Commonwealth of Pennsylvania - Campaign Finance Report (NOTE: This report must be clear and legible. It should be typed) Report Filer Identification 2008282 Filed By: Number Name of Filing Committee, Candidate or Lobbyist Street Address
Candidate
Committee
Lobbyist
Independence Blue Cross PAC (IBCPAC) PA 1901 Market St
City
State
Philadelphia
Zip Code
PA
19103
TYPE OF REPORT (Place x under report type) 1-6th Tuesday Pre-Primary
2-2nd Friday 3-30 Day Pre-Primary Post Primary
4-6th Tuesday Pre-Election
DATE OF ELECTION
11/08/2016
(MM/DD/YYYY) Summary of Receipts and Expenditures
YEAR
From Date
5-2nd Friday Pre-Elecetion
6-30 Day Post Election
2016
AMENDMENT REPORT?
7 - Annual
10/25/2016
B. Total Monetary Contributions and Receipts (From Schedule I) C. Total Funds Available (Sum of Lines A and B)
Special 30 Day Post-Election
TERMINATION REPORT? For Office Use Only
To Date
A. Amount Brought Forward From Last Report
Special 2nd Friday Pre-Election
11/28/2016 $107,906.73 $34,879.74 $142,786.47
D. Total Expenditures (From Schedule III)
$13,700.00
E. Ending Cash Balance (Subtract Line D from Line C)
$129,086.47
F. Value of In-Kind Contributions Received (From Schedule II)
$0.00
G. Unpaid Debts and Obligations (From Schedule IV)
$0.00 Affidavit Section
PART I - If this is a Committee report, treasurer sign here. If this is a Candidate report, candidate sign here. I swear (or affirm) that this report, including the attached schedules, on paper or computer diskette, are to the best of my knowledge and belief true, correct, and complete. Sworn to and subscribed before me this ___________day of_____________________________ 20_______ Signature of Person Submitting Report ________________________________________________________ Juan Lopez Printed Name
Signature My commission expires MO.
DAY
YR.
(202) Area Code
371-7559 Daytime Telephone Number
PART II - If this is a report of a Candidate's Authorized Committee, candidate shall sign here. I swear (or affirm) that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3, 1937 (P.L. 1333, No. 320) as amended. Sworn to and subscribed before me this ___________day of_____________________________ 20_______ Signature of Person Submitting Report ________________________________________________________ Printed Name
Signature My commission expires MO.
DAY
YR.
________________ Area Code
________________________________ Daytime Telephone Number
Schedule I
Page
1
of
1
Contributions and Receipts Detailed Summary Page Name of Filing Committee or Candidate Independence Blue Cross PAC (IBCPAC) PA
Reporting Period From 10/25/2016 to 11/28/2016
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period
(1)
$6,470.27
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND B) Contributions Received from Political Committees (Part A)
$0.00
All Other Contributions (Part B)
$22,196.90 TOTAL for the Reporting Period
(2)
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND D) Contributions Received from Political Committees (Part C)
$22,196.90
$0.00
All Other Contributions (Part D)
$6,212.57 TOTAL for the Reporting Period
(3)
$6,212.57
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (add and enter amount totals from Boxes 1, 2, 3 and 4; also enter this amount on Page 1, Report Cover Page, Item B.)
(4)
$0.00
$34,879.74
PAGE
PART B
1 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Alan Adler
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$45.00
Mailing Address
706 Polo Cir City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Alan Adler
$45.00
Mailing Address
706 Polo Cir City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Alan Adler
$45.00
Mailing Address
706 Polo Cir City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Sharon Alexander-Keilly
$50.00
Mailing Address
320 Chandlers Way City
Lititz
State
Zip Code (Plus 4)
PA
17543
Full Name of Contributor
Sharon Alexander-Keilly
$50.00
Mailing Address
320 Chandlers Way City
Lititz
State
Zip Code (Plus 4)
PA
17543
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$235.00
PAGE
PART B
2 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Margaret Angello
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
3429 Alinda Cr. City
Camp Hill
State
Zip Code (Plus 4)
PA
17011
Full Name of Contributor
Margaret Angello
$96.15
Mailing Address
3429 Alinda Cr. City
Camp Hill
State
Zip Code (Plus 4)
PA
17011
Full Name of Contributor
Phillipa Ashby
$35.00
Mailing Address
1314 Sussex Road City
Wynewood
State
Zip Code (Plus 4)
PA
19096
Full Name of Contributor
Phillipa Ashby
$35.00
Mailing Address
1314 Sussex Road City
Wynewood
State
Zip Code (Plus 4)
PA
19096
Full Name of Contributor
Phillipa Ashby
$35.00
Mailing Address
1314 Sussex Road City
Wynewood
State
Zip Code (Plus 4)
PA
19096
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$297.30
PAGE
PART B
3 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Alexia Azogu
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$25.00
Mailing Address
PO Box 626 Apartment Basement City
Glenside
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Alexia Azogu
$25.00
Mailing Address
PO Box 626 Apartment Basement City
Glenside
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Alexia Azogu
$25.00
Mailing Address
PO Box 626 Apartment Basement City
Glenside
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Autumn Baidouri
$25.00
Mailing Address
14 Sunset Road City
Turnersville
State
Zip Code (Plus 4)
NJ
08012
Full Name of Contributor
Autumn Baidouri
$25.00
Mailing Address
14 Sunset Road City
Turnersville
State
Zip Code (Plus 4)
NJ
08012
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$125.00
PAGE
PART B
4 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Julie Bailey
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$20.00
Mailing Address
11 Lamplighter Dr City
Woodstown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Julie Bailey
$20.00
Mailing Address
11 Lamplighter Dr City
