Fec Form 3p - Report Of Receipts And Disbursements
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16REPORT OF RECEIPTS
AND DISBURSEMENTS
FEC
FORM 3P
BY AN AUTHORIZED COMMITTEE OF A CANDIDATE
FOR THE OFFICE OF PRESIDENT OR VICE PRESIDENT
Office Use Only
12FE4M5
1.
NAME OF COMMITTEE
(in full, type or print)
Example: If typing, type over the lines.
ADDRESS
(number and street)
Check if different
than previously
reported. (ACC)
CITY
STATE
ZIP CODE
C
FEC IDENTIFICATION NUMBER
2.
3.
TYPE OF REPORT
(Choose One)
Check here if this is a Termination Report (TER)
Quarterly Reports:
Monthly Reports:
April 15 (Q1)
Feb 20 (M2)
May 20 (M5)
Aug 20 (M8)
Nov 20 (M11)
October 15 (Q3)
July 15 (Q2)
January 31 Year-End Report (YE)
Mar 20 (M3)
Jun 20 (M6)
Sep 20 (M9)
Dec 20 (M12)
Apr 20 (M4)
Jul 20 (M7)
Oct 20 (M10))
Jan 31 (YE)
12-Day Pre-Election Report for the Election on
30-Day Post-Election Report for the General Election on
M
M
/
D
D
/
Y
Y
Y
Y
M
M
/
D
D
/
Y
Y
Y
Y
in the State of
4.
IS THIS REPORT AN AMENDMENT?
yes
no
M
M
/
D
D
/
Y
Y
Y
Y
M
M
/
D
D
/
Y
Y
Y
Y
5.
COVERING PERIOD
THROUGH
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
M
M
/
D
D
/
Y
Y
Y
Y
Signature of Treasurer
Date
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.
All previous versions of this form are obsolete and should no longer be used.
Office
Use
Only
FEC Form 3P (Rev. 05/2016)
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