Report of Receipts and Disbursements for Other than an Authorized

Federal Election Commission (Revised 05/2016) Page 1

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 1 Federal Election Commission (Revised 05/2016)

(Filed by party committees and

political action committees

(PACs))

Use FEC FORM 3X to le your

report. Listed below are the summary

pages and schedules of FEC FORM

3X, with an explanation of what each

discloses.

FEC FORM 3X: Page 1, Report of

Receipts and Disbursements

Identies the committee, the type

of report and the reporting period.

FEC FORM 3X: Page 2, Summary

Page

Identies the committee; discloses

the committee’s total receipts and

disbursements for the reporting period

and the calendar year to date.

FEC FORM 3X: Pages 3 – 5,

Detailed Summary Page

Summarizes receipts and disburse-

ments by type of activity; shows re-

porting period and calendar year to

date totals for each type of activity.

FEC FORM 3X: Schedules

A: Provides detailed information

for each receipt that is required to be

itemized. Use a separate Schedule A

to support each Line number that ap-

pears on the Detailed Summary Page.

B: Provides detailed information

for each disbursement that is required

to be itemized. Use a separate Sched-

ule B to support each Line number

that appears on the Detailed Summary

Page.

C: Shows all loans, endorsements

and loan guarantees the committee

receives or makes.

C-1: Shows all loans and lines of

credit made by lending institutions to

the committee.

D: Shows debts and obligations

owed to or by the committee that are

required to be disclosed.

E: Shows all independent expen-

ditures made during the reporting

period. Schedule may also be used

to separately disclose last-minute in-

dependent expenditures of $1,000 or

more made between the 20th day and

24 hours before the date of an election.

F: Shows all coordinated party

expenditures. (Used by party commit-

tees only.)

H1: Shows method of allocation

for allocated federal and nonfederal

administrative expenses, exempt activ-

ity costs and generic voter drive costs,

allocated federal/Levin fund “federal

election activity” expenses (for State,

district and local party committees

only) and allocated public communi-

cations that refer only to a party (for

PACs only).

H2: Shows allocation ratios for

other allocated federal and nonfederal

activity, including individual fundrais-

ing events and direct candidate sup-

port appearing on the report.

H3: Shows transfers from non-

federal accounts to federal accounts

for the purpose of paying allocable

expenses.

H4: Shows disbursements for allo-

cated federal and nonfederal activity.

H5: Shows transfers of Levin

funds for allocable federal election

activity.

H6: Shows disbursements of fed-

eral and Levin funds for allocable

federal election activity.

L: Aggregation page for showing

receipt and disbursement of Levin

funds.

L-A: Memo schedule for itemizing

receipts of Levin funds.

L-B: Memo schedule for itemizing

disbursements of Levin funds.

Illegible and Non-FEC Forms

Illegible reports and reports sub-

mitted on non-FEC forms are not

acceptable and must be reled.

Electronic Filing

Political committees must le re-

ports in an electronic format under

11 CFR 104.18 if they either receive

contributions or make expenditures

in excess of $50,000 during the cal-

endar year, or if they have reason to

expect that they will exceed either of

those thresholds. If the committee has

reached this level of activity, do not

le this form on paper. Instead, you

must le this form in an electronic

format. See the instructions for more

information on ling electronically.

Computerized Format

FEC FORM 3X may be led by

paper lers in a computerized format,

but the Commission must approve the

computerized format before the report

is led. Submit sample formats to the

Reports Analysis Division.

Faxing Forms

Most reports may not be led by

FAX because original signatures are

required.

Other Forms and Their Uses

The forms listed below are also

available. When ordering, please order

by form number.

FEC FORM 1: Statement of

Organization

Used by all political committees to

FEC FORM 1M: Notication of

Multicandidate Status

Used by PACs and party commit-

tees to notify the Commission of their

status as a multicandidate committee.

FEDERAL ELECTION COMMISSION

Report of Receipts and Disbursements for

Other than an Authorized Committee (FEC FORM 3X)

Page 2 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

FEC FORM 7: Report of

Communications Costs by

Corporations and Membership

Organizations

Used by corporations and labor

organizations to disclose internal par-

tisan communication costs that exceed

$2,000 for an election.

FEC FORM 8: Debt Settlement

Plan

Used by terminating committees to

disclose the terms of debt settlements.

These Forms may be duplicated.

To obtain additional forms,

call the Information Division at

1-800/424-9530 or 202/694-1100

or visit the FEC’s Web site at

www.fec.gov.

Federal Election Commission (Revised 05/2016) Page 3

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 2 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SUMMARY PAGE

(FEC FORM 3X, PAGES 1–2)

Who Must File

Any political committee which is not

an authorized committee is required to

le periodic Reports of Receipts and

Disbursements on FEC FORM 3X.

Note: Political committees must

file reports in an electronic format

under 11 CFR 104.18 if they have

either received contributions or made

expenditures in excess of $50,000, or

if they have reason to expect that they

will exceed either of those thresholds

during the calendar year. If the com-

mittee has reached this level of activity,

DO NOT FILE THIS FORM ON

PAPER. Instead, you must le this

form in an electronic format.

A political committee is considered

to have reason to expect it will exceed

the electronic ling threshold for the

next two calendar years after the cal-

endar year in which it exceeds $50,000

in contributions or expenditures. If it

is a new committee, it is considered to

have reason to expect it will exceed the

electronic ling threshold if it exceeds

$12,500 in contributions or expendi-

tures during the rst calendar quarter

of the calendar year, or $25,000 in

contributions or expenditures in the

rst half of the calendar year.

Contact the FEC for more informa-

tion on ling electronically.

ALL POLITICAL COMMITTEES

AUTHORIZED IN WRITING BY

A CANDIDATE FOR THE OF-

FICE OF PRESIDENT OR VICE

PRESIDENT MUST FILE ON FEC

FORM 3P.

ALL POLITICAL COMMITTEES

AUTHORIZED BY A CANDIDATE

FOR THE HOUSE OF REPRESEN-

TATIVES OR SENATE MUST FILE

ON FEC FORM 3.

When to File

All political committees required to

le on FEC FORM 3X must le either:

election and non-election year reports

as specied in (A) below; or monthly

reports as specied in (B) below.

Note: State, district and local com-

mittees of political parties that are

political committees under the Act

must disclose receipts and disburse-

ments for Federal election activity. If

the committee’s aggregate amount of

such receipts and disbursement is less

than $5,000 in a calendar year, it must

report only receipts and disbursements

of Federal funds for Federal election

activity. If the aggregate amount of

such receipts and disbursements dur-

ing the calendar year equals or exceeds

$5,000, the committee must report all

receipts and disbursements for Federal

election activity. 52 U.S.C. § 30104(e)

(2). The reporting periods for political

party committees disclosing receipts

and disbursements for Federal elec-

tion activity are monthly, except for

pre-general and post-general elec-

tion reports. 52 U.S.C. § 30104(e)(4)

(citing 52 U.S.C. § 30104(a)(4)(B)).

Otherwise, political committees that

are State, district and local committees

of political parties must le quarterly

and pre- and post-election reports in

election years and semi-annual reports

in non-election years for their other

activity. 52 U.S.C. § 30104(a).

(A) Election Year and Non-

Election Year Reports

In any calendar year in which there

is a “regular” November general

election, the following reports are re-

quired:

• Quarterly reports must be led no

later than April 15, July 15, October

15 and January 31 of the following

calendar year. Each such report must

disclose all transactions from the last

report led through the last day of

the calendar quarter. A quarterly

report is not required to be led if a

Pre-Election report is required to be

led during the period beginning on

the 5th day and ending on the 15th

day after the close of the calendar

quarter.

• Pre-Election reports must be led

no later than the 12th day before any

primary or general election in which

the committee supports (i.e., makes

contributions to or expenditures on

behalf of) or opposes a candidate

and must include all transactions

from the closing date of the last re-

port led through the 20th day before

the election. A 12-Day Pre-Election

Report sent by certied or registered

mail must be mailed no later than

the 15th day before the election. A

Pre-Primary election report is not

required where the contribution(s)

or expenditure(s) has been disclosed

on a previous report.

• All committees must le a 30-Day

Post-General Election Report. A 30-

Day Post-General Election Report

must be led no later than 30-Days

after the general election and include

all transactions from the closing date

of the last report led through the

20th day after the general election.

In any other calendar year, the fol-

lowing reports are required:

• A Mid Year Report must be led

no later than July 31 and include

transactions beginning January 1

and ending June 30.

• A Year End Report must be led no

later than January 31 of the following

calendar year and include transac-

tions beginning July 1 and ending

December 31.

(B) Monthly Reports

Monthly reports must be led no

later than 20 days after the last day

of the month and must disclose all

transactions from the last report led

through the last day of the month.

In lieu of the monthly reports due in

November and December for a year in

which there is a “regular” November

general election, a 12-Day Pre-Gener-

al election report must be led includ-

ing all transactions from the closing

date of the last report led through

the 20th day before the election and a

30-Day Post-General election report

must be led including all transac-

tions from the closing date of the

Pre-Election report through the 20th

day after the general election. A Year

End Report must be led no later than

Page 4 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

January 31 of the following calendar

year and include transactions from

the closing date of the Post-General

Election Report through the last day

of the calendar year.

Except for State, district and lo-

cal party committees required to le

monthly under 11 CFR 300.36(c)

(1) (see above) and national party

committees required to le monthly

under 11 CFR 104.5(c)(4), a political

committee may elect to change the

frequency of its reporting from quar-

terly and semi-annually under (A)

to monthly under (B) or vice versa.

A committee may change its filing

frequency only after notifying the

Commission in writing of its intention

at the time it les a required report

under its current ling frequency. The

committee will then be required to le

the next required report under its new

filing frequency. A committee may

change its ling frequency no more

than once per calendar year.

A document is timely led upon

delivery to the appropriate office

(see “Where To File”) by the close

of the prescribed ling date or upon

deposit as registered or certied mail

in an established U.S. Post Ofce and

postmarked no later than midnight of

the day the report is due, except that

Pre-Election Reports so mailed must

be postmarked no later than midnight

of the 15th day before the date of the

election. Reports and statements sent

by rst class mail must be received

by the appropriate ofce by the close

of business of the prescribed ling

date to be timely led. Reports led

electronically are timely led if the

report is received and validated by the

Commission’s computer system on or

before 11:59 p.m. Eastern Standard/

Daylight Savings time on the pre-

scribed ling date.

Where to File

An original and any amendments

to an original report must be led as

follows:

• All committees must le with the

Federal Election Commission, 1050

First Street, N.E., Washington, D.C.

20463. Reports shipped via FedEx,

UPS or DHL should use the ZIP

code 20002.

Political committees filing FEC

FORM 3X must le with the appro-

priate officer in Guam and Puerto

Rico a copy of that portion of the

report applicable to candidates seek-

ing election in those territories (as of

March 2006, those territories had not

qualied for the Commission’s state

ling waiver program).

Report Preparation

• A political committee may use any

recordkeeping or accounting system

which will enable it to comply with

the Act.

• The Commission recommends that

the political committee keep a re-

cordkeeping or accounting system

that keeps a separate accounting

for each of the various categories

of receipts and disbursements on

pages 3, 4 and 5 (Detailed Summary

Page). This separate accounting will

help the political committee ll out

the reporting forms, since separate

reporting schedules are required for

each category.

• The reporting schedules should be

lled out so that totals can be derived

for each category.

• The total gures should be carried

forward to pages 3, 4 and 5 (Detailed

Summary Page) and then (where

appropriate) from the Detailed

Summary Page to page 2 (Summary

Page).

• Pages 3, 4 and 5 (Detailed Summary

Page) should be filled out before

completing page 2 (Summary Page).

Treasurer’s Responsibilities

A copy of this Report must be pre-

served by the treasurer of the political

committee for a period of not less than

three years from the date of ling. The

treasurer of the political committee is

personally responsible for the timely

and complete ling of the report and

the accuracy of any information con-

tained in it.

Line-by-Line Instructions for

Page 2 (Summary Page)

LINE 1. Enter the complete name and

mailing address of your committee.

LINE 2. Enter the FEC Identication

Number assigned to the committee.

LINE 3. If this is an original report,

check the “NEW” box. If this is an

amendment to a previous report, check

the “AMENDED” box.

LINE 4. Check the appropriate box

for “Type of Report”. If the report

is a 12-Day Pre-Election or 30-Day

Post-General election report, supply

the type of election (primary, general,

convention, special or run-off), the date

of the election, and the State in which

the election is held.

LINE 5. Enter the coverage dates for

this report. All activity from the ending

coverage date of the last report led

must be included.

LINE 6(a). Enter the total amount

of cash on hand at the beginning of

the calendar year. The term “cash on

hand” includes: currency; balance on

deposit in banks, savings and loan

institutions, and other depository in-

stitutions; traveler’s checks owned by

the committee; certicates of deposit,

treasury bills and other committee

investments valued at cost.

LINE 6(b). Enter the total amount of

cash on hand at the beginning of the

reporting period.

LINE 6(c). Transfer the amounts from

Column A and Column B of Line 19

to the corresponding Columns on Line

6(c).

LINE 6(d). Add Lines 6(b) and 6(c) to

derive the gure for Column A, and

add Lines 6(a) and 6(c) to derive the

gure for Column B.

LINE 7. Transfer the amounts from

Column A and Column B of Line 31 to

the corresponding Columns on Line 7.

LINE 8. For both Column A and Col-

umn B subtract Line 7 from Line 6(d)

to derive the gure (which should be

the same for both columns) for cash

Federal Election Commission (Revised 05/2016) Page 5

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 4 Federal Election Commission (Revised 05/2016)

on hand at the close of the reporting

period of Line 8.

LINE 9. Transfer the total amount

of debts and obligations owed TO

the committee from Schedule C or D.