Woodstown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Julie Bailey
$20.00
Mailing Address
11 Lamplighter Dr City
Woodstown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Ellen Baker
$25.00
Mailing Address
8446 Forrest Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19150
Full Name of Contributor
Ellen Baker
$25.00
Mailing Address
8446 Forrest Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19150
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$110.00
PAGE
PART B
5 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Ronald Baldwin
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
286 Birch Drive City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19444
Full Name of Contributor
Ronald Baldwin
$35.00
Mailing Address
286 Birch Drive City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19444
Full Name of Contributor
Geralyn Barbato
$35.00
Mailing Address
1013 Nicholas Drive City
West Chester
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Geralyn Barbato
$35.00
Mailing Address
1013 Nicholas Drive City
West Chester
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Geralyn Barbato
$35.00
Mailing Address
1013 Nicholas Drive City
West Chester
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE
PART B
6 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Scott Bass
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$60.00
Mailing Address
6836 Anderson St. Apt 7204 City
Philadelphia
State
Zip Code (Plus 4)
PA
19119
Full Name of Contributor
Scott Bass
$60.00
Mailing Address
6836 Anderson St. Apt 7204 City
Philadelphia
State
Zip Code (Plus 4)
PA
19119
Full Name of Contributor
Ellan Baumgartner
$25.00
Mailing Address
107 Forelle Court City
Telford
State
Zip Code (Plus 4)
PA
18969
Full Name of Contributor
Ellan Baumgartner
$25.00
Mailing Address
107 Forelle Court City
Telford
State
Zip Code (Plus 4)
PA
18969
Full Name of Contributor
Alison Beam
$25.00
Mailing Address
489 Country Club Road City
Camp Hill
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE
PART B
7 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Alison Beam
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
489 Country Club Road City
Camp Hill
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Alison Beam
$25.00
Mailing Address
489 Country Club Road City
Camp Hill
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Andrew Berenato
$42.00
Mailing Address
1101 Washington Avenue Unit 717 City
Philadelphia
State
Zip Code (Plus 4)
PA
19147
Full Name of Contributor
Andrew Berenato
$42.00
Mailing Address
1101 Washington Avenue Unit 717 City
Philadelphia
State
Zip Code (Plus 4)
PA
19147
Full Name of Contributor
Cathleen Bernard
$25.00
Mailing Address
520 Wildwood Ave City
Pitman
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$159.00
PAGE
PART B
8 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Cathleen Bernard
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
520 Wildwood Ave City
Pitman
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Cathleen Bernard
$25.00
Mailing Address
520 Wildwood Ave City
Pitman
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Bernadette Billetta
$35.00
Mailing Address
364 Coates Street City
Swedesburg
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Bernadette Billetta
$35.00
Mailing Address
364 Coates Street City
Swedesburg
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Bernadette Billetta
$35.00
Mailing Address
364 Coates Street City
Swedesburg
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE
PART B
9 OF 113
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Tyrina Blomer
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$60.00
Mailing Address
15622 Ripplewind Lane City
Houston
State
Zip Code (Plus 4)
TX
77068
Full Name of Contributor
Rejean Boivin
$40.00
Mailing Address
7 Kirkwood Drive City
Mount Laurel
State
Zip Code (Plus 4)
NJ
08054
Full Name of Contributor
Rejean Boivin
$40.00
Mailing Address
7 Kirkwood Drive City
Mount Laurel
State
Zip Code (Plus 4)
NJ
08054
Full Name of Contributor
Keli Boltz
$25.00
Mailing Address
16 Edinburgh Lane City
Mount Laurel
State
Zip Code (Plus 4)
NJ
08054
Full Name of Contributor
Keli Boltz
$25.00
Mailing Address
16 Edinburgh Lane City
Mount Laurel
State
Zip Code (Plus 4)
NJ
08054
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$190.00
PAGE 10 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Keli Boltz
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
16 Edinburgh Lane City
Mount Laurel
State
Zip Code (Plus 4)
NJ
08054
Full Name of Contributor
Lisa Bond
$35.00
Mailing Address
6832 Henry Avenue City
Philadelphia
State
Zip Code (Plus 4)
PA
19128
Full Name of Contributor
Lisa Bond
$35.00
Mailing Address
6832 Henry Avenue City
Philadelphia
State
Zip Code (Plus 4)
PA
19128
Full Name of Contributor
Bobbi Jo Brissette
$40.00
Mailing Address
103 Fairway Lane City
Jeffersonville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Bobbi Jo Brissette
$40.00
Mailing Address
103 Fairway Lane City
Jeffersonville
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 11 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Bobbi Jo Brissette
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$40.00
Mailing Address
103 Fairway Lane City
Jeffersonville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Ronald Brooks
$30.00
Mailing Address
220 Ridings Way City
Ambler
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Ronald Brooks
$30.00
Mailing Address
220 Ridings Way City
Ambler
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Ronald Brooks
$30.00
Mailing Address
220 Ridings Way City
Ambler
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Donald Brovero
$25.00
Mailing Address
835 Hardingville Road City
Monroeville
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 12 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Donald Brovero
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
835 Hardingville Road City
Monroeville
