fec filing 6-20-09

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06/20/2009 18 : 1

REPORT OF RECEIPTSFEC

AND DISBURSEMENTSFORM 3X

For Other Than An Authorized CommitteeOffice Use Only

1. NAME OF USE FEC MAILING LABELCOMMITTEE (in full) OR TYPE OR PRINT. Example:If typing, typeover the lines

ADDRESS. (number and street)Check if differentthan previouslyreported. (ACC)

2. FEC IDENTIFICATION NUMBER . . . .CITY STATE ZIPCODE3. IS THIS NEW AMENDED

ORREPORT (N) (A)

TYPE OF REPORT4. Monthly Nov 20 (M11)Feb 20 (M2) May 20 (M5) Aug 20 (M8) (Non-ElectionReport(Choose One) Year Only)

Due On:Dec 20 (M12)

Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) (Non-Election(a) Quarterly Reports: Year Only)

Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)April 15Quarterly Report(Q1)

(c) 12-Day Primary (12P) General (12G) Runoff (12R)July 15

PRE-ElectionQuarterly Report(Q2)

(b)

Report for the: Convention (12C) Special (12G)October 15

Quarterly Report(Q3)

January 31 in theQuarterly Report(YE) Election on State of

July 31 Mid-Year(d) 30-DayReport(Non-election

Year Only) (MY) Post -Election General (30G) Runoff (30R) Special (30S)

Report for the:Termination Report(TER) in the

Election on State of

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

Electronically Filed bySignature of Treasurer 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.

FEC FORM 3XOfficeUse

(Rev. 12/2004)Only

FE6AN026

Contra Costa Republican Party (Federal)

Image# 29934034875

XC00136853

800 S Broadway

Suite 301

Walnut Creek CA 94596 5218

X

0 5 0 1 2 0 0 9 0 5 3 1 2 0 0 9

Darcy Linn

Darcy Linn 0 6 2 0 2 0 0 9

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SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

FEC Form 3X (Rev. 02/2003) Page 2

Write or Type Committee Name

M M D D Y Y YY Y M M D D Y Y Y Y

Report Covering the Period: From: To:

COLUMN A COLUMN B

This Period Calendar Year-to-Date

6. (a) Cash on HandY Y Y Y

January 1

(b) Cash on Hand at

Begining of Reporting Period ..............

(c) Total Receipts (from Line 19) ..............

(d) Subtotal (add lines 6(b) and

6(c) for Column A and Lines6(a) and 6(c) for Column B) ................

7. Total Disbursements (from Line 31) ............

8. Cash on Hand at Close of

Reporting Period

(subtract Line 7 from Line 6(d)) ..................

9. Debts and Obligations owed TO

the committee (Itemize all onSchedule C and/or Schedule D) .................

10. Debts and Obligations owed BY

the committee (Itemize all on

Schedule C and/or Schedule D) ..................

This Committee has qualified as a multicandidate committee. (see FEC FORM 1M)

For further information contact:

Federal Election Commission

999 E street, NW

Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100

FE6AN026

0 5 0 1 2 0 0 9 0 5 3 1 2 0 0 9


Image# 29934034876

X

4906.46

16045.00

20951.46

10380.15

10571.31

.00

17268.14

446.262009

47127.92

47574.18

37002.87

10571.31

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DETAILED SUMMARY PAGEOF RECEIPTS


Write or Type Committee Name

M M D D Y Y YY Y M M D D Y Y Y Y

Report Covering the Period: From: To:

COLUMN A COLUMN BI. Receipts

Total This Period Calendar Year-to-Date

11. Contributions (other than loans) From:

(a) Individuals/Persons Other

Than Political Committees

(i) Itemized (use Schedule A) ...........

(ii) Unitemized ....................................

(iii) TOTAL (add

Lines 11(a)(i) and (ii) ................ .(b) Political Party Committees ...................

(c) Other Political Committees

(such as PACs) ..................................(d) Total Contributions (add Lines

11(a)(iii),(b) and (c)) (CarryTotals to Line 33, page 5) ................ .