LINE 10. Transfer the total amount

of debts and obligations owed BY the

committee from Schedule C or D.

Multicandidate Committee

Status

Check box if the political commit-

tee has qualied as a “multicandidate

committee” and has led FORM 1M.

A committee qualies as a “multican-

didate committee” when it:

(i) has been registered with the Com-

mission for at least six months;

(ii) has received contributions for

federal elections from more than

50 persons; and

(iii) (except for any State political

party organization) has made con-

tributions to ve or more federal

candidates; or satisfies require-

ments (i)-(iii) by afliation with

another committee.

Page 6 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

DETAILED SUMMARY PAGE

(FEC FORM 3X,

PAGES 3, 4 AND 5)

A political committee must report

the total amount of receipts and

disbursements during the reporting

period and during the calendar year

for each category of receipts and

disbursements on FEC FORM 3X.

The committee’s full name and the

coverage dates of the report must be

entered in the appropriate blocks. If

there are no receipts or disbursements

for a particular category for a report-

ing period or calendar year, enter “0”.

To derive the “Calendar Year-to-

Date” gure for each category, the

political committee should add the

“Calendar Year-to-Date” total from

the previous report to the “Total This

Period” from Column A for the cur-

rent report. For the rst report led

for a calendar year, the “Calendar

Year-to-Date” gure is equal to the

“Total This Period” gure.

LINE 11(a)(i). Itemized Contribu-

tions from Individuals/Persons Other

Than Political Committees. Enter

the total amount of contributions

(other than loans) from individuals,

partnerships, and other persons who

are not political committees that are

required to be itemized on Schedule A.

For each such person who has made

one or more contributions during the

calendar year aggregating in excess

of $200, the committee must itemize

on Schedule A and provide the iden-

tication (full name, mailing address,

occupation and name of employer) of

the person, date and amount of each

contribution aggregating in excess of

$200 and the aggregate year-to-date

total.

LINE 11(a)(ii). Unitemized Contribu-

tions from Individuals/Persons Other

Than Political Committees. Enter

the total amount of all contributions

from individuals/persons other than

political committees not required to

be itemized on Schedule A.

LINE 11(a)(iii). Total Contributions

from Individuals/Persons Other Than

Political Committees. Add Lines 11(a)

(i) and 11(a)(ii) to derive the gure for

Column A. For the Column B gure,

see above instructions on how to

calculate the Calendar Year-to-Date

gure.

LINE 11(b). Contributions from Po-

litical Party Committees. For political

committees (other than political party

committees), enter the total amount

of contributions (other than loans)

from political party committees on

Line 11(b). These contributions must

be itemized on Schedule A, regardless

of the amount. For each contribu-

tion, provide the identication (full

name and address) of the committee,

date and amount of the contribution

and the aggregate year-to-date total.

Political party committees should use

Line 12.

LINE 11(c). Contributions from

Other Political Committees (such as

PACs). Enter the total amount of

contributions (other than loans) from

other political committees on Line

11(c). These contributions must be

itemized on Schedule A, regardless of

the amount. For each contribution,

provide the identication (full name

and address) of the committee, date

and amount of the contribution and

the aggregate year-to-date total. Do

not abbreviate committee names.

LINE 11(d). Total Contributions. For

both Column A and Column B add

Lines 11(a)(iii), 11(b) and 11(c) to

derive the gures for Line 11(d).

LINE 12. Transfers from Afliated/

Other Party Committees. Political

party committees must enter the total

amount of transfers from other party

committees on Line 12. All other

political committees must enter the

total amount of transfers from other

afliated committees on Line 12. (See

also 11 CFR 102.5 and 102.6.) Loans

and loan repayments received from

other political party committees or

afliated committees (as appropriate)

must be included on Line 12, and not

on Line 13. These transfers must be

itemized on Schedule A, regardless of

the amount. For each transfer provide

the identication (full name and mail-

ing address) of the committee, date

and amount of the transfer and the

aggregate year-to-date total.

LINE 13. All Loans Received. Enter

the total amount of loans received

(other than loans from affiliated/

other party committees) on Line 13.

All loans received by the committee

must be itemized on Schedule A,

regardless of the amount. For each

loan, provide the identication (full

name, mailing address and, where

applicable, occupation and name of

employer) of the person making the

loan, date and amount of the loan

and the aggregate year-to-date total.

The committee must also provide on

Schedule C the identication of any

endorser or guarantor and the amount

of the endorsement or guarantee. (See

also instructions for Schedule C.)

LINE 14. Loan Repayments Re-

ceived. Enter the total amount of

loan repayments received (other than

loan repayments from afliated/other

party committees) on Line 14. All loan

repayments received by the commit-

tee must be itemized on Schedule A,

regardless of the amount. For each

loan repayment, provide the identi-

cation of the person making the loan

repayment, date and amount of the

loan repayment and the aggregate

year-to-date total.

LINE 15. Offsets to Operating Ex-

penditures. Enter the total amount

of offsets to operating expenditures

(including refunds, rebates, and re-

turns of deposits) on Line 15. For

each person who provides rebates,

refunds and other offsets to operating

expenditures aggregating in excess of

$200 for the calendar year, the com-

mittee must provide on Schedule A the

identication of the person, date and

amount of each receipt aggregating

in excess of $200 and the aggregate

year-to-date total.

Federal Election Commission (Revised 05/2016) Page 7

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 6 Federal Election Commission (Revised 05/2016)

LINE 16. Refunds of Contributions

Made to Federal Candidates and

Other Political Committees. Enter the

total amount of refunds of contribu-

tions made to federal candidates and

other political committees on Line

16. If the original check was passed

through the account of the recipient

committee and a check for the refund

is written on the recipient committee’s

account, the refund must be itemized

as a receipt on Schedule A, regardless

of the amount, and the amount of the

refund must be included in the total

gure for Line 16. For each contri-

bution refund received, provide the

full name and address of the federal

candidate or political committee, date

and amount of the refund and the ag-

gregate year-to-date total. DO NOT

use this Line if the original check is

returned uncashed. The return must

be reported as a negative entry on

Schedule B and subtracted from the

total amount for Line 23.

LINE 17. Other Federal Receipts. En-

ter the total amount of other receipts

(including dividends and interest) on

Line 17. For each person who pro-

vides any dividends, interest or other

receipts aggregating in excess of $200

for the calendar year, the committee

must provide on Schedule A the iden-

tication of the person, the date and

amount of each receipt aggregating

in excess of $200 and the aggregate

year-to-date total

LINE 18(a). Transfers from Nonfed-

eral Account for Allocated Activity.

Enter the total of any transfers from

nonfederal accounts to the federal ac-

count or a separate allocation account

in order to pay for allocated federal/

nonfederal activity. Only committees

with separate federal and nonfederal

accounts who undertake allocated

activity affecting both types of cam-

paigns may make transfers among

these accounts. The total transfers for

this period come from the last page of

Schedule H3 which itemizes any such

transfers made for allocated activity.

See the instructions for Schedule H3

for more information.

LINE 18(b). Transfers from Levin

Funds. Enter the total of any trans-

fers from Levin funds brought to

the federal account or a separate al-

location account in order to pay for

allocated federal/Levin “federal elec-

tion activity.” Only committees with

separate federal and Levin funds who

undertake allocated federal election

activity should report transfers from

Levin funds or accounts. The total

transfers for this period come from

the last page of Schedule H5 which

itemizes any such transfers made for

allocated activity.

LINE 18(c). Total Transfers. For both

Column A and Column B add Lines

18(a) and 18(b) to derive the gures

for Line 18(c).

LINE 19. Total Receipts. For both

Column A and Column B add the

totals on Lines 11(d), 12, 13, 14, 15,

16, 17, and 18(c) to derive the gures

for Line 19.

LINE 20. Total Federal Receipts. This

Line represents the difference between

total receipts reported on Line 19 and

the sum of any transfers into the fed-

eral account by nonfederal account(s)

for allocated activity or from Levin

funds for allocated federal election

activity. The value is equal to Line 19

minus Line 18(c).

LINE 21. Note: Line 21(a) is required

only for those committees undertaking

activity which is allocated among fed-

eral and nonfederal accounts. Com-

mittees with no nonfederal accounts,

or who do not undertake activities

which are allocated among federal

and nonfederal accounts complete

only Lines 21(b) and (c). All operat-

ing expenses for those purely federal

committees must be included on Line

21(b).

Operating Expenditures: Enter the

total amount of operating expendi-

tures and allocated federal/nonfederal

activity on the appropriate Line un-

der Line 21. Examples of operating

expenditures are: travel, rent and

telephones. Committees report only

those operating expenditures paid for

from committee funds.

LINE 21(a). Allocated Federal/Non-

federal Activity. Enter the federal

portion of all operating expenses for

allocated federal and nonfederal activ-

ity on Line 21(a)(i). This is equal to the

federal share value from the bottom

of the last page of Schedule H4 for

this period. These allocated activities

must be itemized on Schedule H4 re-

gardless of amount. Party committees

must also include disbursements for

allocable exempt activity. Line 21(a)

(ii) contains the sum of the nonfederal

share of operating expenses for allo-

cated federal and nonfederal activity.

This value also is brought forward

from the last page of Schedule H4 for

this period. See the instructions for

Schedule H4 for more information.

LINE 21(b). Other Federal Operating

Expenditures. Enter on Line 21(b)

the sum of all other federal operating

expenditures, including those itemized

on Schedule B as well as any unitem-

ized federal operating expenditures.

Separate segregated funds and non-

connected committees must report

disbursements for public communi-

cations and voter drives that refer to

federal candidates (but not nonfederal

candidates), or refer to federal candi-

dates and a party (but not nonfederal

candidates), on Line 21(b) or Line 23,

as appropriate. See the instructions for

Schedule B for more information. For

each person who receives payments for

other federal operating expenditures

aggregating in excess of $200 for the

calendar year, the committee must

provide on Schedule B the full name

and mailing address, date and amount

of the expenditure.

LINE 21(c). Total Operating Expendi-

tures. Enter the total of the amounts

listed on Lines 21(a)(i), 21(a)(ii) and

21(b).

LINE 22. Transfers to Affiliated/

Other Party Committees. Political

party committees must enter the to-

tal amount of transfers to all other

political party committees on Line 22.

Page 8 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

All other political committees must

enter the total amount of transfers to

other afliated committees on Line

22. Loans and loan repayments made

to other political party committees or

afliated committees (as appropriate)

must be included on Line 22, not on

Line 26 or 27. These transfers must be

itemized on Schedule B, regardless of

the amount. For each transfer, provide

the full name and mailing address of

the recipient committee, date, amount

and state that the purpose of the dis-

bursement is a “transfer.”

LINE 23. Contributions to Federal

Candidates/Committees and Other

Political Committees. Enter the total

amount of contributions to federal

candidates and other federally-regis-

tered political committees on Line 23,

including any in-kind contributions

made. These contributions must be

itemized on Schedule B, regardless of

the amount. DO NOT include trans-

fers reported on Line 22 on this Line.

Do not enter contributions made to

nonfederal candidates or committees

on this Line, but on Line 29. For each

contribution to a federal candidate

or political committee, provide the

full name and address of the politi-

cal committee or candidate, date and

amount of the contribution and, in

the case of a candidate or authorized

committee, the ofce sought by the

candidate. (Include State and congres-

sional district, where applicable.)

LINE 24. Independent Expenditures.

Enter the total amount of indepen-

dent expenditures on Line 24. (See

also the instructions for Schedule E.)

LINE 25. Coordinated Party Expendi-

tures. For political party committees,

enter the total amount of coordi-

nated party expenditures made by

the committee pursuant to 52 U.S.C.

§ 30116(d) on Line 25. Note: Political

committees which are not political

party committees may not make co-

ordinated party expenditures pursuant

to the special allowance at 52 U.S.C.

§ 30116(d). (See also the instructions

for Schedule F.)

LINE 26. Loan Repayments Made.

Enter the total amount of loan re-

payments made on Line 26. All loan

repayments made must be itemized on

Schedule B, regardless of the amount.

For each person who receives a loan

repayment, provide the full name,

mailing address, date, amount, and

state that the purpose of the disburse-

ment is a “loan repayment.”

LINE 27. Loans Made. Enter the

total amount of loans made (exclud-

ing transfers reported on Line 22) on

Line 27. For each loan made by the

committee provide the full name and

mailing address of the person, date

and amount of the loan, and state

that the purpose of the disbursement

is a “loan.”

LINE 28(a). Refunds of Contribu-

tions Made to Individuals/Persons

Other Than Political Committees. En-

ter the total amount of contribution

refunds to individuals/persons other

than political committees on Line

28(a). For each person who receives

a refund of a contribution which

was previously itemized on Schedule

A, the committee must provide on

Schedule B the full name, mailing

address, date, amount and state that

the purpose of the disbursement is a

“contribution refund.”

LINE 28(b). Refunds of Contribu-

tions to Political Party Committees.

Enter the total amount of contri-

bution refunds to political party

committees on Line 28(b). All such

refunds must be itemized on Schedule

B, regardless of the amount. For each

contribution refund, provide the full

name, mailing address, date, amount

and state that the purpose of the dis-

bursement is a “contribution refund.”

LINE 28(c). Refunds of Contribu-

tions to Other Political Committees.

Enter the total amount of contribu-

tion refunds to other political commit-

tees on Line 28(c). (See instructions

for Line 28(b) for other reporting

requirements.)

LINE 28(d). Total Contribution Re-

funds. For both Column A and Col-

umn B add the totals on Lines 28(a),

28(b) and 28(c) to derive the gures

for Line 28(d).

LINE 29. Other Disbursements (In-

cluding Non-Federal Donations).

Enter the total amount of other dis-

bursements (including contributions

to nonfederal candidates) on Line 29.