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Donald Brovero
$25.00
Mailing Address
835 Hardingville Road City
Monroeville
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Daniel Brown
$35.00
Mailing Address
313 Garden Road City
Oreland
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Daniel Brown
$35.00
Mailing Address
313 Garden Road City
Oreland
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Daniel Brown
$35.00
Mailing Address
313 Garden Road City
Oreland
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 13 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mark Bullock
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$96.15
Mailing Address
511 Maplewood Avenue City
Wayne
State
Zip Code (Plus 4)
PA
19087
Full Name of Contributor
Mark Bullock
$96.15
Mailing Address
511 Maplewood Avenue City
Wayne
State
Zip Code (Plus 4)
PA
19087
Full Name of Contributor
John Butts
$35.00
Mailing Address
1313 Roosevelt Ave City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
John Butts
$35.00
Mailing Address
1313 Roosevelt Ave City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
Richard Cage
$35.00
Mailing Address
101 Lantern Court City
Yardley
State
Zip Code (Plus 4)
PA
19067
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$297.30
PAGE 14 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Richard Cage
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
101 Lantern Court City
Yardley
State
Zip Code (Plus 4)
PA
19067
Full Name of Contributor
Richard Cage
$35.00
Mailing Address
101 Lantern Court City
Yardley
State
Zip Code (Plus 4)
PA
19067
Full Name of Contributor
Chris Capaldi
$25.00
Mailing Address
12535 Ramer Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Chris Capaldi
$25.00
Mailing Address
12535 Ramer Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Chris Capaldi
$25.00
Mailing Address
12535 Ramer Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 15 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Victor Caraballo
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$45.00
Mailing Address
9400 Meadowbrook Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Victor Caraballo
$45.00
Mailing Address
9400 Meadowbrook Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Victor Caraballo
$45.00
Mailing Address
9400 Meadowbrook Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Christine Carter
$35.00
Mailing Address
517 Hillside Avenue City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
Christine Carter
$35.00
Mailing Address
517 Hillside Avenue City
Havertown
State
Zip Code (Plus 4)
PA
19083
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$205.00
PAGE 16 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Heidi Chan
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
25 Waverly Drive City
Hummelstown
State
Zip Code (Plus 4)
PA
17036
Full Name of Contributor
Heidi Chan
$35.00
Mailing Address
25 Waverly Drive City
Hummelstown
State
Zip Code (Plus 4)
PA
17036
Full Name of Contributor
Darren Chance
$35.00
Mailing Address
111 Pearlcroft Rd. City
Cherry Hill
State
Zip Code (Plus 4)
NJ
08034
Full Name of Contributor
Darren Chance
$35.00
Mailing Address
111 Pearlcroft Rd. City
Cherry Hill
State
Zip Code (Plus 4)
NJ
08034
Full Name of Contributor
Charaninder Chawla
$60.00
Mailing Address
77 Versailles Blvd City
Cherry Hill
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$200.00
PAGE 17 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Charaninder Chawla
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$60.00
Mailing Address
77 Versailles Blvd City
Cherry Hill
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Charaninder Chawla
$60.00
Mailing Address
77 Versailles Blvd City
Cherry Hill
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Mario Civera
$25.00
Mailing Address
2977 Honeymead Road City
Downingtown
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mario Civera
$25.00
Mailing Address
2977 Honeymead Road City
Downingtown
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mario Civera
$25.00
Mailing Address
2977 Honeymead Road City
Downingtown
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 18 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Anthony Close
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
38 S Forge Manor Drive City
Phoenixville
State
Zip Code (Plus 4)
PA
19460
Full Name of Contributor
Anthony Close
$35.00
Mailing Address
38 S Forge Manor Drive City
Phoenixville
State
Zip Code (Plus 4)
PA
19460
Full Name of Contributor
Matthew Cooney
$30.00
Mailing Address
16 Hawkeye Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Matthew Cooney
$30.00
Mailing Address
16 Hawkeye Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Matthew Cooney
$30.00
Mailing Address
16 Hawkeye Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$160.00
PAGE 19 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Stephen Cozzo
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
1700 Huntigdon Pike Apt 861 City
Huntingdon Valley
State
Zip Code (Plus 4)
PA
19006
Full Name of Contributor
Stephen Cozzo
$35.00
Mailing Address
1700 Huntigdon Pike Apt 861 City
Huntingdon Valley
State
Zip Code (Plus 4)
PA
19006
Full Name of Contributor
George Cronan
$35.00
Mailing Address
117 Sutton Road City
Ardmore
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
George Cronan
$35.00
Mailing Address
117 Sutton Road City
Ardmore
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
George Cronan
$35.00
Mailing Address
117 Sutton Road City
Ardmore
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 20 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Kevin Crow
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
14 Valley View Terrace City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Kevin Crow
$25.00
Mailing Address
14 Valley View Terrace City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Kevin Crow
$25.00
Mailing Address
14 Valley View Terrace City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Donna Crudele
