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    DEC-15-2011 15:11 FromiMPRK SIMMONS 30386559S2 To:lE0EEig0174 P a g e : 1-^6

    FEC FORM 924 HOUR NOTICE OF DISBURSEMENTS/OBLIGATIONS FORELECTIONEERING COMMUNICATIONS1. P e r a o n M a k i n g t h e D i s b u r s e m e n t s / O b l i g a t i o n s

    (a) Name / c r / )(b) Address (number and street) Q check if diflerent than previously rep orte dl lo\ f^t^t^ctj /v^ioia Ai^nL/g KM, So,yg l o o(c) City, State and ZIP Code

    2 . F E C Identi f ication N u m b e r

    (d) Name of Employer or'^Principal Place of Business (e) OccupationhJ/A3 . I s T h i s S t a t e m e n t

    N e w

    A m e n d e d4 . C o v e r i n g P e r i o d through1-214 f-z- ^ / "a

    5 . (a) Date of Public D[stribution(s) 11 ' 2 .1 I C s t I ' Z . o | I i (b) Communicat ion T it le6 . Th e f i le r is a(n ) : (a) Q Individual (b) Q Unincorporated Orga nizat ion (c) [^iOualified Nonprofit Corporation (11 C FR 114.10)

    (d)^ ^ C o r p o r a t i o n , Labor Orga nizat ion or Qual i f ied Nonprofi t C orporat ion making communicat ions unde r 11 C F R 114.15(e) |[^J Othe r, spe cify :

    7 . If t h e f i l e r i s a n i n d i v i d u a l , u n i n c o r p o r a t e d o r g a n i z a t i o n o r q u a l i f i e d nonprofi t c o r p or a t io n , p ' l 0 |w e r e t h e d i s b u r s e m e n t s m a d e e x c l u s i v e l y f rom d o n a t i o n s to a s e g r e g a t e d b a n k a c c o u n t ? -^^Ss.8 . C u s t o d i a n o f R e c o r d s

    (a) Name(b) Address (number and street) ^(c) City. Slate and ZIP Code(d) Name of Employer or Prindpai Place ot Business

    IV M(e) Occupation

    9 . T o t a l D o n a t i o n s T h i s S t a t e m e n t JL 7 1 ^ V 5 1 C 5 ^ 10 . T o t a l D i s b u r s e m e n t s / O b l i g a t i o n s T h i s S t a t e m e n t

    Under penalty of perjury, I certify that this statement is true, correct and complete.TYPE OR PRINT NAME OF PERSON COMPLETING FORM j [ A ^ ^ 1^ * S t v^>v1o ^

    S I G N A T U R E D A T E

    NOTE: Subm ission of falsa, erroneou s or incomplete inlorm aiion may subject the person sign ing tiiis statement to tlie penalties ot 2 U.S.C. 437g.

    FEC FORM 9 (REV. 12/2007)

    DEC-15-2011 17:26 3038655962 3sy. P.01

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    DEC-15-2011 15:12 From:MPRK SIMMONS 3038655962 To:12022190174 Pa9e:2/6

    List of Person(s) Sharing/Exercising Control(use additional page s as necessary) P A G E OFi11. Person(s) Sharing/Exercising Control

    a) Name

    b) Address (number and s l re e t L|IO( reni5uj/>rn>ti.^ Avenwe, KJU/ , Si .Ve. T O Oc) City, state and ZIP Coded) Name of Employer or Principiyer or Principar P l ace of Business (e) Occupation

    a) Nameb) Add ress (number and street) A>>L , S>u4;c) City, State a nd ZIP C ode;d) Name of Employer cr Principal Piace of Business (e) Occupation

    a) Name

    b) Address (number a nd street)||0[ V^^^S^L^KA^IC^ A- e,viut KJ ^ , Sc .T e "7 !30c) City, State and ZIP Code!d) Name of Employer or Pr incipalPrincipal Plac of Business (e) Occupation

    a) Nameb) Address (number and street)

    c) City, State and ZIP Code

    :d) Name of Employer or Principal Place of Business (e) Occupation

    E. a) Nameb) Address (number and street)

    ;c) City, State and ZIP Cod e

    d) Name of Employer or Pr indpa i P lace of Business (e) Occupation

    FE3AN038.PDF FEC FORM 9 (REV. 12/2007)

    DEC-15-2011 17:26 3038655962 96% P. 02

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    DEC-15-2011 15:12 From:MfiRK SIMMONS 3 1 3 3 8 6 5 5 9 6 2 To:12022190174 Pa9e:3/6

    S C H E D U L E 9 - ADonation(s) Received P A G E O F

    A . Ful l Name of Donor3. Tee ^oke^Hs

    Mailing Address of DonorT o ISc.^ ' ^ Z O , 6 0 7 Uv^^r- / 4 > U c ^ t o a j

    City state Zi p

    Date o f Re ce ip t

    Amount

    iiLiiuffiummil . fr>.'"Ti"fiaBafl

    B . Ful l Name of Donor

    Mai l ing Addre ss of Donor

    City State Zip

    Date of Receipt

    C . Ful l Name of Donor

    Mai l ing Ad dre ss of Donor

    City State Zi p

    Date o f Rece ip t

    D. Ful l Nam e of Donor

    Mai l ing Addre ss of Donor

    City Sta te Zi p

    Date o f Rece ip t

    8rriirBrrriw-fl K m r r l h - r B S S s s a i S a a m f iAmount

    E . Ful l Nam e of Donor

    Mai i ing Addre ss of Donor

    City State Zip

    S UBTO TA L of Donations This P a g e (optional)