Separate segregated funds and non-

connected committees that use their

federal accounts to pay for any portion

of a public communication or voter

drive that refers to nonfederal candi-

dates (but not federal candidates) or

to nonfederal candidates and a party

(but not federal candidates) must enter

those disbursements on Line 29. See

the instructions for Schedule B for

more information. For each such per-

son who receives any disbursement(s)

not otherwise disclosed where the ag-

gregate amount or value is in excess

of $200, the committee must provide

the full name and address of each

such person, together with the date,

amount and purpose of any such

disbursement.

LINE 30. Federal Election Activity.

Only State, district and local party

committees making disbursements for

federal election activities as dened

by 52 U.S.C. § 30101(20) and 11 CFR

100.24 must enter gures on Line 30.

See the instructions for Schedules B,

H1, H5 and H6 for more informa-

tion. Break out such disbursements

as follows:

LINE 30(a). Allocated Federal Elec-

tion Activity. Enter the total amount

of the federal portion of all such

disbursements for allocable federal

election activity on Line 30(a)(i). This

is equal to the federal share value

from the bottom of the last page of

Schedule H6 for this period. All such

disbursements must be itemized re-

gardless of amount on Schedule H6.

Enter the total amount of the Levin

share of disbursements for allocable

federal election activity on Line 30(a)

(ii). (See also the instructions for

Federal Election Commission (Revised 05/2016) Page 9

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 8 Federal Election Commission (Revised 05/2016)

Schedules H1, H5 and H6 for deni-

tions of “allocable federal election

activity” and more information.) Note

that if the federal election activity is

not allocable under 11 CFR 300.33,

or if the party committee chooses

to pay for allocable federal election

activity completely from its federal

account, those payments must instead

be reported on Line 30(b) below and

itemized as required on Schedule B.)

LINE 30(b). Federal Election Activ-

ity Paid Entirely With Federal Funds.

Enter the total amount of all disburse-

ments made for public communica-

tions that qualify as federal election

activity under 11 CFR 100.24(b)(3)

and the total amount of all disburse-

ments made to pay the salary of any

employee of a State, district or local

party committee who spends over

25% of his or her compensated time

in a given month on federal election

activities or on activities in connection

with a federal election. See 11 CFR

100.24(b)(4). Itemize all such disburse-

ments of $200 or more on Schedule B

for Line 30(b). (See also the instruc-

tions for Schedule B.)

LINE 30(c). Total Federal Election

Activity. For Column A and Column

B, add the totals on Lines 30(a)(i),

30(a)(ii) and 30(b) to derive the gures

for Line 30(c).

LINE 31. Total Disbursements. For

Column A and Column B add the

totals on Lines 21(c), 22, 23, 24, 25,

26, 27, 28(d), 29 and 30(c) to derive

the gures for Line 31.

LINE 32. Total Federal Disburse-

ments. Subtract from Line 31 (total

disbursements) the total nonfederal

share of disbursements from Line

21(a)(ii) and the total Levin share of

disbursements from Line 30(a)(ii).

LINES 33-38. Enter the gures re-

quested and complete the calculations

as noted.

Page 10 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

SCHEDULE A, ITEMIZED

RECEIPTS (FEC FORM 3X)

The Detailed Summary Page is

broken down into various categories

of receipts. Use Schedule A to list each

receipt required to be itemized. DO

NOT combine more than one category

of receipts on the same Schedule A.

Instead, use a separate Schedule A

for each category of receipts. The

Line number of the Detailed Sum-

mary Page to which each Schedule

A pertains should be identied in the

upper right corner of each Schedule.

In addition, the committee’s full name

must be entered in the appropriate

block. For each receipt required to be

itemized during the reporting period,

the political committee must provide

the identication, date and amount of

the receipt, and the aggregate year-to-

date total. If disclosing a contribution

from a federal political committee,

enter the FEC identication number

of the committee making the contri-

bution. (This number is readily avail-

able from the Commission’s Web site

or its Public Records Ofce.)

The term “identication” means, in

the case of an individual, his or her full

name, including: rst name, middle

name or initial, if available, and last

name; mailing address; occupation;

and the name of his or her employer;

and, in the case of any other person

or organization, the full name and

address. Do not abbreviate commit-

tee names.

The occupation and name of em-

ployer is only required to be provided

for receipts from individuals. “Occu-

pation” means the principal job title or

position of an individual and whether

or not self-employed. “Employer”

means the organization or person by

whom an individual is employed, and

not the name of his or her supervisor.

The “receipt for” block does not ap-

ply to contributions received by politi-

cal committees. Only use these blocks

for receipts relating to refunds or loan

repayments received from federal can-

didates. Check the ‘Memo Item’ box

for informational entries that are not

counted in the committee’s cash on

hand (e.g., contributor attribution,

conduit information, ultimate payee,

etc.) The “aggregate year-to-date”

total must be given for each receipt

and must equal the total amount that

the person has given to the committee

for that particular category of receipts

for the calendar year. If a receipt is the

only receipt from a person during the

calendar year, the aggregate year-to-

date total must still be entered.

Add the “Total This Period”

amount (the last Line on Schedule

A) to all other receipts for that cat-

egory which are not itemized and

carry it forward to Column A of the

corresponding Line of the Detailed

Summary Page.

If a contribution is received from a

business entity or is drawn on what is

or appears to be a business account,

the political committee must deter-

mine that the contribution is not from

a corporation, government contractor,

or other prohibited source. If the con-

tribution is from a prohibited source,

the committee must refund it within

thirty days of its receipt.

A contribution that appears to be

excessive, either on its face or when

aggregated with other contributions

from the same person, may be reat-

tributed, if either is applicable, or it

may be returned or deposited into a

committee depository but not used.

If deposited, the contributor may

be asked if a joint contribution was

intended and, if so, to submit a writ-

ten reattribution of the contribution

signed by each contributor. Alter-

natively, contributions may also be

presumptively reattributed to a joint

contributor whose name also appears

imprinted on the contribution check

if the reattribution will not cause the

contributor to exceed any contribution

limits. If the committee presumptively

reattributes the excessive contribution,

the committee must notify the con-

tributor of its action, and offer the op-

portunity to request a refund, within

sixty days of its receipt of the original

contribution. Written reattributions

are to be reported as memo entries on

the report covering the period in which

the committee receives the reattribu-

tions. Indicate how the contribution(s)

was reported initially, followed by the

reattributed entry(ies). Presumptive

reattributions must also be noted as

such. See 11 CFR 110.1(k)(3)(ii)(B)

for presumptive reattributions, and 11

CFR 104.8 and the Campaign Guide

for the reporting of these types of

contributions.

Contributions In-Kind. Contribu-

tions in-kind (i.e., goods and services

provided to a political committee) are

treated as any other contribution and

must be reported and itemized under

the appropriate category of receipts.

For example, itemize a contribution

in-kind from an individual on Sched-

ule A and report it under the category

for “Contributions From Individuals/

Persons Other Than Political Com-

mittees.” Enter the value of each

contribution in-kind in the “Amount

of Each Receipt This Period” column.

The amount or value of the contribu-

tion in-kind is the difference between

the usual and normal charge for the

goods or services at the time of the

contribution and the amount charged

the political committee. The “aggre-

gate year-to-date” total must include

the total amount of all contributions

which the person has contributed to

the committee during the calendar

year. The item must be labeled “contri-

bution in-kind” and include the nature

of the contribution (e.g., consulting,

polling, etc.). Each contribution in-

kind must also be reported in the same

manner as an operating expense on

Schedule B and included in the total

for “Operating Expenditures.” (Note:

A political committee that makes a

contribution in-kind only reports it as

a disbursement and itemizes the trans-

action on Schedule B with a notation

“contribution in-kind.” The itemiza-

tion must include the purpose of the

expenditure (e.g., consulting, polling,

etc.) and the aggregated year-to-date

amount. The committee receiving the

Federal Election Commission (Revised 05/2016) Page 11

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 10 Federal Election Commission (Revised 05/2016)

contribution in-kind must report it as

both a receipt and an expenditure.)

Report contributions of stocks,

bonds, art objects, and other similar

items to be liquidated as follows:

(1) If the item has not been liquidated

at the close of the reporting pe-

riod, the committee must record

as a memo entry (not as cash) on

Schedule A the item’s fair market

value on the date received, includ-

ing the name and mailing address

(and when in excess of $200, the

occupation and name of the em-

ployer) of the contributor. Enter

the total amount of items to be

liquidated under “Total This Pe-

riod” on the last Line of Schedule

A. This amount must NOT be

carried forward to the Detailed

Summary Page.

(2) When the item is sold, the commit-

tee must report the proceeds and

include them in the appropriate

categories on the Detailed Sum-

mary Page. It must also report the

(i) name and mailing address (and,

where in excess of $200, the oc-

cupation and name of employer)

of the purchaser on Schedule A, if

purchased directly from the com-

mittee (the purchaser is considered

to have made a contribution to the

committee); and (ii) the identica-

tion of the original contributor on

Schedule A.

Exempt Legal or Accounting Ser-

vices. Legal or accounting services

rendered to or on behalf of any politi-

cal committee are not contributions or

expenditures and are not, therefore,

subject to the contribution limitations

and prohibitions, if the person paying

for the services is the regular employer

of the individual rendering the ser-

vices and if the services are solely to

ensure compliance with the Act.

The political committee must item-

ize as a memo entry on a separate

Schedule A each person who provides

legal or accounting services to the po-

litical committee in an aggregate value

or amount in excess of $200 within

the calendar year, together with the

date of receipt and amount or value

of the exempt legal or accounting ser-

vices, and state that the receipt is for

“exempt legal or accounting service.”

Enter the total amount of exempt le-

gal or accounting services on the Line

for “Total This Period” on the bottom

of Schedule A, but do not carry it for-

ward to any category or Line number

on the Detailed Summary Page.

Earmarked Contributions. For each

earmarked contribution received (re-

gardless of the amount), the political

committee must report on Schedule A

the name and address of the original

contributor, the date of receipt, the

amount of the contribution and, if the

original contributor makes contribu-

tions aggregating in excess of $200 to

the political committee during the cal-

endar year, the occupation and name

of employer. If the contribution pass-

es through the political committee’s

account and is forwarded to another

political committee or federal candi-

date, the conduit committee must dis-

close each contribution, regardless of

the amount, on both Schedule A and

Schedule B and include the amount

under the appropriate category of

receipts and disbursements. If the con-

tribution was passed on in the form of

the contributor’s check, the conduit

must disclose each contribution on a

separate Schedule A attached to the

conduit’s (intermediary) next report.

The amounts of such contributions

are not required to be included in the

totals for the appropriate categories of

receipts and disbursements. If a politi-

cal committee is not a conduit, but is

the intended recipient, report each

conduit through which the earmarked

contribution passed, including the

name and address of the conduit, and

whether the contribution was passed

on in cash, by the contributor’s check,

or by the conduit’s check. If the con-

duit exercises direction and control

over the contribution, the earmarked

contribution must also be attributed

to the contribution limitations of the

conduit.

Checks Returned Due to Insufcient

Funds. If a contributor’s check is re-

turned to the political committee due

to insufcient funds and the receipt of

the check was previously reported, the

political committee must report the

return under the appropriate category

of receipts as a negative entry and net

out the amount of the check from the

total for that category. If the original

receipt of the check was itemized on

Schedule A, the return of the check

must also be itemized as a negative

entry on Schedule A. If the receipt of

the check was never reported, do not

report the return of the check.

Check Refunded to the Committee.

A contribution may be refunded to the

committee in one of two ways:

(1) The original check is returned

uncashed. If the contribution

was reported, report the return

as a negative entry on Schedule

B, and subtract the amount of

the contribution refund from the

disbursement totals on the Line of

the Detailed Summary Page that

it was reported on.

(2) The original check is not returned

and the refund is made by a check

from the recipient of the contribu-

tion. Such a transaction should be

reported as a receipt on Schedule

A for the appropriate Line of the

Detailed Summary Page. This

procedure is applicable regardless

of whether the amount refunded

is a full or only a partial refund

of the contribution or whether

the contribution was previously

reported.

Best Efforts. When the treasurer

of a political committee shows that

best efforts have been used to obtain,

maintain and submit the information

required, the committee shall be con-

sidered in compliance with the Act.

With regard to reporting the

identication of each person whose

contribution(s) to the committee and

its affiliated committees aggregate

in excess of $200 in a calendar year,

the treasurer will only be deemed to

Page 12 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

have exercised best efforts to obtain,

maintain and report the required in-

formation if all written solicitations

for contributions include a clear re-

quest for the information (i.e., name,

mailing address, occupation, name

of employer) and include an accurate

statement of federal law regarding the

collection and reporting of individual

contributor identications. In addi-

tion, for each contribution requiring

itemization which lacks contributor

information, the treasurer must,

within 30-Days of receipt of the con-

tribution, make one effort to obtain

the missing information. See 11 CFR

104.7 and the Campaign Guide for

more information.

Federal Election Commission (Revised 05/2016) Page 13

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 12 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE B, ITEMIZED

DISBURSEMENTS

(FEC FORM 3X)

The Detailed Summary Page is

broken down into various categories

of disbursements. Use Schedule B to

list each disbursement required to be

itemized. DO NOT combine more

than one category of disbursements

on the same Schedule B. Instead, use a

separate Schedule B for each category

of disbursements. The Line number of

the Detailed Summary Page to which

each Schedule B pertains must be

identied in the upper right corner of

each Schedule. In addition, the com-

mittee’s full name must be entered in

the appropriate block. After itemizing

the required disbursements for each

separate line number, add the “Total

This Period” amount (the last line

on Schedule B for that Line number)

to all other disbursements for that

category which are not itemized and

carry the total forward to Column

A of the corresponding Line of the

Detailed Summary Page.

Required Information. For each

disbursement required to be itemized

during the reporting period, the po-

litical committee must provide the full

name, mailing address, date, amount,

and purpose of the disbursement.