$25.00
Mailing Address
2650 S 10th St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Donna Crudele
$25.00
Mailing Address
2650 S 10th St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$125.00
PAGE 21 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Donna Crudele
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
2650 S 10th St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Terrence Cunningham
$40.00
Mailing Address
3303 West Queen Lane City
Philadelphia
State
Zip Code (Plus 4)
PA
19129
Full Name of Contributor
Terrence Cunningham
$40.00
Mailing Address
3303 West Queen Lane City
Philadelphia
State
Zip Code (Plus 4)
PA
19129
Full Name of Contributor
Brian Daly
$25.00
Mailing Address
2717 Pine Valley Lane City
Ardmore
State
Zip Code (Plus 4)
PA
19003
Full Name of Contributor
Brian Daly
$25.00
Mailing Address
2717 Pine Valley Lane City
Ardmore
State
Zip Code (Plus 4)
PA
19003
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 22 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Brian Daly
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
2717 Pine Valley Lane City
Ardmore
State
Zip Code (Plus 4)
PA
19003
Full Name of Contributor
Christopher Deery
$35.00
Mailing Address
110 E. Pine Street City
Audubon
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Christopher Deery
$35.00
Mailing Address
110 E. Pine Street City
Audubon
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Christopher Deery
$35.00
Mailing Address
110 E. Pine Street City
Audubon
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Jennifer DeVuono
$25.00
Mailing Address
112 W. Madison AVe City
Clifton Heights
State
Zip Code (Plus 4)
PA
19018
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 23 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Jennifer DeVuono
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
112 W. Madison AVe City
Clifton Heights
State
Zip Code (Plus 4)
PA
19018
Full Name of Contributor
Mark Dianno
$45.00
Mailing Address
1764 Terrace Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mark Dianno
$45.00
Mailing Address
1764 Terrace Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mark Dianno
$45.00
Mailing Address
1764 Terrace Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Fred Dickson
$96.15
Mailing Address
6755 Brendan Court City
Edina
State
Zip Code (Plus 4)
MN
55439
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$256.15
PAGE 24 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Fred Dickson
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
6755 Brendan Court City
Edina
State
Zip Code (Plus 4)
MN
55439
Full Name of Contributor
Lisa Dirska
$35.00
Mailing Address
971 Lincoln Rd. City
Mullica Hill
State
Zip Code (Plus 4)
NJ
08062
Full Name of Contributor
Lisa Dirska
$35.00
Mailing Address
971 Lincoln Rd. City
Mullica Hill
State
Zip Code (Plus 4)
NJ
08062
Full Name of Contributor
Moussa Doumbouya
$25.00
Mailing Address
8338 Williams Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Moussa Doumbouya
$25.00
Mailing Address
8338 Williams Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$216.15
PAGE 25 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Moussa Doumbouya
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
8338 Williams Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Jennifer Dragoun
$20.00
Mailing Address
134 Sheldrake Drive City
Paoli
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jennifer Dragoun
$20.00
Mailing Address
134 Sheldrake Drive City
Paoli
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jennifer Dragoun
$20.00
Mailing Address
134 Sheldrake Drive City
Paoli
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Tina Drahus
$25.00
Mailing Address
540 Fifth Street Manor City
West Wyoming
State
Zip Code (Plus 4)
PA
18644
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$110.00
PAGE 26 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Tina Drahus
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
540 Fifth Street Manor City
West Wyoming
State
Zip Code (Plus 4)
PA
18644
Full Name of Contributor
Jeffrey DuBose
$35.00
Mailing Address
8807 Hawthorne Lane City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jeffrey DuBose
$35.00
Mailing Address
8807 Hawthorne Lane City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jeffrey DuBose
$35.00
Mailing Address
8807 Hawthorne Lane City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Duplessis
$35.00
Mailing Address
716 Cottage Road City
Glenside
State
Zip Code (Plus 4)
PA
19038
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$165.00
PAGE 27 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Michael Duplessis
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$35.00
Mailing Address
716 Cottage Road City
Glenside
State
Zip Code (Plus 4)
PA
19038
Full Name of Contributor
Keith Edwards
$25.00
Mailing Address
2513 Mount Carmel Ave. City
Glenside
State
Zip Code (Plus 4)
PA
19038
Full Name of Contributor
Keith Edwards
$25.00
Mailing Address
2513 Mount Carmel Ave. City
Glenside
State
Zip Code (Plus 4)
PA
19038
Full Name of Contributor
Keith Edwards
$25.00
Mailing Address
2513 Mount Carmel Ave. City
Glenside
State
Zip Code (Plus 4)
PA
19038
Full Name of Contributor
Lori Egan
$35.00
Mailing Address
56 Cherry Blossom Dr. City
Churchville
State
Zip Code (Plus 4)
PA
18966
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 28 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Lori Egan
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
56 Cherry Blossom Dr. City
Churchville
State
Zip Code (Plus 4)
PA
18966
Full Name of Contributor
Laith Elias
$35.00
Mailing Address
100 Donna Drive City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laith Elias
$35.00
Mailing Address
100 Donna Drive City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laith Elias
$35.00
Mailing Address
100 Donna Drive City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mark Engleman
$25.00
