Report of Receipts and Disbursements
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01/29/2016 17 : 52 Image# 201601299004909763 PAGE 1 / 208 REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3 For An Authorized Committee Office Use Only 1. NAME OF TYPE OR PRINT Example: If typing, type 12FE4M5 COMMITTEE (in full) over the lines. Josh Gottheimer for Congress PO Box 584 ADDRESS (number and street) Check if different than previously Ridgewood NJ 07451 reported. (ACC) 2. FEC IDENTIFICATION NUMBER CITY STATE ZIP CODE STATE DISTRICT C C00573949 3. IS THIS NEW AMENDED REPORT (N) OR (A) NJ 05 4. TYPE OF REPORT (Choose One) (b) 12-Day PRE -Election Report for the: (a) Quarterly Reports: Primary (12P) General (12G) Runoff (12R) April 15 Quarterly Report (Q1) Convention (12C) Special (12S) July 15 Quarterly Report (Q2) M M / D D / Y Y Y Y in the October 15 Quarterly Report (Q3) Election on State of January 31 Year-End Report (YE) (c) 30-Day POST -Election Report for the: General (30G) Runoff (30R) Special (30S) Termination Report (TER) M M / D D / Y Y Y Y in the Election on State of M M / D D / Y Y Y Y M M / D D / Y Y Y Y 5. Covering Period 10 01 2015 through 12 31 2015 I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Lauren Cohen M M / D D / Y Y Y Y 01 29 2016 Signature of Treasurer Lauren Cohen [Electronically Filed] Date NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. Office Use FEC FORM 3 Only (Revised 02/2003) FE5AN018 Image# 201601299004909764 SUMMARY PAGE FEC Form 3 (Revised 02/2003) of Receipts and Disbursements PagePAGE 2 2 / 208 Write or Type Committee Name M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 01 2015 To: 12 31 2015 Josh Gottheimer for Congress COLUMN A COLUMN B This Period Election Cycle-to-Date 6. Net Contributions (other than loans) (a) Total Contributions 375167.64 (other than loans) (from Line 11(e)) .... , , . , , 1406423.04 . (b) Total Contribution Refunds 500.00 (from Line 20(d)) .................................. , , . , , . (c) Net Contributions (other than loans) 374667.64 1405923.04 (subtract Line 6(b) from Line 6(a)) ...... , , . , , . 7. Net Operating Expenditures (a) Total Operating Expenditures 47362.59 (from Line 17) ...................................... , , . , , . (b) Total Offsets to Operating 0.00 Expenditures (from Line 14) ................ , , . , , . (c) Net Operating Expenditures 144426.48 (subtract Line 7(b) from Line 7(a)) ...... , , . , , . 8. Cash on Hand at Close of Reporting Period (from Line 27) ................. , , 1251496.56 . 9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D) ................ , , . 10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D) ................ , , . 10 For further information contact: Federal Election Commission 999 E Street, NW Washington, DC 20463 Toll Free 800-424-9530 Local 202-694-1100 FE5AN018 Image# 201601299004909765 DETAILED SUMMARY PAGE FEC Form 3 (Revised 12/2003) of Receipts PagePAGE 3 3 / 208 Write or Type Committee Name Josh Gottheimer for Congress M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 10 2015 To: 12 31 2015 COLUMN A COLUMN B I. RECEIPTS Total This Period Election Cycle-to-Date 11. CONTRIBUTIONS (other than loans) FROM: 375167.64 1406423.04 (a) Individuals/Persons Other Than Political Committees 315256.00 (i) Itemized (use Schedule A) ........... , , . , , 1274290.14 . 22130.50 (ii) Unitemized ................................... , , . , , 46771.76 . (iii) TOTAL of contributions 337386.50 from individuals ....................... , , . , , 1321061.90 . (b) Political Party Committees ................. , , . , , . (c) Other Political Committees 37420.00 85000.00 (such as PACs) ................................... , , . , , . (d) The Candidate .................................... , , 361.14 . , , . (e) TOTAL CONTRIBUTIONS 0.00 (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) .. , , . , , . 12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES .................... , , . , , . 13. LOANS: (a) Made or Guaranteed by the Candidate ........................................... , , . , , . (b) All Other Loans ................................... , , . , , . (c) TOTAL LOANS (add Lines 13(a) and (b)) .................... , , . , , . 14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.) ............................01 , , . , , . 