    TO TA L This Per iod (last page this l ine number only) (carry total from last page to L ine 9)

    FE3AN03S.PDF FEC FORM 9 (REV. 12^007)

    DEC-15-2011 17:27 3038655962 965J P. 03

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    DEC-15-2011 15:13 From:MfiRK SIMMONS 3038655962 To:12022190174 P a 9 e : 4 ' ' 6

    S C H E D U L E 9-BDisbursement(s) Made or Obilgation(s) P A G E O F

    A . Ful l Name (LasL First, Middle Initial) of Payee

    Ma i i ing Address o f Payee

    City State Z ip Code

    Name of EmployerIM . OccupationKJfA

    Date of Disbursement or Obligation"oTTB"

    Communication Date1 " ^ o I I

    Purpose of Disbursement (Including title(s) of communication(s))-rv - Q t ^ ' i l i e . \ r a A ScW i

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    DEC-15-2011 15:14 From:MPRK SIMMONS 3038655962 To:12022190174 P a 9 e : 5 ' ' 6

    Schedule 9-BDisbursem ent(s) Made or Obligation(s) Page 2 of 3

    A. (continued)

    Name of Federal Candidate Office So ug ht : 0 House State:Q Senate District:Gary Johnson [If President

    Disbursement/Obligation For:Pr imary Q GeneralOther (specify)

    Name of Federal Candidate Office So ug htiQ House State: Se nate District:

    Ron PaulDisbursement/Obligation For:

    B^Pr imary Q Genera lOther (specify)

    Name of Federa l CandidateRick Perry

    Office Sought: House State:I Sena te District:j3P''65ident

    Disbursement/Obligation For:CS^Primary Q Genera l

    Other (specify)

    Name of Federal CandidateMitt Romney

    Office So ug ht : p House State:Q Senate District:JjE^President

    Disbursement/Obligation For:tS^u ma ry Genera lOther (specify)

    Name of Federal Candidate Office So ug ht: Q House State:O Senate District:

    R i c k S a n t o r u m { ^ P r e s i d e n tDisbursement/Obligation For:

    l3 [Pr imary O Genera lOther (specify)

    DEC-15-2011 17:28 3038655962 36'4 P. 05

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    DEC-15-2011 15:14 From:MPRK SIMMONS 3038655962 To:12022190174 P a 9 e : 6 ^ 6

    Schedule 9-BDisbursement(s) Made or Obligation(s)

    Page 3 of 3

    B. (continued)

    Name of Fede ral Candidate Office So ug ht: Q House State: Se nate District:Gary Johnson (president

    Disbursement/Obligation For:Pr imary Ge neralOther (specify)

    Name of Federal Candidate Office S ou g ht Q House State:Q Senate District:

    R o n P a u l j g P r e s i d e n t

    Disbursement/Obligation For:ISK^Primary G ene ral

    Other (specify)

    Name of Federal Candidate Office Sou g ht :Q House State:O Senate District:Rick P erry CSlPresident

    Disbursement/Obligation For:ISLPrimary Ge neral

    Other (specify)

    Name of Fede ral Candidate Office So ug ht: Q House State:Q Senate District:Mitt R o m n e y E lP r e sid e nt

    Disbursement/Obligation For:H^^rimary Q Genera lOther (specify)

    Name of Federal Candidate Office So ug ht :Q House State:Q Senate District:

    R i c k S a n t o r u m P r e s i d e n tDisbursement/Obligation For:

    ^ ^P r imary Q Genera lOther (specify)

    T O T A L This Pe riod (last page this line number only): 357,545.00

    DEC-15-2011 17:29 3038655962 965i P. 06

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    Federal Election CommissionENVELOPE RE PLACEME NT PAGE

    FO R INCOMING DOCUMENTSThe FEC added this page to the end of this filing to indicate how it w as rece ived.Hand Delivered Date of R eceipt

    PostmarkedUSPS First Class Mail

    USPS Registered/Certified Postmarked (R /C)

    USPS Priority Mail PostmarkedDelivery Confirmation Label f

    PostmarkedUSPS Express Mail

    Postmark Illegible

    No Postmark

    Overnight Delivery Service (Specify): Shipping Date

    Received from House Records & R eg istration Office Date of R eceipt

    Received from Senate Public Records Office Date of R eceipt

    Received from Electronic Filing Office Date of R eceipt

    Other (Specify): Date of R ece ipt or PostmarkedThe document preceding this page w as received by FAX at the FEC. The receivingFAX machine has printed at the bottom of each page the date and time of receipt, thephone number of the transmittingmachine and the sequential page numbe rs.

    N/APREPARER(5/2004)N/ADATE P RE P A RE D