Mailing Address
411 Stiles Avenue Condo B-3 City
Maple Shade
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$165.00
PAGE 29 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mark Engleman
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
411 Stiles Avenue Condo B-3 City
Maple Shade
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Mark Engleman
$25.00
Mailing Address
411 Stiles Avenue Condo B-3 City
Maple Shade
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Heather Falck
$25.00
Mailing Address
1500 Mt Vernon St 2R City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Heather Falck
$25.00
Mailing Address
1500 Mt Vernon St 2R City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Heather Falck
$25.00
Mailing Address
1500 Mt Vernon St 2R City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$125.00
PAGE 30 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Dennis Foley
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$35.00
Mailing Address
760 Shearer Street City
North Wales
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Dennis Foley
$35.00
Mailing Address
760 Shearer Street City
North Wales
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Dennis Foley
$35.00
Mailing Address
760 Shearer Street City
North Wales
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Louis Freimiller
$35.00
Mailing Address
407 Myrtle Ave City
Cheltenham
State
Zip Code (Plus 4)
PA
19012
Full Name of Contributor
Louis Freimiller
$35.00
Mailing Address
407 Myrtle Ave City
Cheltenham
State
Zip Code (Plus 4)
PA
19012
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 31 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Sara Fritz
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
3 Green Valley Road City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Sara Fritz
$35.00
Mailing Address
3 Green Valley Road City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Sara Fritz
$35.00
Mailing Address
3 Green Valley Road City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Lisa Gaeto
$45.00
Mailing Address
325 Thyme Ln City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Lisa Gaeto
$45.00
Mailing Address
325 Thyme Ln City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 32 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Lisa Gaeto
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$45.00
Mailing Address
325 Thyme Ln City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jennifer Gallagher
$45.00
Mailing Address
106 Black Walnut Lane City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jennifer Gallagher
$45.00
Mailing Address
106 Black Walnut Lane City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jennifer Gallagher
$45.00
Mailing Address
106 Black Walnut Lane City
Plymouth Meeting
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Patrick Gallagher
$60.00
Mailing Address
11 Sandy Bank Rd. City
Media
State
Zip Code (Plus 4)
PA
19063
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$240.00
PAGE 33 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Patrick Gallagher
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
11 Sandy Bank Rd. City
Media
State
Zip Code (Plus 4)
PA
19063
Full Name of Contributor
Amy Gallo
$35.00
Mailing Address
19 Blossom Hill Road City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Amy Gallo
$35.00
Mailing Address
19 Blossom Hill Road City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Amy Gallo
$35.00
Mailing Address
19 Blossom Hill Road City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Andrea Gelzer
$96.15
Mailing Address
217 Bay Point Road Box 619 City
Newbury
State
Zip Code (Plus 4)
NH
03255
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$261.15
PAGE 34 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Andrea Gelzer
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$96.15
Mailing Address
217 Bay Point Road Box 619 City
Newbury
State
Zip Code (Plus 4)
NH
03255
Full Name of Contributor
James Giammaruti
$35.00
Mailing Address
113 Timothy Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
James Giammaruti
$35.00
Mailing Address
113 Timothy Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
James Giammaruti
$35.00
Mailing Address
113 Timothy Drive City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Russell Gianforcaro
$70.00
Mailing Address
8 Dara Circle City
Broomall
State
Zip Code (Plus 4)
PA
19008
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$271.15
PAGE 35 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Russell Gianforcaro
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$70.00
Mailing Address
8 Dara Circle City
Broomall
State
Zip Code (Plus 4)
PA
19008
Full Name of Contributor
Stephen Gitkos
$25.00
Mailing Address
2001 Hamilton St. Apt. 707 City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Stephen Gitkos
$25.00
Mailing Address
2001 Hamilton St. Apt. 707 City
Philadelphia
State
Zip Code (Plus 4)
PA
19130
Full Name of Contributor
Steven Giuliano
$35.00
Mailing Address
15 Rolling Road City
Stratford
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Steven Giuliano
$35.00
Mailing Address
15 Rolling Road City
Stratford
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$190.00
PAGE 36 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Steven Giuliano
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
15 Rolling Road City
Stratford
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Michael Golinkoff
$96.15
Mailing Address
111 Colwyn Lane City
Bala Cynwyd
State
Zip Code (Plus 4)
PA
19004
Full Name of Contributor
Michael Golinkoff
$96.15
Mailing Address
111 Colwyn Lane City
Bala Cynwyd
State
Zip Code (Plus 4)
PA
19004
Full Name of Contributor
Rand Greenblatt
$60.00
Mailing Address
9 Jacobs Lane City
Voorhees
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Rand Greenblatt
$60.00
Mailing Address
9 Jacobs Lane City
Voorhees
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$347.30