15. OTHER RECEIPTS 0.00 (Dividends, Interest, etc.) ........................... , , . , , . 16. TOT AL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............ , , . , , . FE5AN018 Image# 201601299004909766 DETAILED SUMMARY PAGE FEC Form 3 (Revised 02/2003) of Disbursements PagePAGE 4 4 / 208 II. DISBURSEMENTS COLUMN A COLUMN B Total This Period Election Cycle-to-Date 17. OPERATING EXPENDITURES ..................... , , . , , . 18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES ..................... , , . , , . 19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate ................................. , , . , , . 375167.64 (b) Of All Other Loans .............................. , , . , , . (c) TOTAL LOAN REPAYMENTS 500.00 (add Lines 19(a) and (b)) ..................... , , . , , . 20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees .................. , , . , , . (b) Political Party Committees .................. , , . , , . (c) Other Political Committees (such as PACs) .................................... , , 47362.59 . , , . (d) TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c)) .............. , , . , , . 21. OTHER DISBURSEMENTS ......................... , , . , , 144426.4810000.00 . 22. TOT AL DISBURSEMENTS (add Lines 17, 18, 19(c), 20(d), and 21) 1251496.56 154926.48 , , . , , . III. CASH SUMMARY 934191.51 23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ............................................... , , . 24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) ..................................................... , , . 1309359.15 25. SUBTOTAL (add Line 23 and Line 24) .................................................................................. , , . 0.00 57862.59 26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ...................................................... , , . 27. CASH ON HAND AT CLOSE OF REPORTING PERIOD (subtract Line 26 from Line 25) .............................................................................................. , , . FE5AN018 Image# 201601299004909767 FOR LINE NUMBER: PAGE 5 OF 208 SCHEDULE A (FEC Form 3) Use separate schedule(s) (check only one) for each category of the 11a 11b 11c 11d ITEMIZED RECEIPTS Detailed Summary Page 12 13a 13b 14 15 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Josh Gottheimer for Congress Full Name (Last, First, Middle Initial) Jason Abel A. Date of Receipt Mailing Address 450 N Washington St M M / D D / Y Y Y Y Apt 228 12 31 City State Zip Code Transaction ID : VPFDAGCGKG7 Falls Church VA 22046-3453 FEC ID number of contributing Amount of Each Receipt this Period federal political committee. C 250.00 Name of Employer Occupation , , . Steptoe & Johnson, LLP Of Counsel Receipt For: 2016 Election Cycle-to-Date Primary General Other (specify) , , . Full Name (Last, First, Middle Initial) Jeffrey Abrams Date of Receipt B. Mailing Address 16000 Ventura Blvd M M / D D / Y Y Y Y 10 09 2015 City State Zip Code Transaction ID : VPFDAG029E5 Encino CA 91436-2744 FEC ID number of contributing Amount of Each Receipt this Period federal political committee. C Name of Employer Occupation , , . Founder Bad Robot Receipt For: Election Cycle-to-Date Primary General * Earmarked Contribution: See Below Other (specify) , , . Full Name (Last, First, Middle Initial) ActBlue Date of Receipt C. Mailing Address PO Box 441146 M M / D D / Y Y Y Y 10 16 2015 City State Zip Code Transaction ID : VPFDAG029E5E West Somerville MA 02144-0031 FEC ID number of contributing federal political committee. C C00401224 Amount of Each Receipt this Period 2700.00 Name of Employer Occupation , , . Conduit total listed in Agg. field Receipt For: Election Cycle-to-Date [MEMO ITEM] Primary General Note: Above Contribution earmarked through this 76183.36 Other (specify) , , . organization. 2950.00 SUBTOTAL of Receipts This Page (optional) ............................................................................ , , . TOTAL This Period (last page this line number only) ............................................................... , , . FEC Schedule A (Form 3) (Revised 02/2009) Image# 201601299004909768 FOR LINE NUMBER: PAGE 6 OF 208 SCHEDULE A (FEC Form 3) Use separate schedule(s) (check only one) for each category of the 11a 11b 11c 11d ITEMIZED RECEIPTS Detailed Summary Page 12 13a 13b 14 15 Any information copied from such Reports