12. Transfers From Affiliated/OtherParty Committees ......................................

13. All Loans Received ...................................

14. Loan Repayments Received .....................

15. Offsets To Operating Expenditures(Refunds, Rebates, etc.)(Carry Totals to Line 37, page 5) ..............

16. Refunds of Contributions Made

to Federal candidates and Other

Political Committees ...................................

17. Other Federal Receipts

(Dividends, Interest, etc.) ...........................

18. Transfers from Non-Federal and Levin Funds

(a) Non-Federal Account

(from Schedule H3) ........................

(b) Levin Funds (from Schedule H5) .......

(c) Total Transfer (add 18(a) and 18(b)).

Total Receipts (add Lines 11(d),19.

12, 13, 14, 15, 16, 17, and 18(c)) ..............

20. Total Federal Receipts

(subtract Line 18(c) from Line 19) .............

FE6AN026

0 5 0 1 2 0 0 9 0 5 3 1 2 0 0 9


Image# 29934034877

11215.00

4830.00

16045.00

0.00

0.00

16045.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

16045.00

16045.00

21433.50

12976.00

34409.50

0.00

0.00

34409.50

0.00

0.00

0.00

0.00

0.00

0.00

12718.42

0.00

12718.42

47127.92

34409.50

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DETAILED SUMMARY PAGEof Disbursements


COLUMN A COLUMN BII. DISBURSEMENTSTotal This Period Calendar Year-to-Date

21. Operating Expenditures:(a) Shared Federal/Non-Federal

Activity (from Schedule H4)

(i) Federal Share..............................

(ii) Non-Federal Share......................

(b) Other Federal Operating

Expenditures......................................

(c) Total Operating Expenditures

(add 21(a)(i), (a)(ii) and (b))............ .22. Transfers to Affiliated/Other Party

Committees.................................................23. Contributions to

Federal Candidates/Committees.................and Other Political Committees...................

24. Independent Expenditure

(use Schedule E) ......................................25. Coordinated Expenditures Made by Party

Committees (2 U.S.C. 441a(d))(use Schedule F)........................................

26. Loan Repayments Made.............................

27. Loans Made................................................28. Refunds of Contributions To:

(a) Individuals/Persons OtherThan Political Committees ...................

(b) Political Party Committees

(c) Other Political Committees

(such as PACs) .................................

(d) Total Contribution Refunds

(add Lines 28(a), (b), and (c)) ...........29. Other Disbursements.................................

Federal Election Activity (2 U.S.C 431(20))30.

(a) Shared Federal Election Activity

(from Schedule H6)

(i) Federal Share .......................

(ii) "Levin" Share .......................

(b) Federal Election Activity Paid Entirely

With Federal Funds ...................

(c) Total Federal Election Activity (add

Lines 30(a)(i), 30(a)(ii) and 30(b))....

31. Total Disbursements (add Lines 21(c), 22,

23, 24, 25, 26, 27, 28(d), 29 and 30(c))..

Total Federal Disbursements

(subtract Line 21(a)(ii) and Line 30(a)(ii)

32.

from Line 31).......................

FE6AN026

Image# 29934034878

3533.84

5772.50

73.81

9380.15

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

1000.00

1000.00

0.00

0.00

0.00

0.00

0.00

10380.15

4607.65

11344.22

24459.85

198.80

36002.87

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

1000.00

1000.00

0.00

0.00

0.00

0.00

0.00

37002.87

12543.02

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DETAILED SUMMARY PAGEof Disbursements

Page 5FEC Form 3X (Rev. 02/2003)

III. Net Contributions/OperatingExpenditures

COLUMN BCOLUMN A

Total This Period Calendar Year-to-Date

from Line 11(d), page 3) ............................

Total Contributions (other than loans)33.

34. Total Contribution Refunds

(from Line 28(d)) ........................................

35. Net Contributions (other than loans)

(subtract Line 34 from Line 33) ..................

Total Federal Operating Expenditures36.

(add Line 21(a)(i) and Line 21(b))..........

Offsets to Operating Expenditures37.

(from Line 15, page 3) ...............................

Net Operating Expenditures38.

(subtract Line 37 from Line 36) .............