PAGE 37 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Rand Greenblatt
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$60.00
Mailing Address
9 Jacobs Lane City
Voorhees
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Adrienne Greenfield
$35.00
Mailing Address
241 S. 6th Street Apt. 1305 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Adrienne Greenfield
$35.00
Mailing Address
241 S. 6th Street Apt. 1305 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Adrienne Greenfield
$35.00
Mailing Address
241 S. 6th Street Apt. 1305 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laura Grossi-Tyson
$45.00
Mailing Address
100 Carnaby Circle City
North Wales
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$210.00
PAGE 38 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Laura Grossi-Tyson
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$45.00
Mailing Address
100 Carnaby Circle City
North Wales
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laura Grossi-Tyson
$45.00
Mailing Address
100 Carnaby Circle City
North Wales
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Glenn Hamilton
$60.00
Mailing Address
296 River Road City
Gladwyne
State
Zip Code (Plus 4)
PA
19035
Full Name of Contributor
Glenn Hamilton
$60.00
Mailing Address
296 River Road City
Gladwyne
State
Zip Code (Plus 4)
PA
19035
Full Name of Contributor
Keith Harris
$35.00
Mailing Address
217 Jockey Hollow Run City
Woolwich Twp
State
Zip Code (Plus 4)
NJ
08085
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$245.00
PAGE 39 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Keith Harris
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$35.00
Mailing Address
217 Jockey Hollow Run City
Woolwich Twp
State
Zip Code (Plus 4)
NJ
08085
Full Name of Contributor
Julie Haywood
$45.00
Mailing Address
443 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Julie Haywood
$45.00
Mailing Address
443 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Julie Haywood
$45.00
Mailing Address
443 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Regina Heffernan
$25.00
Mailing Address
117 Wellington Drive City
Media
State
Zip Code (Plus 4)
PA
19063
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 40 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Regina Heffernan
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
117 Wellington Drive City
Media
State
Zip Code (Plus 4)
PA
19063
Full Name of Contributor
Russell Heid
$60.00
Mailing Address
521 South Broad Street Apartment 710 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Russell Heid
$60.00
Mailing Address
521 South Broad Street Apartment 710 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Russell Heid
$60.00
Mailing Address
521 South Broad Street Apartment 710 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Madonna Hickey
$35.00
Mailing Address
205 E Cobblefield Ct City
Newark
State
Zip Code (Plus 4)
DE
19713
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$240.00
PAGE 41 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Madonna Hickey
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$35.00
Mailing Address
205 E Cobblefield Ct City
Newark
State
Zip Code (Plus 4)
DE
19713
Full Name of Contributor
John Hilferty
$35.00
Mailing Address
4 Azalea Lane City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Hilferty
$35.00
Mailing Address
4 Azalea Lane City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Hilferty
$35.00
Mailing Address
4 Azalea Lane City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mary Jane Hill
$25.00
Mailing Address
448 Wellesley Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19119
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$165.00
PAGE 42 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mary Jane Hill
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
448 Wellesley Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19119
Full Name of Contributor
Michael Hobson
$39.00
Mailing Address
31 Oakford Rd City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Hobson
$39.00
Mailing Address
31 Oakford Rd City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Hobson
$39.00
Mailing Address
31 Oakford Rd City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kathleen Hopkins
$25.00
Mailing Address
27 North Penn Avenue City
Rockledge
State
Zip Code (Plus 4)
PA
19046
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$167.00
PAGE 43 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Kathleen Hopkins
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
27 North Penn Avenue City
Rockledge
State
Zip Code (Plus 4)
PA
19046
Full Name of Contributor
Damita Horton
$30.00
Mailing Address
1320 N. 56th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Damita Horton
$30.00
Mailing Address
1320 N. 56th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Damita Horton
$30.00
Mailing Address
1320 N. 56th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Hudson
$35.00
Mailing Address
1913 Beechwood Drive City
Wilmington
State
Zip Code (Plus 4)
DE
19810
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$150.00
PAGE 44 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Michael Hudson
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
1913 Beechwood Drive City
Wilmington
State
Zip Code (Plus 4)
DE
19810
Full Name of Contributor
Michael Hudson
$35.00
Mailing Address
1913 Beechwood Drive City
Wilmington
State
Zip Code (Plus 4)
DE
19810
Full Name of Contributor
Harold Hunter
$25.00
Mailing Address
504 Monmouth Dr City
Mount Laurel
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Harold Hunter
$25.00
Mailing Address
504 Monmouth Dr City
Mount Laurel
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Harold Hunter
$25.00
Mailing Address
504 Monmouth Dr City
Mount Laurel
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 45 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Valerie Jachimowicz
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
