 Page 17 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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
MORGANSTANLEYSMITHBARNEY ACCT 1 Dividends 09/29/2011 $0.81 8550 United Plaza Blvd Ste 101 Baton Rouge, LA 70809
MORGANSTANLEYSMITHBARNEY ACCT 3 Dividend 09/29/2011 $0.34 8550 United Plaza Blvd Ste 101 Baton Rouge, LA 70809
5. Total OTHER RECEIPTS during this reporting period $ 1.15 Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 18 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
NEIL C. ABRAMSON 09/19/2011 $ 1,000.00 365 Canal St Ste 2740 New Orleans, LA 70130
JOHN A. ALARIO JR. 09/19/2011 $ 2,000.00 1063 Muller Parkway Westwego, LA 70094
JOHN F. 'ANDY' ANDERS 09/19/2011 $ 1,000.00 200 Advocate Row Ste D Vidalia, LA 71373
CONRAD APPEL 09/19/2011 $ 1,000.00 3525 N Causewy Blvd Suite 602 Metairie, LA 70002
JEFFREY ARNOLD 09/19/2011 $ 1,500.00 3520 General DeGaulle Suite 3071 New Orleans, LA 70114
ROBERT E. BILLIOT 09/19/2011 $ 500.00 #10 Westbank Expressway Westwego, LA 70094
STUART J. BISHOP 09/19/2011 $ 500.00 103 Giverny Place Lafayette, LA 70508
WESLEY T. BISHOP 09/19/2011 $ 500.00 5630 Crowder Blvd Ste 205 New Orleans, LA 70126
3. SUBTOTAL (optional) $ 8,000.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 19 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
SHARON WESTON BROOME 09/19/2011 $ 500.00 PO Box 52783 Baton Rouge, LA 70892
JARED BROSSETT 09/19/2011 $ 500.00 6305 Elysian Fields Ave #404 New Orleans, LA 70122
RICHARD BURFORD 09/19/2011 $ 1,000.00 671 Hwy 171 #E Stonewall, LA 71078
TIMOTHY G. BURNS 09/19/2011 $ 1,000.00 1 Sanctuary Blvd #306 Mandeville, LA 70471
ROY A. BURRELL 09/19/2011 $ 500.00 820 Jordan St Ste 315 A Shreveport, LA 71101
BARRETT BYRD 09/19/2011 $ 1,000.00 P O Box 12382 Alexandria, LA 71315
THOMAS CARMODY 09/19/2011 $ 500.00 5916 Fairfield Ave Shreveport, LA 71106
STEPHEN CARTER 09/19/2011 $ 1,500.00 3115 Old Forge Baton Rouge, LA 70808
3. SUBTOTAL (optional) $ 6,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 20 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
CHARLES CHANEY 09/19/2011 $ 500.00 PO Box 8 Rayville, LA 71269
DAN CLAITOR 09/19/2011 $ 500.00 7520 Perkins Rd #170 Baton Rouge, LA 70808
PATRICK 'PAGE' CORTEZ 09/19/2011 $ 1,000.00 111 Southwark Dr Lafayette, LA 70508
GREG CROMER 09/19/2011 $ 1,000.00 PO Box 2088 Slidell, LA 70459
MICHAEL E. DANAHAY 09/19/2011 $ 500.00 1625 Beglis Pkwy Sulphur, LA 70663-5906
HERBERT DIXON 09/19/2011 $ 500.00 804 Broadway Ave Alexandria, LA 71302
JACK DONAHUE JR. 09/19/2011 $ 2,000.00 3030 E Causeway Approach Mandeville, LA 70448
MICHAEL ECHOLS 09/19/2011 $ 500.00 1800 Riverside Dr Monroe, LA 71201
3. SUBTOTAL (optional) $ 6,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 21 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
JOHN BEL EDWARDS 09/19/2011 $ 1,000.00 PO Box 160 Amite, LA 70422
DALE ERDEY 09/19/2011 $ 500.00 PO Box 908 Livingston, LA 70754
JAMES FANNIN 09/19/2011 $ 1,500.00 320 6th St Jonesboro, LA 71251
A.B. FRANKLIN 09/19/2011 $ 500.00 2808 E Broad St Lake Charles, LA 70615-4961
RICK GALLOT 09/19/2011 $ 1,500.00 P O Box 1117 Ruston, LA 71273