FE6AN026

Image# 29934034879

16045.00

1000.00

15045.00

3607.65

0.00

3607.65

34409.50

1000.00

33409.50

11543.02

0.00

11543.02

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m/Schedule : F3XN

nsaction ID :

Administrative Support on schedule H4 is for administrative support who spend less than 25 pct of th-

eir time on FEA.We have no employees that spend more than 25 pct of their time on FEA.

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

Detailed Summary Page

Date of Receipt

M M DD Y Y Y Y/ /

Amount of Each Receipt this Period

Transaction ID:

FEC ID number of contributingfederal political committee.

Name of Employer Occupation

C

Receipt For: Aggregate Year-to-DatePrimary General

Other (specify)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

of Receipts This Page (optional) ..................................................................SUBTOTAL

TOTAL This Period (last page this line number only) .......................................................

FECSchedule A ( )


7 / 34

11a

13

11b

14

11c

15

12

16 17

420.00

A.

Form 3X

Form 3X

Image# 29934034881

(Revised 02/2003FE6AN026

X

SA11AI-1422-4114-c

Friends of Arnie Simonsen

813 Putnam Street

Antioch CA 94509-4707

0 5 0 1 2 0 0 9

215.00

215.00

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1407-4076-c

David Baker

1801 N California BoulevardSuite 101

Walnut Creek CA 94596-4133

0 5 0 1 2 0 0 9

20.00

205.00

David B. Baker, CPACPA

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1407-4077-c

David Baker



0 5 0 1 2 0 0 9

185.00

205.00

David B. Baker, CPA CPA

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


8 / 34

11a

13

11b

14

11c

15

12

16 17

735.00

A.

Form 3X

Form 3X

Image# 29934034882


X

SA11AI-1420-4111-c

Brian Banmiller

4478 Deer Ridge Road

Danville CA 94506-6017

0 5 0 1 2 0 0 9

255.00

255.00

CBS NewsTelevision/Radio News

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1154-4108-c

Larry Bell



0 5 0 1 2 0 0 9

245.00

245.00

Jones Lan LaSalleReal Estate

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1112-4105-c

Steve Cartwright

1453 Graywood Drive

San Jose CA 95129-4778

0 5 0 1 2 0 0 9

235.00

235.00

Gazillian Entertainment Video Game Designer

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


9 / 34

11a

13

11b

14

11c

15

12

16 17

520.00

A.

Form 3X

Form 3X

Image# 29934034883


X

SA11AI-665-4099-c

Teresa Cousins

16 Emshee Lane

Martinez CA 94553-3610

0 5 0 1 2 0 0 9

295.00

475.00

Bladgett & AssociatesInsurance

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1411-4085-c

Arlene Flick

433 Greenbrier Road

Half Moon Bay CA 94019-2219

0 5 0 1 2 0 0 9

185.00

225.00

Requested

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1411-4086-c

Arlene Flick

433 Greenbrier Road

Half Moon Bay CA 94019-2219

0 5 0 1 2 0 0 9

40.00

225.00

Requested

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


10 / 34

11a

13

11b

14

11c

15

12

16 17

2505.00

A.

Form 3X

Form 3X

Image# 29934034884


X

SA11AI-692-4093-c

Michael Hastings

1201 Cambridge Drive

Lafayette CA 94549-2901

0 5 0 1 2 0 0 9

1800.00

2305.00

RetiredRetired

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-692-4107-c

Michael Hastings

1201 Cambridge Drive


0 5 0 1 2 0 0 9

255.00

2305.00

RetiredRetired

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1069-4103-c

Kevin Hogan

632 Sheri Lane


0 5 0 1 2 0 0 9

450.00

450.00

Self-Employed Real Estate

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


11 / 34

11a

13

11b

14

11c

15

12

16 17

460.00

A.

Form 3X

Form 3X

Image# 29934034885


X

SA11AI-1419-4104-c

Rod Keener

1530 Bonanza Street


0 5 0 1 2 0 0 9

235.00

235.00

Self-EmployedOptometrist

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1414-4089-c

John Lambert

884 Dolphin Drive


0 5 0 1 2 0 0 9

185.00

225.00

NeuberghWealth Advisor

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1414-4090-c

John Lambert

884 Dolphin Drive


0 5 0 1 2 0 0 9

40.00

225.00

Neubergh Wealth Advisor

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


12 / 34

11a

13

11b

14

11c

15

12

16 17

490.00

A.