Purpose of Disbursement. The term

“purpose” means a brief statement or

description of why the disbursement

was made. Examples of adequate de-

scriptions include the following: din-

ner expenses, media, salary, polling,

travel, party fees, phone banks, travel

expenses and catering costs. However,

statements or descriptions such as

“advance,” “election day expenses,”

“other expenses,” “expense reimburse-

ment,” “miscellaneous,” “outside ser-

vices,” “get-out-the-vote,” and “voter

registration,” would not meet the

requirement for reporting the purpose

of an expenditure. If the disbursement

is a “loan repayment,” “contribution

refund,” or other similar category of

disbursement (other than an operating

expenditure), the name of the category

of disbursement (i.e., “loan repay-

ment,” etc.) is sufcient to meet the

requirement for reporting the purpose

of an expenditure.

Check the ‘Memo’ box for infor-

mational entries that do not affect the

committee’s cash on hand (e.g., con-

tributor attribution, conduit informa-

tion, ultimate payee information, etc.)

Along with reporting the purpose

of the expenditure as required above,

the committee should also broadly

characterize disbursements by provid-

ing the code for each category of dis-

bursement. Examples of the types of

disbursements that fall within each of

the broad categories are listed below.

Use only one code for each itemized

disbursement. In cases where the dis-

bursement was for several purposes,

the political committee should assign

one code according to the primary

purpose of the disbursement. Note

that some of the category titles are

not acceptable as the “purpose” of the

disbursement and that the categories

are not intended to replace or to serve

as a substitute for the “purpose of

disbursement.”

001 Administrative/Salary/Overhead

Expenses (e.g., rent, staff salaries,

postage, office supplies, equip-

ment, furniture, ballot access fees,

petition drives, party fees and legal

and accounting expenses)

002 Travel Expenses—including travel

reimbursement expenses (e.g.,

costs of commercial carrier tick-

ets; reimbursements for use of pri-

vate vehicles; advance payments

for use of corporate aircraft; lodg-

ing and meal expenses incurred

during travel)

003 Solicitation and Fundraising

Expenses (e.g., costs for direct

mail solicitations and fundraising

events including printing, mailing

lists, consultant fees, call lists, in-

vitations, catering costs and room

rental)

004 Advertising Expenses—including

general public political advertising

(e.g., purchases of radio/television

broadcast/cable time, print adver-

tisements and related production

costs)

005 Polling Expenses

006 Campaign Materials (e.g., but-

tons, bumper stickers, brochures,

mass mailings, pens, posters and

balloons)

007 Campaign Event Expenses (e.g.,

costs associated with candidate

appearances, campaign rallies,

town meetings, phone banks,

including catering costs, door to

door get-out-the-vote efforts and

driving voters to the polls)

008 Transfers (e.g., to other afliated/

party committees)

009 Loans (e.g., loans made or repay-

ments of loans received)

010 Refunds of Contributions (e.g.,

contribution refunds to individu-

als/persons, political party com-

mittees or other political commit-

tees)

011 Political Contributions (e.g.,

contributions to other federal

committees and candidates, and

donations to nonfederal candi-

dates and committees)

012 Donations (e.g., donations to

charitable or civic organizations)

Contributions to Federal Candi-

dates. For disbursements that are

contributions to federal candidates,

or authorized committees, list, in the

appropriate boxes, the name of the

candidate and ofce sought (including

State and congressional district, where

applicable). If disclosing a contribu-

tion to a federal political committee,

enter the FEC identication number

of the committee receiving the contri-

bution. (This number is readily avail-

able from the Commission’s Website.)

For each contribution to a federal

candidate or authorized committee,

indicate in the election check-off box

the election for which the contribu-

tion was made. Contributions to a

candidate or authorized committee

that are not designated by the con-

tributor for a specic election must

be counted toward the contributor’s

Page 14 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

limitation for the next election after

the contribution is made. Contribu-

tions may be made for a past election

only to the extent that the recipient

has net debts outstanding from that

particular election. In the event the

contribution was made for an election

prior to the current election cycle, the

“Other” box must be checked and the

type of election specied (e.g., “Gen-

eral 2016,” “Primary 2016”) and debt

retirement (if applicable). The election

check-off boxes provided for each

itemized entry on Schedule B should

not be used when itemizing operating

expenditures. For in-kind contribu-

tions, including coordinated public

communications, note “in-kind.”

Contributions In-Kind Received

Contributions in-kind received by

the committee which are itemized on

Schedule A must also be itemized as

an operating expenditure on Schedule

B. In addition, in the “Purpose of

Disbursement” box include the nota-

tion “Contribution In-Kind,” and

the nature of the expenditure (e.g.,

consulting, polling, etc.).

Disbursements for Federal

Election Activities That Are

Made Entirely With Federal

Funds (State, District and Local

Party Committees Only)

Certain federal election activities

under 52 U.S.C. § 30101(20)(A)(iii)

and (iv) conducted by State, district

or local party committees must be

paid for with federal funds only. These

activities are:

• Disbursements for public com-

munications that refer to a clearly

identied candidate for federal ofce

and that promote, support, attack

or oppose any candidate for federal

ofce. Identify the candidate sup-

ported or opposed when itemizing

such disbursements.

• Disbursements for the salary of any

employee who spends more than 25

percent of his or her compensated

time in a given month on activities

in connection with a federal election.

Disbursements for other federal

election activities may be allocated

between federal funds and Levin

funds. 52 U.S.C. § 30101(20)(A)(i) and

(ii). State, district or local party com-

mittees must itemize such allocated

disbursements for federal election

activity on Schedules H5 and H6; for

more information and denitions of

“allocable federal election activity,”

see the instructions for Schedule H1,

H5 and H6. However, a State, district

or local political party committee

may choose to pay for such allocable

federal election activities with 100%

federal funds (that is, they may choose

not to allocate the disbursements even

though they could do so).

Use Schedule B to report disburse-

ments of federal funds for federal

election activities made entirely with

federal funds. This includes disburse-

ments for federal election activities

that may not be allocated, and those

that may be allocated, but which are

not in fact allocated (i.e., that are made

with 100% federal funds). Itemize

such disbursements of $200 or more

on Schedule B for Line 30(b). When

itemizing disbursements for public

communications, identify the candi-

date supported or opposed.

Disbursements for Public

Communications and Voter

Drives (Separate Segregated

Funds and Nonconnected

Committees Only)

Public Communication/Voter Drive

– Federal. A separate segregated fund

or nonconnected committee that dis-

burses funds for a public communica-

tion or a voter drive that refers only

to a federal candidate, or to both a

political party and a federal candidate

(but not a nonfederal candidate) must

pay for such disbursements solely out

of its federal account. Voter drives

are subject to this requirement only

if there is a reference to a clearly

identied federal candidate in printed

materials, scripted messages or written

instructions. Itemize such disburse-

ments as “Other Federal Operating

Expenditures” on Schedule B for Line

21b. The committee may identify the

federal candidate referred to in the

communication or voter drive in the

space provided. (Exceptions: (1) If

the communication or voter drive has

been coordinated with a candidate or

political party, the committee must

report the disbursement as an in-kind

contribution on Schedule B for Line

23 regardless of amount. See “Con-

tributions to Federal Candidates”

above for more information. (2) If

the communication would otherwise

satisfy the denition of an “election-

eering communication” under 11 CFR

100.29(a), the committee must report

it as an expenditure on Line 21b or 23,

and itemize it on a Schedule B for that

Line, as appropriate.)

Public Communications/Voter

Drives – Nonfederal. A separate

segregated fund or nonconnected

committee that pays for a public com-

munication or a voter drive that refers

only to a nonfederal candidate, or to

both a political party and a nonfederal

candidate (but not a federal candidate)

may pay for such a disbursement solely

out of its nonfederal account. Voter

drives are subject to this requirement

only if there is a reference to a clearly

identified nonfederal candidate in

printed materials, scripted messages

or written instructions. If it chooses

to use its federal account to pay for a

portion of the expense, categorize the

disbursement by the federal account as

an “other disbursement” on Line 29

and itemize on a Schedule B for Line

29 if necessary.

Public Communications/Voter

Drives Referencing Party Only or

Both Federal/Nonfederal Candidates.

If a separate segregated fund or

nonconencted committee chooses

to allocate disbursements for public

communications or voter drives that

refer to both federal and nonfederal

candidates, regardless of any refer-

ence to a political party, the federal/

nonfederal disbursements must be

reported accordingly as allocated

Federal Election Commission (Revised 05/2016) Page 15

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 14 Federal Election Commission (Revised 05/2016)

expenditures. For more information,

see the instructions for Schedules

H1, H2 and H4. Alternatively, if the

committee pays for such expenditures

solely with federal funds, or if it does

not have a nonfederal account, item-

ize the disbursements according to

the instructions for itemizing “Public

Communication/Voter Drive – Fed-

eral,” above.

Page 16 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

SCHEDULE C, LOANS

(FEC FORM 3X)

A loan is a contribution at the

time it is made and is a contribution

to the extent it remains unpaid. A

LOAN WHICH EXCEEDS THE

CONTRIBUTION LIMITATIONS

IS UNLAWFUL WHETHER OR

NOT IT IS REPAID. The aggregate

amount loaned to a candidate or com-

mittee by another individual or politi-

cal committee, when added to other

contributions from that individual or

political committee to that candidate

or committee, shall not exceed the

contribution limitations. A loan, to

the extent it is repaid, is no longer a

contribution. All loans to a political

committee (regardless of amount)

must be disclosed on the rst report

led with the Commission after the

date the loan is made.

When lling out Schedule C, the

committee must enter its full name in

the box at the top of the page.

DO NOT combine loans owed TO

the committee with those owed BY

the committee on the same Schedule

C. Instead, use a separate Schedule C.

Each loan should be reported sepa-

rately until extinguished.

Loans Owed By the Committee

When a loan is received by the

committee, it must be itemized on

Schedule A and must also be disclosed

on Schedule C (see also instructions

for Schedule A for itemizing loans

received by the committee). For each

loan owed BY the reporting commit-

tee at the close of the reporting period,

the committee must report certain

basic information on Schedule C in

the appropriate boxes: (1) full name,

mailing address and zip code of the

creditor; (2) if the committee is an

authorized committee, the election to

which the loan applies (i.e., primary,

general or other); (3) the original

amount of the loan; (4) the cumulative

payment to date on the loan; and (5)

the outstanding balance at the close of

the reporting period (i.e., the remain-

ing unpaid portion of the loan).

Certain additional information

must be entered on Schedule C in the

box entitled TERMS: (1) if an inter-

mediary is reported as the source of

the loan, the original source of the

loan (which must be disclosed in the

rst box for endorsers and guarantors

with a notation that the person iden-

tied is the original source); (2) the

date the obligation was incurred; (3)

the date the loan is due or the amor-

tization schedule (if there is no due

date or amortization schedule, enter

“None” on the appropriate Line); (4)

the actual rate of interest charged on

each loan (if the loan does not bear

an interest rate, enter “0” on the ap-

propriate Line); and (5) check the box

if the loan has been secured.

In instances where the loan has

endorsers or guarantors, the follow-

ing information must be supplied: (1)

the identication of each endorser or

guarantor, and (2) the amount of the

endorsement or guarantee outstand-

ing at the close of the reporting period.

The term “identication” means (a) in

the case of an individual, his or her full

name, mailing address, occupation,

and name of employer; and (b) in the

case of any other person, the person’s

full name and address.

Loans owed BY the committee

must continue to be reported on each

subsequent report until repaid. When

a payment is made to reduce or extin-

guish the amount of a loan owed BY

the committee, the payment must be

itemized on Schedule B, reported on

the appropriate Line of the Detailed

Summary Page, and included in the

“Cumulative Payment to Date” col-

umn on Schedule C. If any extension

for repayment is granted, this should

be reported on the rst report after the

extension is made.

If a loan is settled for less than the

reported amount, the reporting com-

mittee must include a statement as to

the circumstances and conditions un-

der which the debt or obligation was

extinguished and the amount paid. A

loan owed BY a political committee

which is forgiven or settled for less

than the amount owed is a contribu-

tion. The total amount of loans owed

BY the committee at the close of the

reporting period must be entered on

the Line for “Total This Period” on

the bottom of the last page and trans-

ferred to Line 3 of the last page of

Schedule D. If no debts or obligations

are reported on Schedule D, carry the

outstanding balance forward to the

Summary Page.

Loans Owed To the Committee

When a loan is made by the com-

mittee, it must be itemized on Sched-

ule B and must also be disclosed on

Schedule C (see also instructions for

Schedule B for itemizing loans made

by the committee). For each loan owed

TO the committee at the close of the

reporting period, the committee must

report certain basic information on

Schedule C in the appropriate boxes:

(1) the full name, mailing address and

zip code of each debtor; (2) if the loan

was made by a political committee

other than an authorized committee

and was made to a federal candidate

or authorized committee, the election

to which the loan applies (i.e., primary,

general or other); (3) the original

amount of the loan; (4) the cumulative

payment to date on the loan; and (5)

the outstanding balance at the close of

the reporting period (i.e., the remain-

ing unpaid portion of the loan).

Certain additional information

must be entered on Schedule C in the

box entitled TERMS: (1) the date the

obligation was incurred; (2) the date

the loan is due or the amortization

schedule (if there is no due date or

amortization schedule, enter “None”

on the appropriate Line; (3) the actual

rate of interest charged on the loan

(if the loan does not bear an inter-

est rate, enter “0” on the appropriate

Line); and (4) check the box if the

loan has been secured. Loans owed

TO the committee must continue

to be reported on each subsequent

report until repaid. When a payment

is received to reduce or extinguish a

loan owed TO the committee, the pay-

Federal Election Commission (Revised 05/2016) Page 17

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 16 Federal Election Commission (Revised 05/2016)

ment must be itemized on Schedule

A, reported on the appropriate Line

of the Detailed Summary Page, and

included in the “Cumulative Payment

to Date” column on Schedule C. If any

extension of repayment is granted or

made, this should be reported on the

rst report after the extension is made.