BRETT F. GEYMANN 09/19/2011 $ 500.00 PO Box 12703 Lake Charles, LA 70612
HUNTER GREENE 09/19/2011 $ 1,500.00 8708 Jefferson Hwy #B Baton Rouge, LA 70809
CHRIS HAZEL 09/19/2011 $ 500.00 1013 Main St Pineville, LA 71360
3. SUBTOTAL (optional) $ 7,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 22 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
J. CAMERON HENRY JR. 09/19/2011 $ 500.00 201 Evans Rd Ste 101 New Orleans, LA 70123
FRANK HOFFMANN 09/19/2011 $ 1,000.00 204 North 3rd St #A West Monroe, LA 71291
DALTON HONORE 09/19/2011 $ 500.00 8776 Scenic Highway Baton Rouge, LA 70807
GIROD H. JACKSON III 09/19/2011 $ 500.00 2010 Woodmere Blvd Unit G Harvey, LA 70058
LYDIA PATRICE JACKSON 09/19/2011 $ 1,000.00 330 Marshall St Shreveport, LA 71101
MICHAEL JACKSON 09/19/2011 $ 1,500.00 6015 Government St Baton Rouge, LA 70806
RONNIE JOHNS 09/19/2011 $ 2,000.00 1032 Laura Circle Sulphur, LA 70663
ROBERT A. JOHNSON 09/19/2011 $ 1,000.00 PO Box 467 Marksville, LA 71351
3. SUBTOTAL (optional) $ 8,000.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 23 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
CHARLES E. KLECKLEY 09/19/2011 $ 1,500.00 130 Jamestown Rd Lake Charles, LA 70605-5712
ROBERT W. KOSTELKA 09/19/2011 $ 1,500.00 PO Box 2122 Monroe, LA 71207
ERIC LAFLEUR 09/19/2011 $ 1,500.00 PO Box 617 Ville Platte, LA 70586
NANCY LANDRY 09/19/2011 $ 500.00 109 S College Rd Lafayette, LA 70503
H. BERNARD LEBAS 09/19/2011 $ 1,000.00 115 Southwest Railroad Ave Ville Platte, LA 70586
WALTER LEGER III 09/19/2011 $ 500.00 600 Carondelet St 9th Floor New Orleans, LA 70130
JOSEPH P. LOPINTO III 09/19/2011 $ 500.00 4532 W Napoleon Ave Suite 202-B Metairie, LA 70001
NICHOLAS J. LORUSSO 09/19/2011 $ 3,500.00 3535 Canal St Ste 103 New Orleans, LA 70119
3. SUBTOTAL (optional) $ 10,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 24 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
ERIC MARTIN 09/19/2011 $ 1,000.00 6482 Resweber Hwy St. Martinville, LA 70582
DANIEL MARTINY 09/19/2011 $ 1,500.00 131 Airline Highway #201 Metairie, LA 70001
DON MENARD 09/19/2011 $ 1,000.00 372 Credeur Rd Sunset, LA 70584
FRED H MILLS JR. 09/19/2011 $ 2,000.00 800 S Lewis St Ste 201 New Iberia, LA 70767
JACK MONTOUCET 09/19/2011 $ 500.00 112 East Hutchinson Ave Crowley, LA 70526
JOHN-PAUL MORRELL 09/19/2011 $ 1,500.00 6305 Elysian Fields Ave #404 New Orleans, LA 70122
JAY MORRIS 09/19/2011 $ 500.00 2705 Oak Dr Monroe, LA 71201
JAMES H. MORRIS 09/19/2011 $ 500.00 P O Box 217 Oil City, LA 71061
3. SUBTOTAL (optional) $ 8,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 25 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
EDWIN R. MURRAY 09/19/2011 $ 1,500.00 1540 North Broad St New Orleans, LA 70119
BEN W. NEVERS 09/19/2011 $ 1,500.00 724 Avenue F Bogalusa, LA 70427
RICK NOWLIN 09/19/2011 $ 1,000.00 816 University Pkwy #C Natchitoches, LA 71457
J. KEVIN PEARSON 09/19/2011 $ 1,000.00 1349 Corporate Square Ste 6 Slidell, LA 70458
JONATHAN PERRY 09/19/2011 $ 1,000.00 407 Charity Suite 102 Abbeville, LA 70510
KAREN C. PETERSON 09/19/2011 $ 1,500.00 1215 Prytania St #364 New Orleans, LA 70130