Form 3X

Form 3X

Image# 29934034886


X

SA11AI-560-4110-c

Peter Laurence

1120 Oakwood Circle

Clayton CA 94517-1700

0 5 0 1 2 0 0 9

255.00

305.00

ReMaxRealtor

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1145-4113-c

Steve Merriam

21 Caitlan Court

Pleasant Hill CA 94523-2165

0 5 0 1 2 0 0 9

215.00

215.00

Requested

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-781-4080-c

Hardy Miller

216 Oak Knoll Loop


0 5 0 1 2 0 0 9

20.00

460.00

Retired Retired

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


13 / 34

11a

13

11b

14

11c

15

12

16 17

305.00

A.

Form 3X

Form 3X

Image# 29934034887


X

SA11AI-1089-4091-c

Vern Padgett

14 Coronado Court


0 5 0 1 2 0 0 9

185.00

265.00

Presidio BankBanker

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1089-4092-c

Vern Padgett

14 Coronado Court


0 5 0 1 2 0 0 9

80.00

265.00

Presidio BankBanker

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-979-4118-c

Roger Allen Petersen

502 Raven Place


0 5 0 1 2 0 0 9

40.00

355.00

Cisco Systems, Inc. Executive

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


14 / 34

11a

13

11b

14

11c

15

12

16 17

585.00

A.

Form 3X

Form 3X

Image# 29934034888


X

SA11AI-1416-4098-c

Mary Piepho

2230 Sunset Point

Discovery Bay CA 94505-1314

0 5 0 1 2 0 0 9

250.00

250.00

Contra Costa CountyCounty Supervisor

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-749-4079-c

Gregory Poulos

92 Amberfield Lane


0 5 0 1 2 0 0 9

100.00

216.00

Self-EmployedInsurance Broker

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-680-4102-c

John Robertson

114 Canon Drive

Orinda CA 94563-2219

0 5 0 1 2 0 0 9

235.00

235.00

JW Investments Owner

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


15 / 34

11a

13

11b

14

11c

15

12

16 17

280.00

A.

Form 3X

Form 3X

Image# 29934034889


X

SA11AI-330-4205-c

Warren Rupf

1405 Stonecreek Court


0 5 0 1 2 0 0 9

-150.00

2000.00

Refund OverCharge

Contra Costa CountySheriff

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-69-4084-c

Valerie Schooley

480 Oakshire Place

Alamo CA 94507-2332

0 5 0 1 2 0 0 9

40.00

980.00

Private Label ExpressWholesale

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1418-4101-c

Dale Schroeder

75 Diablo Way


0 5 0 1 2 0 0 9

390.00

390.00

Bernstein Global WealthMgmt Vice President

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


16 / 34

11a

13

11b

14

11c

15

12

16 17

705.00

A.

Form 3X

Form 3X

Image# 29934034890


X

SA11AI-723-4106-c

David Tucker, III

1999 Harrison StreetSuite 1200

Oakland CA 94612-3594

0 5 0 1 2 0 0 9

235.00

235.00

RBC Wealth ManagementInvesments

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-694-4165-c

James Bradley

650 Glorietta Boulevard


0 5 2 1 2 0 0 9

215.00

215.00

Requested

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1096-4157-c

Matt Couch

701 Heritage Place

Tracy CA 95377-9019

0 5 2 1 2 0 0 9

255.00

255.00

Diablo Management Group Controller

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


17 / 34

11a

13

11b

14

11c

15

12

16 17

685.00

A.

Form 3X

Form 3X

Image# 29934034891


X

SA11AI-1071-4164-c

Thomas Dailey

4550 Mccready Court

Fairfield CA 94534-1370

0 5 2 1 2 0 0 9

255.00

255.00

Self-EmployedReal Estate Developer

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1444-4166-c

Gary Kefer

4460 Wetterhorn Court

Concord CA 94518-1929

0 5 2 1 2 0 0 9

390.00

390.00

RequestedFinancial Advisor

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-781-4158-c

Hardy Miller

216 Oak Knoll Loop


0 5 2 1 2 0 0 9

40.00

460.00

Retired Retired

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


18 / 34

11a

13

11b

14

11c

15

12

16 17

1250.00

A.