616 S 21 Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19146
Full Name of Contributor
Valerie Jachimowicz
$35.00
Mailing Address
616 S 21 Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19146
Full Name of Contributor
Peter Jakuc
$96.15
Mailing Address
9967 Coddington Way City
St. Louis
State
Zip Code (Plus 4)
MO
63132
Full Name of Contributor
Peter Jakuc
$96.15
Mailing Address
9967 Coddington Way City
St. Louis
State
Zip Code (Plus 4)
MO
63132
Full Name of Contributor
Jill Johnson
$25.00
Mailing Address
328 W. Crossing Drive Unit A City
Mount Royal
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$287.30
PAGE 46 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Jill Johnson
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
328 W. Crossing Drive Unit A City
Mount Royal
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Jill Johnson
$25.00
Mailing Address
328 W. Crossing Drive Unit A City
Mount Royal
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Adele Jones
$35.00
Mailing Address
300 W. Bradford Ct. City
Middletown
State
Zip Code (Plus 4)
DE
19709
Full Name of Contributor
Adele Jones
$35.00
Mailing Address
300 W. Bradford Ct. City
Middletown
State
Zip Code (Plus 4)
DE
19709
Full Name of Contributor
Barbara Jones
$35.00
Mailing Address
7902 Froebel Road City
Laverock
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 47 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Barbara Jones
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
7902 Froebel Road City
Laverock
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Barbara Jones
$35.00
Mailing Address
7902 Froebel Road City
Laverock
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Kalina
$60.00
Mailing Address
23 Stoneham Dr City
Delran
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
John Kalina
$60.00
Mailing Address
23 Stoneham Dr City
Delran
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
John Kalina
$60.00
Mailing Address
23 Stoneham Dr City
Delran
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$250.00
PAGE 48 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Hillary Kane
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
511 Maplewood Ave City
Wayne
State
Zip Code (Plus 4)
PA
19087
Full Name of Contributor
Hillary Kane
$35.00
Mailing Address
511 Maplewood Ave City
Wayne
State
Zip Code (Plus 4)
PA
19087
Full Name of Contributor
Paul Kane
$60.00
Mailing Address
1564 Surrey Rd City
Bethlehem
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Paul Kane
$60.00
Mailing Address
1564 Surrey Rd City
Bethlehem
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Paul Kane
$60.00
Mailing Address
1564 Surrey Rd City
Bethlehem
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$250.00
PAGE 49 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Henry Kearney
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$45.00
Mailing Address
4019 K St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Henry Kearney
$45.00
Mailing Address
4019 K St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Henry Kearney
$45.00
Mailing Address
4019 K St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
James Kelly
$25.00
Mailing Address
1520 Briar Lane City
Feasterville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
James Kelly
$25.00
Mailing Address
1520 Briar Lane City
Feasterville
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$185.00
PAGE 50 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
James Kelly
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
1520 Briar Lane City
Feasterville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Kenney
$60.00
Mailing Address
1605 Hood Lane City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Kenney
$60.00
Mailing Address
1605 Hood Lane City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Kenney
$60.00
Mailing Address
1605 Hood Lane City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Catherine Killian
$35.00
Mailing Address
325 Twin Oaks Drive City
Havertown
State
Zip Code (Plus 4)
PA
19083
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$240.00
PAGE 51 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Catherine Killian
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
325 Twin Oaks Drive City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
Patricia Kinn
$45.00
Mailing Address
438 Liberty Ln City
Marlton
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Patricia Kinn
$45.00
Mailing Address
438 Liberty Ln City
Marlton
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Patricia Kinn
$45.00
Mailing Address
438 Liberty Ln City
Marlton
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Daphne Klausner
$69.00
Mailing Address
725 North 26th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$239.00
PAGE 52 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Daphne Klausner
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$69.00
Mailing Address
725 North 26th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Daphne Klausner
$69.00
Mailing Address
725 North 26th Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Amy Knapp
$60.00
Mailing Address
131 Springton Lake Rd. City
Media
State
Zip Code (Plus 4)
PA
19063
Full Name of Contributor
Amy Knapp
$60.00
Mailing Address
131 Springton Lake Rd. City
Media
State
Zip Code (Plus 4)
PA
19063
Full Name of Contributor
Kimberly Kockler
$60.00
Mailing Address
953 Sunnyhill Lane City
Harrisburg
State
Zip Code (Plus 4)
PA
17101
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$318.00
PAGE 53 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Kimberly Kockler
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
953 Sunnyhill Lane City
Harrisburg
State
Zip Code (Plus 4)
PA
17101
Full Name of Contributor
Kimberly Kockler
$60.00
Mailing Address
953 Sunnyhill Lane City
Harrisburg
State
Zip Code (Plus 4)
PA
17101
Full Name of Contributor
Rae Langston
$25.00
Mailing Address
554 Jansen Ave City
Essington