The total amount of loans owed

TO the committee at the close of the

reporting period must be entered on

the Line for “Total This Period” on

the bottom of the last page and trans-

ferred to Line 3 of the last page of

Schedule D. If no debts or obligations

are reported on Schedule D, carry the

outstanding balance forward to the

Summary Page.

Miscellaneous

Loans by Financial Institutions.

A loan of money by a State bank, a

federally chartered depository institu-

tion (including a national bank) or a

depository institution whose deposits

and accounts are insured by the Fed-

eral Deposit Insurance Corporation

or the National Credit Union Admin-

istration is not a contribution by the

lending institution if the loan is made

in accordance with applicable bank-

ing laws and regulations and is made

in the ordinary course of business.

A loan will be deemed to be made in

the ordinary course of business if it:

bears the usual and customary inter-

est rate of the lending institution for

the category of loan involved; is made

on a basis that assures repayment; is

evidenced by a written instrument;

and is subject to a due date or an

amortization schedule.

Loans by Political Committees. If a

political committee makes a loan TO

any person, the loan shall be subject

to the contribution limitations. Re-

payment to the political committee

of the principal amount of the loan

is not a contribution by the debtor to

the lender committee. The repayment

must be made with funds which are

permissible under the Act. The pay-

ment of interest to the committee by

the debtor is a contribution only to the

extent that the interest paid exceeds a

commercially reasonable rate prevail-

ing at the time the loan is made. All

payments of interest must be made

from funds which are permissible

under the Act.

Endorsers and Guarantors. A loan

is a contribution by each endorser or

guarantor. Each endorser or guaran-

tor shall be deemed to have contribut-

ed that portion of the total amount of

the loan for which he or she agreed to

be liable in a written agreement. Any

reduction in the unpaid balance of the

loan shall reduce proportionately the

amount endorsed or guaranteed by

each endorser or guarantor in such

written agreement. In the event that

such agreement does not stipulate

the portion of the loan for which

each endorser or guarantor is liable,

the loan shall be considered a loan

by each endorser or guarantor in the

same proportion to the unpaid bal-

ance that each endorser or guarantor

bears to the total number of endorsers

or guarantors.

Loan Repayments. Each commit-

tee must disclose all loan payments

received or made by the committee.

When a loan repayment is received by

a committee, the repayment must be

itemized on Schedule A and included

in the “Cumulative Payment to Date”

column on Schedule C. When a loan

repayment is made by a committee, the

repayment must be itemized on Sched-

ule B and included in the “Cumulative

Payment to Date” column on Schedule

C. Disclose the total amount of loan

repayments received and the total

amount of loan repayments made on

the appropriate Lines of the Detailed

Summary Page.

Page 18 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

SCHEDULE C-1, LOANS AND

LINES OF CREDIT FROM

LENDING INSTITUTIONS

(FEC FORM 3X)

Background: FEC Regulations

on Loans from Lending

Institutions

Schedule C-1 seeks information

on loans—including lines of credit—

from lending institutions such as state

or federally chartered banks, federally

insured savings and loan associations

or federally insured credit unions. The

purpose of Schedule C-1 is to verify

that a loan or line of credit does not re-

sult in a prohibited contribution from

the lending institution, a violation of

the federal campaign nance law.

Under FEC regulations at 11 CFR

100.82 and 100.142, a loan “made in

accordance with applicable banking

laws” and “in the ordinary course of

business” is not considered a contri-

bution if certain conditions are met.

One of these conditions is that the

loan “is made on a basis which assures

repayment.” Schedule C-1 documents

whether or not the loan complies with

these requirements.

Who Must File Schedule C-1

A political committee that obtains

a loan or line of credit from a bank

or other lending institution must le

Schedule C-1.

When to File Schedule C-1

A Schedule C-1 must be led for

each loan and each line of credit ob-

tained from a lending institution. 11

CFR 104.3(d)(1).

Loans. A committee must file a

Schedule C-1 with its next report when

it rst obtains a loan and in succeeding

reporting periods each time the terms

of the loan are restructured. 11 CFR

104.3(d)(1) and (3). (A restructured

loan is considered a new loan.)

Lines of Credit. A committee must

le a Schedule C-1 with its next report

when a line of credit is established and

in succeeding reporting periods each

time any draws are made on the line

of credit and each time the line of

credit is restructured to change the

repayment terms. 11 CFR 104.3(d)

(1) and (3).

Reporting Loans and Lines of

Credit on Schedules A and C

Schedule A. When a committee ob-

tains a loan, the committee must item-

ize the receipt on a Schedule A for the

appropriate Line number. However, a

line of credit is itemized on Schedule

A only when the committee obtains

funds by making a draw on the credit.

Schedule C. As with all loans, loans

from lending institutions (including

lines of credit) must be continuously

disclosed on Schedule C, starting with

the rst report due after the committee

obtains the loan and continuing with

each report thereafter until the loan

is repaid.

Line-by-Line Instructions

Schedule C Cross-Reference. Enter

the Schedule C page number where

information on the loan or line of

credit appears.

Name of Committee Obtaining

Loan. Enter the full name of the re-

porting committee.

Identication Number. Enter the

reporting committee’s FEC identica-

tion number. If the committee is newly

registered and has not yet obtained a

number, enter “not yet assigned.”

Name/Address of Lender. Enter the

full name, address and zip code of the

lending institution.

Loan Amount. Enter the amount of

the loan or line of credit. If reporting

a restructured loan or line of credit,

enter the amount under the new terms.

11 CFR 104.3(d)(1)(i) and (3).

Interest Rate. Enter the annual

percentage rate (APR) of interest on

the loan or each draw on the line of

credit. If reporting a restructured loan

or line of credit, enter the interest rate

under the new terms. 11 CFR 104.3(d)

(1)(ii) and (3).

Date Incurred or Established. Enter

the date the committee incurred the

debt by signing the loan agreement

(the original agreement or a restruc-

tured agreement, as appropriate). 11

CFR 104.3(d)(1)(i) and (3).

Due Date. Enter the date on which

full repayment of the loan or line of

credit is due (under the original agree-

ment or a restructured agreement, as

appropriate). 11 CFR 104.3(d)(1)(ii)

and (3).

A. Restructured Loans. Check yes

if the loan or line of credit has been

restructured to change the terms; enter

the date on which the original loan or

line of credit was incurred. 11 CFR

104.3(d)(3).

B. Draws on Line of Credit. If

reporting a draw on a line of credit,

enter the amount of the draw and the

outstanding balance owed on the line

of credit (cumulative draws less any

repayments made). 11 CFR 104.3(d)

(1)(ii).

C. Secondary Sources of Repay-

ment. Check yes if the loan or line of

credit was endorsed or guaranteed by

secondary parties. 11 CFR 104.3(d)

(1)(iii). Information on endorsers

and guarantors must be disclosed on

Schedule C. (Note that guarantees and

endorsements of loans are considered

contributions; see Schedule C instruc-

tions.)

D. Traditional Collateral. Check

yes if the loan or line of credit was

obtained using traditional sources of

collateral, and list the specic assets

that were pledged. Enter the total fair

market value of the collateral as of the

date of the loan agreement. Indicate

whether the lender has a perfected

Federal Election Commission (Revised 05/2016) Page 19

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 18 Federal Election Commission (Revised 05/2016)

security interest in the collateral. 11

CFR 104.3(d)(1)(iii). (Note that a

perfected security interest is a require-

ment under FEC regulations. 11 CFR

100.82(e)(1)(i) and 100.142(e)(1)(i)).

E. Future Receipts as Collateral.

Check yes if the loan or line of credit

was obtained using future receipts as

collateral; list the types of receipts

that were pledged; and enter their

estimated amount. 11 CFR 104.3(d)

(1)(iii). Enter the date the separate ac-

count was established for the deposit

of pledged receipts. (A depository

account is required under 11 CFR

100.82(e)(2) and 100.142(e)(2).) Pro-

vide the full name and address of

the depository institution where the

account was established.

F. Other Means of Obtaining Loan.

Complete this section if “no” was

checked in sections C, D, and E or if

the amount cosigned and/or pledged

for the loan or line of credit is less than

the loan amount. If so, state the basis

upon which the loan was made and the

basis on which it assures repayment.

11 CFR 104.3(d)(1)(iv).

G. Treasurer’s Signature and Date.

The committee treasurer (or properly

designated assistant treasurer) must

sign and date the form; the signer’s

name should be printed or typed be-

side the signature.

H. Copy of Loan Agreement. At-

tach a copy of the signed agreement.

11 CFR 104.3(d)(2).

I. Lender Certication. An autho-

rized representative of the lending

institution must sign and date the

form to certify that the lender has

complied with items I through III. 11

CFR 104.3(d)(1)(v). The representa-

tive’s name should be printed or typed

beside his or her signature. The repre-

sentative’s title must also be entered.

Page 20 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

SCHEDULE D, DEBTS AND

OBLIGATIONS

(FEC FORM 3X)

When lling out Schedule D, the

committee must enter its full name in

the box at the top of the page.

DO NOT combine debts and ob-

ligations owed to the committee with

those owed by the committee on the

same Schedule D. Instead, use a sepa-

rate Schedule D.

Debts and Obligations Owed

BY the Committee (Other Than

Loans)

For debts and obligations owed BY

the reporting committee at the close

of the reporting period and which

are required to be disclosed, the com-

mittee must report the full name and

mailing address of each creditor, the

amount of the debt outstanding at the

beginning of the period, the amount

of the debt or obligation incurred this

period (including any nance charges),

the payment(s) this period to retire the

debt or obligation, the outstanding

balance at the close of the reporting

period and the nature or purpose of

the debt and obligation. The terms

“nature” or “purpose” mean a brief

statement or description of why the

debt or obligation was incurred (e.g.,

media, salary, polling, supplies, mail-

ing).

A written contract (including a

media contract), promise, or agree-

ment to make an expenditure which

has not been paid for by the commit-

tee is an expenditure as of the date

the contract, promise or obligation

is made and is subject to the report-

ing requirements. Accounts payable

and written contracts, promises, or

agreements to make expenditures, in

amounts of $500 or less, need not be

disclosed until outstanding for sixty

days or more.

Debts and obligations owed BY

the committee must continue to be

reported on each subsequent report

until extinguished or settled in a man-

ner permitted by Federal Election

Commission regulations (see 11 CFR

Part 116 for settlement of corporate

debts). When a payment is made to

reduce or extinguish an obligation

owed BY the committee, the pay-

ment must be itemized on Schedule

B, reported on the appropriate line

of the Detailed Summary Page, and

included in the “Payment This Pe-

riod” column on Schedule D. If a

debt or obligation is settled for less

than the reported amount or value,

the reporting committee must include

a statement as to the circumstances

and conditions under which the debt

or obligation was extinguished and

the amount paid. A debt owed BY a

political committee which is forgiven

or settled for less than the amount

owed is a contribution unless the debt

is forgiven or settled in accordance

with 11 CFR Part 116. The extension

of credit by any person for a length

of time beyond normal business or

trade practice is a contribution, unless

the creditor has made a commercially

reasonable attempt to collect the debt.

The total amount of debts and obliga-

tions owed BY the committee during

the reporting period must be entered

at the bottom of the last page under

“Total This Period” and added to the

total loans owed BY the committee

from Schedule C. The total amount

of debts and obligations owed BY the

committee (including loans) must be

carried forward to the Summary Page.

Debts and Obligations Owed

TO the Committee (Other Than

Loans)

For each debt and obligation owed

TO the committee at the close of the

reporting period, the committee must

report: the full name and mailing ad-

dress of each debtor, the amount of

the debt outstanding at the beginning

of the period, the amount of the debt

or obligation incurred this period, the

payment(s) this period to retire the

debt or obligation, the outstanding

balance at the close of the reporting

period and the nature or purpose of

the debt or obligation. The terms

“nature” or “purpose” mean a brief

statement or description of why the

debt or obligation was incurred (e.g.,

media, salary, polling, supplies, mail-

ing). Written contracts or agreements

(such as signed pledge cards), or oral

promises to make contributions are

not required to be reported.

Debts and obligations owed TO

the committee must continue to be

reported on each subsequent report

until extinguished. When a payment

is received to reduce or extinguish a

debt or obligation owed TO the com-

mittee, the payment must be itemized

on Schedule A, reported on the appro-

priate line of the Detailed Summary

Page, and included in the “Payment

This Period” column on Schedule D.

The total amount of debts and obliga-

tions owed TO the committee during

the reporting period must be entered

at the bottom of the last page under

“Total This Period” and added to the

total loans owed TO the committee

from Schedule C. The total amount

of debts and obligations owed TO the

committee (including loans) must be

carried forward to the Summary Page.

Federal Election Commission (Revised 05/2016) Page 21

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 20 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE E, ITEMIZED

INDEPENDENT

EXPENDITURES

(FEC FORM 3X)

General

Denition

The term “independent expendi-

ture” means: “an expenditure by a

person for a communication expressly

advocating the election or defeat of a

clearly identied candidate that is not

made in cooperation, consultation or

concert with, or at the request or sug-

gestion of, a candidate, a candidate’s

authorized committee or their agents,

or a political party committee or its

agents.

When to File

Any political committee that makes

independent expenditures must re-

port such independent expenditures

on Schedule E for the applicable

reporting period. Special additional

reporting procedures apply to expen-

ditures aggregating $1,000 or more

and made within 20 days before an

election; these are described below

under “24-hour Reports.” In addition,

special reporting procedures apply to

expenditures aggregating $10,000 or

more and are described below under

“48-hour Reports.”