Form 3X

Form 3X

Image# 29934034892


X

SA11AI-1264-4148-c

Michelle O'Connor

5410 Lynbrook Place

Concord CA 94521-5020

0 5 2 1 2 0 0 9

255.00

255.00

RequestedLobbyist

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-607-4147-c

Richard Rainey

160 Bexley Place


0 5 2 1 2 0 0 9

255.00

255.00

US Dept. of HousingRegional Director

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-69-4167-c

Valerie Schooley

480 Oakshire Place

Alamo CA 94507-2332

0 5 2 1 2 0 0 9

740.00

980.00

Private Label Express Wholesale

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


19 / 34

11a

13

11b

14

11c

15

12

16 17

969.00

A.

Form 3X

Form 3X

Image# 29934034893


X

SA11AI-1086-4150-c

Michael Scribner

185 Berry Street

San Francisco CA 94107-5705

0 5 2 1 2 0 0 9

40.00

2540.00

Self-EmployedGeneral Contractor

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-1439-4159-c

Lawrence Siegel

50 La Cuesta Road

Orinda CA 94563-2326

0 5 2 1 2 0 0 9

235.00

235.00

n/aRetired

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-1438-4155-c

Tracy Wheeler

60 White Pine Lane


0 5 2 1 2 0 0 9

694.00

694.00

n/a Retired

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


20 / 34

11a

13

11b

14

11c

15

12

16 17

120.00

A.

Form 3X

Form 3X

Image# 29934034894


X

SA11AI-665-4217-c

Teresa Cousins

16 Emshee Lane


0 5 3 0 2 0 0 9

30.00

475.00

Bladgett & AssociatesInsurance

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-208-4214-c

Becky Kolberg

120 Medinah Place

San Ramon CA 94583-3823

0 5 3 0 2 0 0 9

30.00

397.00

B. Kolberg AssociatesInterior Designer

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

C.

SA11AI-415-4221-c

Patricia O'Day

1692 Countrywood Court


0 5 3 0 2 0 0 9

60.00

768.50

Gellert & Associates Accountant

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SCHEDULE A (FEC )

ITEMIZED RECEIPTS





Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code



FECSchedule A ( )


21 / 34

11a

13

11b

14

11c

15

12

16 17

1186.00

A.

Form 3X

Form 3X

Image# 29934034895


X

SA11AI-979-4219-c

Roger Allen Petersen

502 Raven Place


0 5 3 0 2 0 0 9

120.00

355.00

Cisco Systems, Inc.Executive

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

B.

SA11AI-749-4220-c

Gregory Poulos

92 Amberfield Lane


0 5 3 0 2 0 0 9

66.00

216.00

Self-EmployedInsurance Broker

Date of Receipt

M M DD Y Y Y Y/ /


Transaction ID:



C


Other (specify)


Mailing Address

City State Zip Code

11215.00

C.

SA11AI-1086-4223-c

Michael Scribner

185 Berry Street


0 5 3 0 2 0 0 9

1000.00

2540.00

Self-Employed General Contractor

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FOR LINE NUMBER: PAGEUse separate schedule(s)

(check only one)for each category of theDetailed Summary Page

ITEMIZED DISBURSEMENTS

Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee


Full Name (Last, First, Middle Initial) Transaction ID:Date of Disbursement

M M DD/ Y Y Y Y/

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

Purpose of Disbursement

Candidate Name

Office Sought:

Category/

Type

Disbursement For:House

PrimarySenate

Other (specify)

General

President

District:State:

SUBTOTAL of Disbursements This Page (optional) .........................................................


FEC Schedule B ( )

22 / 34

21b

27

22

28a

23

28b

24

28c

25

29

26

30b


1000.00

1000.00

A.

SCHEDULE B (FEC Form 3X)

Form 3X

Image# 29934034896

(Revised 02/2003)FE6AN026

X

SB28c-192-4030-eRepublican Club of Rossmoor

1708 Golden Rain RoadApt. 6


0 5 0 1 2 0 0 9

1000.00

Refund Contribution 010

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PAGE(Use separate

schedule(s) FOR LINE NUMBER:for each (check only one)

numbered line)

DEBTS AND OBLIGATIONS

Excluding Loans


Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):

Mailing Address

City State ZIP Code

Outstanding Balance Beginning This Period Transaction ID:

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

.1) SUBTOTALS This Period This Page (optional).................................................... .2) TOTALS This Period (last page this line number only)............................................