ERICH PONTI 09/19/2011 $ 1,500.00 7341 Jefferson Hwy #J Baton Rouge, LA 70806
J. ROGERS POPE 09/19/2011 $ 1,000.00 PO Box 555 Denham Springs, LA 70727
3. SUBTOTAL (optional) $ 10,000.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 26 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
STEVEN E. PYLANT 09/19/2011 $ 500.00 292 Southern Rd. Dehli, LA 71232
JEROME RICHARD 09/19/2011 $ 500.00 907 Jackson St Thibodaux, LA 70301
CLIFTON R. RICHARDSON 09/19/2011 $ 500.00 PO Box 78280 Baton Rouge, LA 70837
HAROLD L. RITCHIE 09/19/2011 $ 1,000.00 302 Louisiana Ave Bogalusa, LA 70427
JOEL C. ROBIDEAUX 09/19/2011 $ 1,500.00 102 Woodvale Ave #B Lafayette, LA 70503
JOHN M. SCHRODER SR. 09/19/2011 $ 1,000.00 222 N Vermont Ste K & M Covington, LA 70433
ALAN SEABAUGH 09/19/2011 $ 500.00 610 Marshall St Suite 700 Shreveport, LA 71101
SCOTT SIMON 09/19/2011 $ 1,000.00 PO Box 1297 Abita Springs, LA 70420
3. SUBTOTAL (optional) $ 6,500.00
4. TOTAL (optional - complete only on last page of this schedule) Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 27 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE 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)
PATRICIA H. SMITH 09/19/2011 $ 1,000.00 251 Florida St #300 Baton Rouge, LA 70801
KAREN G. ST. GERMAIN 09/19/2011 $ 500.00 57835 Plaquemine St Plaquemine, LA 70764
MACK WHITE JR. 09/19/2011 $ 1,000.00 13841 Blackwater Rd Central, LA 70714
PATRICK C. WILLIAMS 09/19/2011 $ 1,000.00 1500 N Market St Ste A-200 Shreveport, LA 71107
THOMAS WILLMOTT 09/19/2011 $ 1,000.00 2002 20th St #204-A Kenner, LA 70062
3. SUBTOTAL (optional) $ 4,500.00
4. TOTAL (optional - complete only on last page of this schedule) $ 76,500.00 Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 28 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE SCHEDULE E-4: OTHER DISBURSEMENTS
This schedule is used to report those disbursements that are not “expenditures”; that is, monies paid by the committee that are not paid for the purpose of supporting, opposing or otherwise influencing the nomination or election of a candidate to public office or supporting or opposing a proposition or question submitted to the voters . Examples include the payment of taxes or the refund of contributions. Disbursements should be reported on this schedule only if they have not been reported elsewhere in this report. The explanation of the disbursement should state the reason the payment was made by the committee.
1. Name and Address of Recipient 2. Date 3. Explanation 4. Amount
MCALISTERS DELI 09/09/2011 $ 122.08 7242 Perkins Rd Baton Rouge, LA 70810
KEITH F. DESONIER MD 09/26/2011 Reimbursement-Travel $ 616.40 555 Doctor Michael Debakey Dr Expenses Lake Charles, LA 70601-5700
REBEL STAMP & SIGN CO. INC. 09/28/2011 Office Supplies - Stamp $ 35.43 307 Choctaw Dr Baton Rouge, LA 70805
AMERICAN EXPRESS MERCHANT SERVICES 09/26/2011 Merchant Service Fees $ 5.93 Post Office Pox 53852 Phoenix, AZ 85072-3852
5. Total OTHER DISBURSEMENTS during this reporting period $ 779.84 Form 202, Rev. 3/98, Page Rev. 3/98
Report Number 25116 Page 29 of 29 LOUISIANA MEDICAL POLITICAL ACTION COMMITTEE