When the cost of an independent

expenditure is not known at the time

of dissemination, estimate the cost on

the 24/48-Hour Report, and indicate

via memo text that the amount is an

estimate. Subsequently, when payment

is made, report the actual payment on

Schedule E and include memo text to

explain that the amount on Schedule E

is the correct amount, and the amount

on the 24/48-Hour Report was an

estimate.

48-hour Reports

Any political committee that makes

or contracts to make independent

expenditures regarding a particular

election (e.g., a particular party’s Pres-

idential nomination or a particular

Senate general election) aggregating

$10,000 or more during the calendar

year up to and including the 20th day

before an election must ensure that

the Commission receives a report of

these expenditures no later than 11:59

p.m. Eastern Standard/Daylight Time

of the second day following the date

on which the independent expenditure

meeting the $10,000 threshold is pub-

licly distributed or otherwise publicly

disseminated. See Explanation and

Justification for 11 CFR 104.4(f).

The committee must continue to le

additional 48-hour reports each time

subsequent independent expenditures

reach the $10,000 threshold with

respect to the same election to which

the rst report related. For purposes

of determining whether 48-hour re-

ports must be led, aggregations of

independent expenditures must be

calculated as of the rst date on which

a communication that constitutes an

independent expenditure is publicly

distributed or otherwise publicly dis-

seminated. See 11 CFR 104.4(f).

The report must include all of the

information required on Schedule E

and be led with the Federal Election

Commission. Committees that are

not electronic lers may le 48-hour

reports by fax or electronic mail. All

filers may submit 48-hour reports

online at www.fec.gov.

24-hour Reports

The committee must also file a

report of if it makes or contracts to

make independent expenditures with

respect to a particular election ag-

gregating $1,000 or more made after

the 20th day, but more than 24 hours

before 12:01 A.M. of the day of the

election. The committee must ensure

that the Commission receives the re-

port no later than 11:59 p.m. Eastern

Standard/Daylight Time of the day

following the date on which the $1,000

threshold is reached during the nal

20 days before the election. For pur-

poses of determining whether 24-hour

reports must be led, aggregations of

independent expenditures must be

calculated as of the rst date on which

a communication that constitutes an

independent expenditure is publicly

distributed or otherwise publicly dis-

seminated. See Explanation and

Justication for 11 CFR 104.4(f). The

report must include all of the informa-

tion required on Schedule E and be

led with the Federal Election Com-

mission. The committee must le a

new 24-hour report each time it makes

subsequent independent expenditures

relating to the same election and ag-

gregating $1,000 or more. Committees

that are not electronic lers may le

24-hour reports by fax or electronic

mail. All lers may submit 24-hour

reports online at www.fec.gov.

Line By Line Instructions

For Schedule E, enter the full name

of the committee and the FEC Iden-

tication Number in the appropriate

boxes at the top of the page. Check

the box “48-hour Report” or “24-hour

Report” if applicable, and indicate

whether this a new or amended ling.

If it is an amendment, provide the l-

ing date of the report it amends.

For each person who receives a

payment or disbursement during the

calendar year aggregating in excess of

$200 in connection with an indepen-

dent expenditure, provide on Schedule

E the full name, mailing address and

zip code of the payee receiving any

disbursement, the date and amount

of any independent expenditure aggre-

gating in excess of $200, and the pur-

pose of the independent expenditure

(e.g., radio, television, newspaper).

Also indicate, in the election check-

off box, the election for which the

independent expenditure was made.

In situations where the commit-

tee incurs a reportable obligation for

an independent expenditure in one

reporting period, and the communi-

cation will be publicly distributed or

otherwise publicly disseminated in a

future reporting period, report the

obligation on Schedule D (Debts and

Obligations) in the rst period and, in

Page 22 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

the future reporting period, report the

independent expenditure on Schedule

E referencing the debt on Schedule D

(using a memo entry if actual pay-

ment has not been made). Continue

to report the debt on Schedule D and

itemize payments on it using Schedule

E until the debt is extinguished.

In situations where the committee

pays in advance for an independent

expenditure in one reporting period

and the communication will be pub-

licly distributed or otherwise publicly

disseminated in a future reporting pe-

riod, report the payment on Schedule

B as an operating expenditure. Then,

in the future reporting period itemize

the independent expenditure and its

date of dissemination on Schedule E,

and itemize the previous expenditure

again as a negative entry on Schedule

B so that total disbursements are not

inated.

Along with reporting the purpose

of the expenditure as required above,

the committee should also broadly

characterize disbursements by provid-

ing the code for each category of dis-

bursement. Examples of the types of

disbursements that fall within each of

the broad categories are listed below.

Use only one code for each itemized

disbursement. In cases where the dis-

bursement was for several purposes,

assign one of the following codes

according to the primary purpose of

the disbursement. Note that some of

the category titles are not acceptable

as the “purpose” of the disbursement

and that the categories are not intend-

ed to replace or to serve as a substitute

for the “purpose of disbursement.”

004 Advertising Expenses -including

general public political advertis-

ing (e.g., purchases of radio/

television broadcast/cable time,

print advertisements and related

production costs).

In addition, provide the name of

the candidate, the ofce sought by

the candidate (including State and

Congressional District, where appli-

cable), and whether the independent

expenditure was in support of, or in

opposition to, the candidate. Also,

list the total amount expended in the

aggregate during the calendar year, per

election, per ofce sought. A subtotal

of itemized expenditures must be dis-

closed on Line (a) of the last Schedule

E led. A subtotal of independent

expenditures not required to be item-

ized must also be disclosed on Line (b)

of the last Schedule E led.

The total of all independent expen-

ditures (Line (c)) is carried forward to

the appropriate Line of the Detailed

Summary Page.

Certication

The treasurer of the committee

must sign Schedule E (for electronical-

ly-led reports, type the name of the

treasurer) and certify under penalty of

perjury that the expenditure was not in

fact made in cooperation, consultation

or concert with, or at the request or

suggestion of, any candidate or autho-

rized committee or agent thereof. If

the committee is not a political party

committee, it must also certify that the

expenditure was not, in fact, made in

cooperation, consultation or concert

with, or at the request or suggestion

of a political party committee or its

agents.

Note: Any other person or entity

(other than a political committee) that

makes an independent expenditure

must le on FEC FORM 5, or, if not

required to le electronically, may le

by Form 5 or letter.

Federal Election Commission (Revised 05/2016) Page 23

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 22 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE F, ITEMIZED

COORDINATED PARTY

EXPENDITURES MADE BY

POLITICAL PARTIES

(FEC FORM 3X)

Denition and Limitations

The Federal Election Campaign

Act provides political party com-

mittees with special spending limits

on behalf of their candidates in the

general election (52 U.S.C. § 30116(d)).

These special spending limits do not

apply in primary elections, are not

contributions to the candidate and

are not contributions in-kind reported

on Schedule B. These spending lim-

its are separate from expenditures

made by the candidate’s authorized

committee(s). Expenditures made un-

der 52 U.S.C. § 30116(d) are reported

by the political party committee or

designated agent and not by the can-

didate or the candidate’s authorized

committee(s) on whose behalf the

expenditure was made.

National party political commit-

tees are subject to separate limits

for Presidential, Senate and House

general elections. State party political

committees are subject to separate

limits for Senate and House general

elections, but may not make any sepa-

rate expenditures in the Presidential

general election, unless designated by

the national committee of the politi-

cal party. Within a State, committees

subordinate to a State party political

committee (county, city, local, etc.) are

included within the State party politi-

cal committee limits.

The formulas for the party spending

limits are as follows:

President: $0.02 times the national

Voting Age Population,

adjusted to reect the latest

cost-of-living increase.

Senate: The greater of: (a) $0.02

times the state Voting Age

Population, adjusted to re-

ect the latest cost-of-living

increase; or (b) $20,000,

adjusted to reect the latest

cost-of-living increase.

House

: $10,000 adjusted to reect

the latest cost-of-living in-

crease.

Who Must File

Any political party committee or

designated agent that makes coordi-

nated party expenditures must itemize

each expenditure on Schedule F. For

each coordinated party expenditure;

provide the full name and mailing ad-

dress of the payee, date and amount

of the expenditure, the purpose of the

expenditure (e.g., polling, campaign

consulting, media preparation, etc.)

and the name of the ofce sought by

(including State and Congressional

district, when applicable) the candi-

date on whose behalf the expenditure

was made.

Along with reporting the purpose

of the expenditure as required above,

the committee should also broadly

characterize disbursements by provid-

ing the code for each category of dis-

bursement. Examples of the types of

disbursements that fall within each of

the broad categories are listed below.

Use only one code for each itemized

disbursement. In cases where the dis-

bursement was for several purposes,

the political committee should assign

one code according to the primary

purpose of the disbursement. Note

that some of the category titles are

not acceptable as the “purpose” of the

disbursement and that the categories

are not intended to replace or to serve

as a substitute for the “purpose of

disbursement.”

001 Administrative/Salary/Overhead

Expenses (e.g., rent, staff salaries,

postage, ofce supplies, equip-

ment, furniture, ballot access fees,

petition drives, party fees and

legal and accounting expenses)

1 In the case of a candidate for election to the

House of Representatives from a State which is

entitled to only one Representative, the Senate

party spending limits are applicable.

002 Travel Expenses—including

travel reimbursement expenses

(e.g., costs of commercial car-

rier tickets; reimbursements for

use of private vehicles; advance

payments for use of corporate air-

craft; lodging and meal expenses

incurred during travel)

003 Solicitation and Fundraising

Expenses (e.g., costs for direct

mail solicitations and fundraising

events including printing, mailing

lists, consultant fees, call lists, in-

vitations, catering costs and room

rental)

004 Advertising Expenses—including

general public political advertis-

ing (e.g., purchases of radio/

television broadcast/cable time,

print advertisements and related

production costs)

005 Polling Expenses

006 Campaign Materials (e.g., but-

tons, bumper stickers, brochures,

mass mailings, pens, posters and

balloons)

007 Campaign Event Expenses (e.g.,

costs associated with candidate

appearances, campaign rallies,

town meetings, phone banks,

including catering costs, door to

door get-out-the-vote efforts and

driving voters to the polls)

011 Political Contributions (e.g.,

contributions to other federal

committees and candidates, and

donations to non-federal candi-

dates and committees)

In addition, the committee must

provide the amount of coordinated

expenditures made on behalf of each

candidate for the general election.

Expenditures made on behalf of more

than one candidate should be attrib-

uted to each candidate in proportion

to, and should be reported to reect,

the benet reasonably expected to be

derived.

Designated Agents

The national committee of a politi-

cal party may make coordinated party

Page 24 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

expenditures for candidates through

any designated agent including any

State or subordinate party political

committees.

The State party political committee

may designate as agents any subordi-

nate committee (county, city, local,

etc.). The State party political com-

mittee shall be responsible for insuring

that the expenditures of the entire

party organization within the State are

within the limitations, including re-

ceiving reports from any subordinate

committee making expenditures, and

ling consolidated reports showing all

expenditures in the State.

Committees reporting to the Com-

mission for designated agents should

use a separate Schedule F for each

agent. Expenditures made by desig-

nated agents should not be included in

the reporting committee’s totals on the

Detailed Summary Page. The gure

carried forward to the Detailed Sum-

mary Page should be the amount of

coordinated party expenditures made

by the reporting committee.

Federal Election Commission (Revised 05/2016) Page 25

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 24 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE H1, METHOD

OF ALLOCATION FOR

ALLOCATED FEDERAL

AND NONFEDERAL

ADMINISTRATIVE EXPENSES,

GENERIC VOTER DRIVE

COSTS, EXEMPT ACTIVITY

COSTS, ALLOCATED

FEDERAL/LEVIN FUND

“FEDERAL ELECTION

ACTIVITY” EXPENSES

AND ALLOCATED PUBLIC

COMMUNICATIONS THAT

REFER TO ANY POLITICAL

PARTY (BUT NOT A

CANDIDATE)

(FEC FORM 3X)

Who Must File Schedule H1

Any State, district and local party

committee, separate segregated fund or

nonconnected committee that chooses

to allocate allocable expenses must re-

port the allocation methods and ratios

used on Schedule H1 and/or H2 as

explained below and in the instructions

for Schedule H2.

When Allocation is Permitted

An unauthorized committee that is

active in both federal and nonfederal

elections, and that has established sepa-

rate federal and nonfederal accounts,

may either make all payments for allo-

cable administrative and generic voter

drive expenses and – for party commit-

tees – allocable exempt activity costs,

with federally permissible funds or

make such payments by allocating the

expenses between its federal and non-

federal accounts according to specied

allocation methods. A State, district or

local party committee engaging in allo-

cable federal election activities may pay

for such activities entirely with federal

funds, or may allocate such payments

between its federal account and Levin

funds, according to specied allocation

methods. A separate segregated fund or

nonconnected committee that makes

disbursements for public communica-

tions or voter drives that refer only to

a political party (not a candidate) and

chooses to allocate such expenditures,

should report the allocation method

and ratio using Schedule H1.

When to Use Schedule H1

State, District and Local Party

Committees. State, district and local

party committees that choose to al-

locate allocable expenses must report

on Schedule H1 the allocation meth-

ods and ratios used for administrative

expenses, the costs of generic voter

drives, the costs of allocable exempt

activities and the costs of allocable

“federal election activities” as dened

at 11 CFR 100.24. Such committees

must use Schedule H2 to report the

allocation methods and ratios used

for allocable fundraising and the costs

of allocable direct candidate support.