.

.3) TOTAL OUTSTANDING LOANS from Schedule C (last page only).......................

4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)

FEC Schedule D ( )

9

10

23 / 34


A.

14472.04

Image# 29934034897

Form 3XFE6AN026 (Revised 02/2003

SCHEDULE D (FEC Form 3X)

X

SD10-DEBT3919

Contra Costa Country Club

801 Golf Club Road


-Room Rental and Catering

1025.50

0.00 0.00 1025.50


Mailing Address

City State ZIP Code



B.

SD10-DEBT3920


801 Golf Club Road


-Room Rental and Catering

1025.50

0.00 0.00 1025.50


Mailing Address

City State ZIP Code



C.

SD10-DEBT4173


801 Golf Club Road


-Fundraiser Venue & Cater-ing

0.00

12421.04 0.00 12421.04

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PAGE(Use separate


numbered line)


Excluding Loans



Mailing Address

City State ZIP Code




.



FEC Schedule D ( )

9

10

24 / 34


A.

1242.50

Image# 29934034898



X

SD10-DEBT4171

Sunstar Media

834 Abrego Street# B

Monterey CA 93940-3104

-Web Hosting

0.00

50.00 0.00 50.00


Mailing Address

City State ZIP Code



B.

SD10-DEBT4172


801 Golf Club Road


-Fundraiser Venue & Cater-ing

0.00

1092.50 0.00 1092.50


Mailing Address

City State ZIP Code



C.

SD10-DEBT4174

Darcy Linn

260 Chilpancingo ParkwayApt. 23


-Reimbursement:See Memo

0.00

100.00 0.00 100.00

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25/34

PAGE(Use separate


numbered line)


Excluding Loans



Mailing Address

City State ZIP Code




.



FEC Schedule D ( )

9

10

25 / 34


A.

1553.60

Image# 29934034899



X

SD10-DEBT4178

Ruggies

3191 Crow Canyon PlaceSuite L


-Fundraiser Catering

0.00

1096.00 0.00 1096.00


Mailing Address

City State ZIP Code



B.

17268.14

0.00

17268.14

SD10-DEBT4179

Marjorie Meredith

241 Shady Glen Road


-Fundraiser Beverages

0.00

457.60 0.00 457.60

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SCHEDULE H2 (FEC Form 3X)

ALLOCATION RATIOS


RATIOS FOR ALLOCABLE FUNDRAISING EVENTS AND DIRECT CANDIDATE SUPPORTACTIVITIES APPEARING ON THIS REPORT.

Methods of allocation :

FUNDRISING activities are allocated using the 'funds received method' where the federal proportion ofI.expenses must equal the federal proportion of monies raised.

II.where the federal proportion of disbursements is based on the benefit derived by federal candidates from the activity.Shared activities are allocated according to benefit expected to be derived,DIRECT CANDIDATE SUPPORT

and nonfederal candidates, regardless of whether there is a reference to a political party. Such expenses are allocatedFor PACs Only : Direct candidate support includes public communications or voter drives that refer to both federal

using a time/space method.

PAGE

ACTIVITY OR EVENT IDENTIFIER

FEDERAL % NONFEDERAL %ACTIVITY IS:

% %Fundraising Direct Candidate Support

CHECK IF THE RATIO IS:

New Revised Same as Previously Reported Transaction ID:

FEC Schedule H2 (Form 3X) (Revised 12/2004)FE6AN026


26 / 34

Image# 29934034900

H2-A-19

2009 Speaker Series-ONGOING

X

X

95.00 5.00





New Revised Same as Previously Reported Transaction ID:H2-A-20

4/27/2009 Golf Tournamnet

X

X

60.00 40.00





New Revised Same as Previously Reported Transaction ID:

H2-A-21

5/30/09 Breadline Ball

X

X

95.00 5.00

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SCHEDULE H4 (FEC Form 3X)DISBURSEMENT FOR ALLOCATED

FEDERAL/NONFEDERAL ACTIVITY

NAME OF COMMIITTEE (In Full)FOR LINE 21a OF FORM 3X

PAGE

Full Name (Last, First, Middle Initial) Type of Allocated Activity:

ExemptFundraisingAdministrativeMailing Address

Direct Candidate SupportVoter Drive

Public Comm (ref to party only) by PACCity State Zip Code

Purpose of Disbursement:

Allocated Activity or Event Year-To-Date

Category/Type

Activity or Event Identifier:

Transaction ID:

/ /M M DD

Date

=NONFEDERAL SHARE TOTAL AMOUNT

Y Y Y Y

+FEDERAL SHARE

SUBTOTAL of Allocated Federal and NonFederal Activity This Page

+ =FEDERAL SHARE NONFEDERAL SHARE TOTAL AMOUNT

TOTAL This Period (last page for each line only)(Federal share to 21(a)(i) and NonFederal share to 21(a)(i))

FEDERAL SHARE TOTAL AMOUNTNONFEDERAL SHARE

(Revised 12/2004)FEC Schedule H4 (Form 3X)FE6AN026


27 / 34

866.40 2007.60 2874.00

Image# 29934034901

A.

H4-1066-4189-e

Capio Consulting, LLC

1300 Marian Way

Sacramento CA 95818-3723

Administrative 2009-2010 0 5 0 1 2 0 0 9

2000.00420.00 1580.00

24291.65Administrative Support Services

X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-1389-4013-e

CharityWorks

31 Beta Court Suite A


4/27/2009 Golf Tournamnet 0 5 0 1 2 0 0 9

674.00404.40 269.60

9082.35Fundraiser Auction Items

X

Full Name (Last, First, Middle Initial) Type of Allocated Activity:ExemptFundraisingAdministrative

Mailing AddressDirect Candidate SupportVoter Drive




Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-889-4029-e

Hall Equities Group

1855 Olympic Boulevard Suite 250


Administrative 2009-2010 0 5 0 1 2 0 0 9

200.0042.00 158.00

24291.65Rent

X

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28/34




PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







28 / 34

17.17 64.58 81.75

Image# 29934034902

A.

H4-1032-4193-e

American Express

PO Box 981540

El Paso TX 79998-1540

Administrative 2009-2010 0 5 0 4 2 0 0 9

5.951.25 4.70

24291.65Credit Card Processing Fees

X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-448-4173-e


801 Golf Club Road


4/27/2009 Golf Tournamnet 0 5 0 4 2 0 0 9

12421.047452.62 4968.42

9082.35Fundraiser Venue & Catering

X

[MEMO ITEM]Accrued Expense (also reported as debt on Schedule D)






Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-1117-4192-e

CTS Holdings, LLC

4041 Hadley Road Suite B

South Plainfield NJ 07080-1111

Administrative 2009-2010 0 5 0 4 2 0 0 9

75.8015.92 59.88


X

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PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







29 / 34

2025.60 1350.40 3376.00

Image# 29934034903

A.

H4-1445-4170-e

Passionate For Paris

1257 7th Avenue


4/27/2009 Golf Tournamnet 0 5 0 4 2 0 0 9

1500.00900.00 600.00

9082.35Fundraiser Auction

X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-1081-4169-e

Charity Auction Fundraising

2600 Shattuck Avenue

Berkeley CA 94704-3223

4/27/2009 Golf Tournamnet 0 5 0 5 2 0 0 9

1876.001125.60 750.40

9082.35Fundraiser Auction

X






Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-519-4171-e

Sunstar Media

834 Abrego Street # B

Monterey CA 93940-3104

Administrative 2009-2010 0 5 0 5 2 0 0 9

50.0010.50 39.50

24291.65Web Hosting

X


8/14/2019 FEC Filing 6-20-09

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PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







30 / 34

4.33 16.27 20.60

Image# 29934034904

A.