Separate Segregated Funds and

Nonconnected Committees. Separate

segregated funds and nonconnected

committees that choose to allocate

allocable expenses should report the

allocation methods and ratios used

on Schedule H1 for administrative

expenses, generic voter drives and

public communications that refer only

to a political party (not a candidate for

federal or nonfederal ofce). (Note:

A separate segregated fund need not

report administrative expenses paid

for by the committee’s connected

organization.) Such committees must

use Schedule H2 to report the alloca-

tion methods and ratios used for al-

locable fundraising and the costs of

allocable direct candidate support,

including public communications or

voter drives that refer to both federal

and nonfederal candidates, or both

federal and nonfederal candidates

and a political party. (Note: A sepa-

rate segregated fund need not report

fundraising expenses paid for by the

committee’s connected organization.)

See the instructions for Schedule H2

for more information.

Denitions

The term “generic voter drive”

means any voter identication, voter

registration, or get-out-the-vote drive,

or any other activity that urges the

general public to register, vote or

support candidates of a particular

party or associated with a particular

issue, without clearly identifying a

candidate. (Note that such activity

in a special election involving only

a federal candidate is treated as if it

mentions a specic candidate.)

The term “Nonfederal account”

means an account that contains funds

to be used in connection with a State

or local election or allocable expenses

as permitted by 11 CFR 106.7, 300.30

and 300.33. 11 CFR 300.2(j).

The term “Levin funds” means

funds that are raised and that are or

will be disbursed for specic “federal

election activity” pursuant to 11 CFR

300.31 and 300.32. 11 CFR 300.2(i).

The term “allocable Federal elec-

tion activity” means

• Voter registration activity (i.e. con-

tacting individuals by telephone, in

person or by other individualized

means, to assist them in registering

to vote (see 11 CFR 100.24(a)(2))

during the period that begins on the

date that is 120 days before the date

that a regularly scheduled federal

election is held and that ends on the

date of the election; or

Any of the following, when con-

ducted during the period of time

beginning on the date of the earliest

ling deadline for primary ballot ac-

cess for federal candidates, or in those

States that do not conduct primary

elections, on January 1 of each even

numbered year through the date of the

general election (including any gen-

eral election runoff). In the case of a

special election, the applicable period

runs from the date on which the date

of the special election is set and ends

on the date of the special election. See

11 CFR 100.24(a)(1).

• Voter identication (i.e., acquiring

information about potential voters,

including but not limited to, obtain-

ing voter lists and creating or enhanc-

Page 26 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

ing voter lists by verifying or adding

information about the likelihood

of voting in a specic election or

for specic candidates. See 11 CFR

100.24(a)(4));

• Generic campaign activity, (i.e., a

public communication that pro-

motes or opposes a political party

and does not promote or oppose a

clearly identied federal candidate or

a nonfederal candidate. See 11 CFR

100.25); or

• Get-out-the-vote activity (i.e., con-

tacting registered voters by tele-

phone, in person or by other indi-

vidualized means, to assist them

in engaging in the act of voting.

See 11 CFR 100.24(a)(3)). 11 CFR

100.24(b)(1) and (2).

Line-by-Line Instructions and

When To File

Enter the committee’s full name in

the appropriate block.

State, district and local party com-

mittees must allocate their adminis-

trative expenses, generic voter drive

costs, allocable exempt activity costs

and costs for allocable “federal elec-

tion activity” according to a fixed

percentage. (See 11 CFR 106.7(d) and

300.33(b).) Check the appropriate

box on Schedule H1, Method of Al-

location, to indicate the xed federal

percentage. The percentage is based

on whether a Presidential candidate,

a Senate candidate, both or neither

are expected on the ballot in the next

general federal election.

File a Schedule H1 with the rst

FEC Form 3X submitted each year

disclosing an allocable disbursement

under 11 CFR 106.7

Nonconnected committees and sepa-

rate segregated funds that choose to

allocate their administrative expenses,

generic voter drive costs or costs for

public communications that refer to

a political party (not a candidate)

should state the percentage of fed-

eral and nonfederal funds used in the

boxes provided.

Filing Schedule H1, Method of Al-

location. If the committee chooses to

allocate for the above categories of

expenses, it should, with each report

that discloses such an allocated dis-

bursement, supply a separate Sched-

ule H1 for each different ratio the

committee used during the reporting

period. For each ratio disclosed, check

the appropriate box(es) to indicate

the category(ies) of disbursements to

which the ratio applies.

Federal Election Commission (Revised 05/2016) Page 27

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 26 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE H2, ALLOCATION

RATIOS

(To Be Used For Allocable Federal

and Nonfederal Fundraising and Direct

Candidate Support)

Who Must File

Any State, district or local party

committee, separate segregated fund

or nonconnected committee that is

active in both federal and nonfederal

elections, and that has established

separate federal and nonfederal ac-

counts, may either make all payments

for allocable activity with federally

permissible funds, or may allocate

expenses for its allocable activities

between its federal and nonfederal

accounts according to specied al-

location methods. Committees that

choose to allocate expenses for certain

allocable activities must report the al-

location ratios used for each activity

on Schedule H2, Allocation Ratios.

The categories of allocable activity

referred to on this Schedule include

(1) fundraising events through which

both federal and nonfederal funds

are collected by one committee and

(2) activities providing direct candi-

date support to both specic federal

and specic nonfederal candidates.

(For separate segregated funds and

nonconnected committees only, this

includes public communications or

voter drives that refer to both federal

and nonfederal candidates, regardless

of any reference to a political party.

Party committees may not allocate

such expenses between their federal

and nonfederal accounts; instead, they

must treat them as “federal election

activity” and report them accordingly

on Line 30. See the instructions for

Schedules B, H5 and H6 for more

information.)

When To File

Schedule H2, the Allocation Ra-

tios Schedule, must accompany each

FEC Form 3X led by a committee

that discloses a disbursement for

an allocated federal and nonfederal

fundraising event or direct candidate

support activity.

Methods of Allocation

(1) Fundraising expenses are to

be allocated according to the “funds

received method,” whereby allocation

is based on the ratio of funds received

by the committee’s federal account as

compared to the total funds received

by all of the committee’s accounts

from each allocable fundraising event.

Detailed instructions for calculating

this ratio are contained in 11 CFR

106.7(d)(4) (for party committees) and

11 CFR 106.6(d) (for nonconnected

committees and separate segregated

funds).

(2) The costs of direct candidate

support activities are to be allocated

according to a ratio based on the

benet expected to be derived by each

candidate. Detailed instructions for

calculating this ratio are contained in

11 CFR 106.1(a).

Line-by-Line Instructions

Enter the name of each activity or

event in the appropriate blocks.

Note: Each individual fundrais-

ing event or activity providing direct

candidate support must be assigned

a unique identifying title or code.

The exact title or code must be used

consistently throughout a committee’s

reports when disclosing transactions

related to that activity or event.

The committee must enter the

percentage of costs allocated to its

federal account and its nonfederal

account for each individual activity or

event. These percentages are to be cal-

culated according to the appropriate

allocation method for each category

of activity.

For each individual activity or

event, the committee must indicate

whether it is a fundraising event or

an activity providing direct candidate

support. If the event represents activ-

ity for more than one category, the

committee must list each category on

a separate Line. The committee must

also indicate whether the allocation

ratio is new, revised or the same as

previously reported for that activity

or event.

Page 28 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS FOR

SCHEDULE H3, TRANSFERS

FROM NONFEDERAL

ACCOUNTS FOR ALLOCATED

FEDERAL/NONFEDERAL

ACTIVITY

(To Be Used to Show Transfers

From Nonfederal Accounts to Federal

Accounts For The Purpose of Paying

Allocable Expenses)

Who Must File

Any State, district or local party

committee, separate segregated fund

or nonconnected committee that is

active in both federal and nonfederal

elections, and that has established

separate federal and nonfederal ac-

counts, may either make all payments

for allocable activity with federally

permissible funds, or may allocate

expenses for its allocable activities

between its federal and nonfederal

accounts according to specied al-

location methods. A committee that

chooses to allocate allocable expenses

must pay the bills for those expenses

from either its federal account or from

a separate allocation account which

is also a federal account subject to

the FECA’s reporting requirements.

The committee may transfer funds

from its nonfederal account to either

of these federal accounts, solely for

the purpose of paying the nonfederal

share of allocable expenses. All such

transfers must occur not more than 10

days before or 60 days after the pay-

ments for which they are intended are

made, and must be itemized on Sched-

ule H3. This Schedule is used only in

support of Line 18(a) of the Detailed

Summary Page. All other federal ac-

count receipts should be itemized as

required on Schedule A or Schedule

H5, as appropriate.

When To File

Schedule H3 must be led for each

reporting period in which any funds

are transferred from a nonfederal ac-

count to a federal account for the pur-

pose of paying the nonfederal share

of a committee’s allocable expenses.

Line-by-Line Instructions

Name of Account; Date of Receipt;

Total Amount Transferred. The com-

mittee must enter its full name, the

name of the nonfederal account from

which each transfer is made, and the

date and total amount of the transfer

in the appropriate blocks.

Each transfer from a nonfederal

account to a federal account may in-

clude funds intended to pay for more

than one allocable activity. Therefore,

the committee must indicate on Lines

i) through vi) the purposes for which

each transfer is made, and the amount

designated for each such purpose.

Line i) List the total amount used for

administrative expenses.

Line ii) List the total amount used for

generic voter drive costs.

Line iii) List the amount used for each

allocable exempt activity (State, dis-

trict and local party committees only).

Line iv) List the amount used for al-

locable direct fundraising activity.

Line v) List the amount used for

allocable direct candidate support.

For separate segregated funds and

nonconnected committees only, this

includes amounts used for public

communications or voter drives ref-

erencing both federal and nonfederal

candidates (regardless of any reference

to a political party).

Note: In the space provided on

Lines iv and v, list the activity or event

identier used on Schedule H2, Allo-

cation Ratios, to identify each separate

fundraising event or direct candidate

support activity.

Line vi) List the amount used for pub-

lic communications referring only to

a political party (separate segregated

funds and nonconnected committees

only).

Compute subtotals for each line

at the bottom of each page for the

transfers itemized on that page. Carry

the “Total This Period” for the column

“Total Amount Transferred” forward

to Line 18(a) of the Detailed Sum-

mary Page.

Federal Election Commission (Revised 05/2016) Page 29

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 28 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS

FOR SCHEDULE H4,

DISBURSEMENTS FOR

ALLOCATED FEDERAL/

NONFEDERAL ACTIVITY

(FEC FORM 3X)

(To Be Used For Allocated Federal/

Nonfederal Activity)

Who Must File

Any State, district or local party

committee, separate segregated fund

or nonconnected committee that is

active in both federal and nonfederal

elections, and that has established

separate federal and nonfederal ac-

counts, may either make all payments

for allocable activity with federally

permissible funds, or may allocate

expenses for its allocable activities

between its federal and nonfederal

accounts according to specied al-

location methods. A committee that

chooses to allocate allocable expenses

must pay the bills for those expenses

from either its federal account or from

a separate allocation account which is

also a federal account subject to the

FECA’s reporting requirements. The

committee may transfer funds within

specied time limits from its nonfed-

eral account to cover the nonfederal

share of the allocated expense. The

committee must itemize each allocated

disbursement for activity allocated

between its federal and nonfederal

accounts as made from its federal ac-

count or separate allocation account

on Schedule H4. Only disbursements

supporting Line 21(a), Allocated

Federal/Nonfederal Activity, of the

Detailed Summary Page are reported

on Schedule H4. Disbursements sup-

porting Line 21(b), Other Federal Op-

erating Expenditures, of the Detailed

Summary Page must be itemized on

Schedule B, as required. All other dis-

bursements from the federal account

must also be itemized, as required, on

Schedules B or E and by State, district

and local party committees also on

Schedules F or H6, as appropriate.

When to File

Schedule H4 must be led for each

reporting period in which disburse-

ments are made from a committee’s

federal account or separate allocation

account to pay for allocated federal/

nonfederal expenses under 11 CFR

106.6 or 106.7.

Line-by-Line Instructions

Enter the committee’s full name in

the appropriate block of each page.

For each disbursement itemized

during the reporting period, provide

the payee’s full name and mailing ad-

dress, the date, and the purpose for

which the disbursement was made.

Note: Purpose

(a) Purpose. The term “purpose”

means a brief statement or description

of why the disbursement was made.

Examples of adequate descriptions

include the following: salary (in the

case of a party committee, only al-

locable when an employee spends

25 percent or less of his or her time

in a given month on federal election

activity or activity in connection with

a federal election), dinner expenses,

media, polling, travel, party fees,

phone banks, travel expenses and

catering costs. However, descriptions

such as “advance,” “election day ex-

penses,” “other expenses,” “expense

reimbursement,” “miscellaneous,”

“outside services,” “get-out-the-vote”

and “voter registration,” would not

meet the requirement for reporting the

purpose of a disbursement.

(b) Category/Type Code. Along

with reporting the purpose of the

expenditure as required above, the

committee should also broadly char-

acterize disbursements by providing

the category/type code for each cat-

egory of disbursement. Examples of

the types of disbursements that fall

within each of the broad categories

are listed below. Use only one code for

each itemized disbursement. In cases

where the disbursement was for sev-

eral purposes, the political committee

should assign one code according to

the primary purpose of the disburse-

ment. Note that some of the category

titles are not acceptable as the “pur-

pose” of the disbursement and that

the categories are not intended to

replace or to serve as a substitute for

the “purpose of disbursement.”