H4-1117-4195-e

CTS Holdings, LLC

4041 Hadley Road Suite B

South Plainfield NJ 07080-1111

Administrative 2009-2010 0 5 0 7 2 0 0 9

7.651.61 6.04


X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-52-4191-e

Wells Fargo Bank

PO Box 6995

Portland OR 97228-6995

Administrative 2009-2010 0 5 0 7 2 0 0 9

9.952.09 7.86

24291.65Bank Fee

X






Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-52-4196-e

Wells Fargo Bank

PO Box 6995


Administrative 2009-2010 0 5 0 8 2 0 0 9

3.000.63 2.37

24291.65Bank Fee

X

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PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







31 / 34

430.90 1621.00 2051.90

Image# 29934034905

A.

H4-52-4201-e

Wells Fargo Bank

PO Box 6995


Administrative 2009-2010 0 5 1 2 2 0 0 9

51.9010.90 41.00

24291.65Check Order

X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-1066-4190-e

Capio Consulting, LLC

1300 Marian Way

Sacramento CA 95818-3723

Administrative 2009-2010 0 5 1 5 2 0 0 9

2000.00420.00 1580.00

24291.65Administrative Support Services

X






Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-448-4172-e


801 Golf Club Road


2009 Speaker Series-ONGOING 0 5 2 1 2 0 0 9

1092.501037.88 54.62

2430.07Fundraiser Venue & Catering

X


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PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







32 / 34

42.00 158.00 200.00

Image# 29934034906

A.

H4-363-4174-e

Darcy Linn

260 Chilpancingo Parkway Apt. 23


Administrative 2009-2010 0 5 2 6 2 0 0 9

100.0021.00 79.00

24291.65Reimbursement:See Memo

X








Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

B.

H4-1446-308-V

City of San Ramon

2228 Camino Ramon


Administrative 2009-2010 0 5 2 6 2 0 0 9

100.0021.00 79.00

24291.65Meeting Facility Deposit

X

[MEMO ITEM]Subitemization of Darcy Linn






Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

C.

H4-889-4180-e

Hall Equities Group

1855 Olympic Boulevard Suite 250


Administrative 2009-2010 0 5 2 9 2 0 0 9

200.0042.00 158.00

24291.65Rent

X

8/14/2019 FEC Filing 6-20-09

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PAGE







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE







33 / 34

147.44 554.65 702.09

Image# 29934034907

A.

H4-103-4168-e

The KAL Group

976 Pacific Avenue

Willows CA 95988-9788

Administrative 2009-2010 0 5 2 9 2 0 0 9

702.09147.44 554.65

24291.65Bookkeeping

X







Category/Type


Transaction ID:

/ /M M DD

Date


Y Y Y Y

+FEDERAL SHARE

3533.84 9306.345772.50

B.

H4-760-4179-e

Marjorie Meredith

241 Shady Glen Road


Administrative 2009-2010 0 5 3 0 2 0 0 9

457.6096.10 361.50

24291.65Fundraiser Beverages

X


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SCHEDULE L (FEC Form 3X)

AGGREGATION PAGE: LEVIN FUNDSTransaction ID:


NAME OF ACCOUNT

COLUMN A COLUMN BTOTAL THIS PERIOD YEAR-TO-DATE

RECEIPTS FROM PERSONS1.

a. Itemized...............................................(Use Schedule L-A)

b. Unitemized..........................................

c. Total....................................................

2. OTHER RECEIPTS........................................

3. TOTAL RECEIPTS.........................................(Add Lines 1c and 2)

4. TRANSFERS TO FEDERAL OR

ALLOCATION ACCOUNT(Use Schedule L-B)

a. Voter Registration.................................

b. Voter ID..............................................

c. GOTV..................................................

d. Generic Campaign...............................

e. Total....................................................

5. OTHER DISBURSEMENTS............................

6. TOTAL DISBURSEMENTS.............................(Add Lines 4e and 5)

BEGINNING CASH ON HAND.........................7.(for Column B, use cash as of January 1st)

RECEIPTS.....................................................8.(from Line 3)

SUBTOTAL...................................................9.(Add Lines 7 and 8)

DISBURSEMENTS.........................................10.(From Line 6)

ENDING CASH ON HAND.............................11.(Subtract Line 10 From Line 9)

34 / 34


Image# 29934034908

Levin-1

Levin

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

-18.97

0.00

-18.97

0.00

-18.97

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

1020.00

1020.00

1001.03

0.00

1001.03

1020.00

-18.97

fec filing 6-20-09

Documents