001 Administrative/Overhead Ex-

penses (e.g., rent, postage, ofce

supplies, equipment, furniture,

ballot access fees, petition drives,

party fees and legal and account-

ing expenses)

002 Travel Expenses—including

travel reimbursement expenses

(e.g., costs of commercial car-

rier tickets; reimbursements for

use of private vehicles; advance

payments for use of corporate air-

craft; lodging and meal expenses

incurred during travel)

003 Solicitation and Fundraising

Expenses (e.g., costs for direct

mail solicitations and fundraising

events including printing, mailing

lists, consultant fees, call lists, in-

vitations, catering costs and room

rental)

004 Advertising Expenses—including

general public political advertis-

ing (e.g., purchases of radio/

television broadcast/cable time,

print advertisements and related

production costs)

005 Polling Expenses

006 Campaign Materials (e.g., but-

tons, bumper stickers, brochures,

mass mailings, pens, posters and

balloons)

007 Campaign Event Expenses (e.g.,

costs associated with candidate

appearances, campaign rallies,

town meetings, phone banks,

including catering costs, door to

door get-out-the-vote efforts and

driving voters to the polls)

008 Transfers (e.g., to other afliated/

party committees)

Page 30 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

009 Loans (e.g., loans made or repay-

ments of loans received)

010 Refunds of Contributions (e.g.,

contribution refunds to indi-

viduals/persons, political party

committees or other political

committees)

011 Political Contributions (e.g.,

contributions to other federal

committees and candidates, and

donations to nonfederal candi-

dates and committees)

012 Donations (e.g., donations to

charitable or civic organizations)

Identifier. If the disbursement was

for an allocable fundraising event or

allocable direct federal and nonfed-

eral candidate support, the activity or

event must be identied by the unique

activity or event identier assigned to

it on Schedule H2, Allocation Ratios,

in addition to the purpose for which

the disbursement was made.

Allocated Activity or Event. Iden-

tify the type of “allocated activity or

event” for which each disbursement is

made by checking the appropriate box.

(Note for separate segregated funds

and nonconnected committees only:

For public communications that are

made by a nonconnected committee or

separate segregated fund and that refer

only to a political party, check “Public

Comm (ref to Party Only) by PAC.”

For public communications and voter

drives that refer to both federal and

nonfederal candidates, regardless

of any reference to a political party,

check “Direct Candidate Support.”)

A disbursement representing payment

for more than one type of activity is

reported as a memo entry followed by

a break down of the disbursement by

type of activity, with the appropriate

boxes checked. The committee must

also enter the aggregate amount of all

disbursements made year-to-date as of

this report for each type of activity or

individual event. For fundraising and

direct candidate support, a separate

aggregate amount must be reported

for each individual activity or event.

For administrative expenses, generic

voter drive activity, allocable exempt

activities and allocable public com-

munications that refer only to a party

and are made by a separate segregated

fund or nonconnected committee, one

aggregate amount for all disburse-

ments in that type is sufcient.

Enter the total amount of each

disbursement in the appropriate box.

For each disbursement for allocated

expenses, the committee must enter

the total amounts allocated to the

federal and nonfederal accounts in the

appropriate boxes. For State, district

and local party committees disclos-

ing administrative expenses, allocable

exempt activities and generic voter

drive costs, the federal and nonfed-

eral shares are derived from the xed

percentage stated on Schedule H1,

Method of Allocation. For separate

segregated funds and nonconnected

committees disclosing administrative

expenses, generic voter drive costs and

public communications that refer only

to a party, the federal and nonfederal

shares are derived from the ratio, if

any, disclosed on Schedule H1 for that

type of disbursement. For the costs of

fundraising and direct candidate sup-

port, these amounts are derived from

the percentages stated for each event

on Schedule H2, Allocation Ratios.

(Note that administrative and fund-

raising expenses are neither allocated

nor disclosed by a separate segregated

fund when those costs are paid by its

connected organization.)

If an allocated disbursement was

made, in whole or in part, for direct

candidate support (e.g., an in-kind

contribution benefiting both spe-

cic federal and specic nonfederal

candidates), the federal share of the

disbursement must be disclosed on

Schedule B, E or F, supporting Line

23, 24 or 25 of the Detailed Summary

Page, as appropriate and disclosed as

a memo entry in the “Federal Share”

box on Schedule H4. The “Federal

Share” box on Schedule H4 should

contain a reference to Schedule B, E or

F and the appropriate Line number of

the Detailed Summary Page on which

this information is reported. The non-

federal share of the disbursement must

be entered in the “Nonfederal Share”

box on Schedule H4.

Compute subtotals for each page

and totals for the reporting period for

the total amount of disbursements,

and for the total federal and nonfed-

eral shares. The “Total This Period”

for the federal share and the nonfed-

eral share are carried forward to Lines

21(a)(i) and 21(a)(ii), respectively, of

the Detailed Summary Page.

Federal Election Commission (Revised 05/2016) Page 31

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 30 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE H5, TRANSFERS

OF LEVIN FUNDS RECEIVED

(FEC FORM 3X)

(To Be Used to Show Transfers of

Levin Funds from Nonfederal Account

or Levin Account to Federal Account

For The Purpose of Paying Allocable

Expenses for Federal Election Activity)

Who Must File

Any State, district or local party

committee that is a political commit-

tee and engages in allocable federal

election activities must le. (Deniti-

ions of “allocable federal election

activities” appear on the instructions

for Schedule H1.)

Reporting committees may either

make all payments for that allocable

federal election activity with federally

permissible funds, or may allocate

expenses for it between its federal

account and Levin funds, according

to the xed percentage reported on

Schedule H1. A party committee that

chooses to allocate allocable expenses

for “federal election activity” must

pay for those expenses from either its

federal account or from a separate

allocation account which is also a

federal account subject to the FECA’s

reporting requirements. The commit-

tee may transfer Levin funds from its

Levin account or nonfederal account

to either of these federal accounts,

solely for the purpose of paying the

Levin share of allocable expenses. All

such transfers must occur not more

than 10 days before or 60 days after the

payments for which they are intended

are made, and must be itemized as re-

ceipts on Schedule H5. This Schedule

is used only in support of Line 18(b)

of the Detailed Summary Page.

Line-by-Line Instructions

Name of Committee: Enter the

committee’s full name.

For each transfer made, complete a

block as follows:

Account Name: Enter the name

of the Levin account or the name of

the non-federal account from which

a transfer of Levin funds has been

made.

Breakdown of Transfer Received:

Note: Each transfer of Levin funds

to a federal account may include funds

intended to pay for more than one type

of allocable federal election activity.

Therefore, the committee must indi-

cate in each block on Lines i) through

iv) the amount of each transfer for

each type of allocable federal election

activity.

1. Enter the date and total amount

of the transfer in the appropriate

blocks.

2. Line i): List the total amount to be

used for voter registration costs.

3. Line ii): List the amount to be used

for voter identication costs.

4. Line iii): List the amount to be used

for get-out-the-vote costs.

5. Line iv): List the amount to be used

for the costs of generic campaign

activity (i.e., public communica-

tions covered by 11 CFR 100.25).

Compute subtotals as indicated

at the bottom of each page for the

transfers itemized on that page. Carry

forward the “Total This Period” for

the column “Total Amount Trans-

ferred” to Line 18(b) of the Detailed

Summary Page.

When To File

File Schedule H5 for each reporting

period in which any Levin funds are

transferred to a federal account for the

purpose of paying the Levin share of

a committee’s allocable expenses.

Page 32 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

INSTRUCTIONS

FOR SCHEDULE H6,

DISBURSEMENTS OF

FEDERAL AND LEVIN FUNDS

FOR ALLOCATED FEDERAL

ELECTION ACTIVITY (FEC

FORM 3X)

(To Be Used For Allocated Federal/

Levin Federal Election Activity)

Who Must File

Any State, district or local party

committee that engages in allocable

federal election activities (see 11 CFR

300.32 and 300.33 and the instruc-

tions for Schedule H1), and that has

established separate federal and Levin

accounts, or that has raised Levin

funds, may either make all payments

for allocable federal election activity

with federally permissible funds, or

may allocate expenses for its allocable

federal election activity between its

federal account and Levin funds

according to the xed percentage re-

ported on Schedule H1. A committee

that chooses to allocate federal elec-

tion activity expenses must pay for

those expenses from either its federal

account or from a separate allocation

account which is also a federal ac-

count subject to the FECA’s reporting

requirements. The committee may

transfer Levin funds within specied

time limits to cover the Levin share of

the allocated expense. The committee

must itemize each allocated disburse-

ment made from its federal account

or separate allocation account for

allocable federal election activity on

Schedule H6. Only disbursements

supporting Line 30(a), Allocated Fed-

eral Election Activity, of the Detailed

Summary Page should be reported on

Schedule H6. Disbursements support-

ing Line 30(b), Federal Election Activ-

ity Paid Entirely with Federal Funds,

should be reported on Schedule B for

Line 30(b), as required. Itemize all

other disbursements from the federal

account, as required, on Schedule B,

E, F or H4.

Line-by-Line Instructions

Enter the committee’s full name in

the appropriate block of each page.

For each disbursement itemized

during the reporting period, provide:

1. The payee’s full name and mailing

address;

2. The date; and

3. The purpose for which the disburse-

ment was made.

Purpose: The term “purpose”

means a brief statement or descrip-

tion of why the disbursement was

made. Examples of adequate descrip-

tions include the following: dinner

expenses, media, polling, travel, party

fees, phone banks, travel expenses and

catering costs. However, descriptions

such as “advance,” “election day ex-

penses,” “other expenses,” “expense

reimbursement,” “miscellaneous,”

“outside services,” “get-out-the-vote,”

and “voter registration,” would not

meet the requirement for reporting the

purpose of a disbursement.

Identify the “type of allocated ac-

tivity” for which each disbursement

is made by checking the appropriate

box. A disbursement representing

payment for more than one category

of activity is reported as a memo en-

try followed by a break down of the

disbursement by category of activity,

with the appropriate boxes checked.

The committee must also enter the ag-

gregate amount of all disbursements

made year-to-date for each category

of activity or individual event.

The total amount of each disburse-

ment must be entered in the appro-

priate box. For each disbursement,

enter the total amounts allocated to

the federal account and Levin funds

in the appropriate boxes. The federal

and Levin shares are derived from the

percentage stated on the Schedule H1,

Method of Allocation.

Federal Election Commission (Revised 05/2016) Page 33

INSTRUCTIONS FOR FEC FORM 3X AND RELATED SCHEDULES

Page 32 Federal Election Commission (Revised 05/2016)

INSTRUCTIONS FOR

SCHEDULE L, AGGREGATION

PAGE, LEVIN FUNDS OF

STATE, DISTRICT OR LOCAL

PARTY COMMITTEES

(FEC FORM 3X)

Who Must File

All State, district or local party

committees that are political commit-

tees under 11 CFR 100.5 must disclose

certain information about Levin funds

raised, and transferred or otherwise

disbursed by the committee. Every

reporting period, each such committee

must le an Aggregation Page summa-

rizing the receipts and disbursements

of its Levin funds for that reporting

period and for the calendar year-to-

date. The committee may disclose and

itemize under 11 CFR 300.36(b)(2)

(iv) its receipt of Levin funds either at

the time the receipts are rst received

and deposited or at a later date when

the committee makes Levin disburse-

ments out of Levin-eligible funds. If a

committee maintains a separate Levin

account, the committee must disclose

and itemize the Levin receipts when

they are deposited in the Levin ac-

count. A separate Aggregation Page

must be submitted for each of the

committee’s accounts that handles

Levin funds, whether that account is a

dedicated “Levin account” or whether

it is another non-federal account. The

committee must also attach Schedule

L-A and Schedule L-B, itemizing the

receipts and disbursements of Levin

funds.

Line-by-Line Instructions

Enter the committee’s full name

and the coverage dates of the report

in the appropriate blocks.

To calculate the “Calendar Year-

to-Date” figure for each Line, the

committee should add the gure from

the same Line of its previous report to

the “Total This Period” for the current

report. For the rst report led in a

calendar year, the “Calendar Year-

to-Date” gure and the “Total This

Period” gure will be the same.

If there were no receipts or dis-

bursements for a particular Line

during the reporting period or the

calendar year, enter “0” on the ap-

propriate Lines.

Receipts (Schedule L-A)

LINE 1. Enter the total amount of

receipts of Levin funds from individu-

als, committees and other entities. For

each individual or entity who has

made one or more donations during

the calendar year, the committee must

disclose in a memo Schedule L-A the

following information: the identi-

cation of the individual (full name,

mailing address, name of employer

and occupation) or entity (full name

and mailing address), and the date of

receipt and amount of each donation

aggregating $200 or more. (See also

instructions for Schedule A).

LINE 2. Enter the total of any other

receipts disclosed in a memo Schedule

L-A.

LINE 3. Add the total of Line 1 and

Line 2.

Disbursements (Schedule L-B)

LINE 4. Enter the total amount of

transfers of Levin funds made to

the committee’s federal account or

allocation account for each category

of allocable federal election activity.

Itemize each such transfer on a memo

Schedule L-B in full. (See also instruc-

tions for Schedule B).

LINE 5. Enter the total amount of

all other disbursements disclosed on

a memo Schedule L-B. All such dis-

bursements must be itemized if they

exceed $200 or more.

LINE 6. Add Lines 4(e) and 5 to de-

rive the gure for total disbursements.

Summary

LINE 7. Enter the total amount of

cash on hand at the beginning of

the reporting period. For Column B

(“Calendar Year-to-Date”), enter the

total amount of cash on hand as of

January 1 of the calendar year.

LINE 8. Enter the “Total This Period”

gure from Line 3.

LINE 9. Add Lines 7 and 8 to derive

the subtotal for receipts.

LINE 10. Enter the “Total This Pe-

riod” gure from Line 6.

LINE 11. Subtract Line 10 from Line

9 to derive the gure for Levin funds

on hand at the close of the reporting

period.

When To File

Submit Schedule L, the Levin

Funds Aggregation Page, and sup-

porting memo Schedules L-A and L-B

with each report once the committee

has combined receipts and disburse-

ments of $5,000 or more in the ag-

gregate for “federal election activity”

during the calendar year as dened at

11 CFR 100.24. Note that once this

threshold is passed, the committee

must le FEC reports on a monthly

basis. 11 CFR 300.36(c)(1).