State
Zip Code (Plus 4)
PA
19029
Full Name of Contributor
Rae Langston
$25.00
Mailing Address
554 Jansen Ave City
Essington
State
Zip Code (Plus 4)
PA
19029
Full Name of Contributor
James Laughman
$60.00
Mailing Address
12 Hurst Boulevard City
Lititz
State
Zip Code (Plus 4)
PA
17543
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$230.00
PAGE 54 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
James Laughman
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
12 Hurst Boulevard City
Lititz
State
Zip Code (Plus 4)
PA
17543
Full Name of Contributor
Keith Layton
$40.00
Mailing Address
2538 Tauton Dr City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Keith Layton
$40.00
Mailing Address
2538 Tauton Dr City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Keith Layton
$40.00
Mailing Address
2538 Tauton Dr City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Avelina Leal
$35.00
Mailing Address
7636 Waters Road City
Cheltenham
State
Zip Code (Plus 4)
PA
19012
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$215.00
PAGE 55 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Avelina Leal
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
7636 Waters Road City
Cheltenham
State
Zip Code (Plus 4)
PA
19012
Full Name of Contributor
Darwin Leung
$35.00
Mailing Address
1016 Tyler Drive City
Newtown Square
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Darwin Leung
$35.00
Mailing Address
1016 Tyler Drive City
Newtown Square
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Darwin Leung
$35.00
Mailing Address
1016 Tyler Drive City
Newtown Square
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Richard Levins
$60.00
Mailing Address
1334 E Montgomery Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$200.00
PAGE 56 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Richard Levins
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$60.00
Mailing Address
1334 E Montgomery Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Richard Levins
$60.00
Mailing Address
1334 E Montgomery Ave City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Donald Liskay
$25.00
Mailing Address
2609 Barnes Dr City
Moon Township
State
Zip Code (Plus 4)
PA
15222
Full Name of Contributor
Donald Liskay
$25.00
Mailing Address
2609 Barnes Dr City
Moon Township
State
Zip Code (Plus 4)
PA
15222
Full Name of Contributor
Donald Liskay
$25.00
Mailing Address
2609 Barnes Dr City
Moon Township
State
Zip Code (Plus 4)
PA
15222
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 57 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Donald Liss
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$60.00
Mailing Address
313 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Donald Liss
$60.00
Mailing Address
313 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Donald Liss
$60.00
Mailing Address
313 Rices Mill Road City
Wyncote
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Francis Loeper
$25.00
Mailing Address
59 Paul Ln City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Francis Loeper
$25.00
Mailing Address
59 Paul Ln City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$230.00
PAGE 58 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Francis Loeper
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
59 Paul Ln City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Loesch
$40.00
Mailing Address
6617 Lexington Ave City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
John Loesch
$40.00
Mailing Address
6617 Lexington Ave City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
John Loesch
$40.00
Mailing Address
6617 Lexington Ave City
Pennsauken
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Juan Lopez Jr.
$60.00
Mailing Address
7745 Hesson Lane City
Merchantville
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$205.00
PAGE 59 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Juan Lopez Jr.
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
7745 Hesson Lane City
Merchantville
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Juan Lopez Jr.
$60.00
Mailing Address
7745 Hesson Lane City
Merchantville
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Thomas Lyman
$96.15
Mailing Address
1139 Dodgson Ct. City
West Chester
State
Zip Code (Plus 4)
PA
19382
Full Name of Contributor
Thomas Lyman
$96.15
Mailing Address
1139 Dodgson Ct. City
West Chester
State
Zip Code (Plus 4)
PA
19382
Full Name of Contributor
Andrew Maiorini
$60.00
Mailing Address
1286 Nicole Lane City
Secane
State
Zip Code (Plus 4)
PA
19018
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$372.30
PAGE 60 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Andrew Maiorini
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
1286 Nicole Lane City
Secane
State
Zip Code (Plus 4)
PA
19018
Full Name of Contributor
Anthony Maleno
$60.00
Mailing Address
28 Jamie Drive City
Sewell
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Anthony Maleno
$60.00
Mailing Address
28 Jamie Drive City
Sewell
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Anthony Maleno
$60.00
Mailing Address
28 Jamie Drive City
Sewell
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Colleen Malone
$25.00
Mailing Address
600 S. 24th St. Unit 308 City
Philadelphia
State
Zip Code (Plus 4)
PA
19146
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$265.00
PAGE 61 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Colleen Malone
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
600 S. 24th St. Unit 308 City
Philadelphia
State
Zip Code (Plus 4)
PA
19146
Full Name of Contributor
Mary Malone
$35.00
Mailing Address
552 South Old Middletown Road City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mary Malone
$35.00
Mailing Address
552 South Old Middletown Road City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mary Malone
$35.00
Mailing Address
552 South Old Middletown Road City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Mancano
$25.00
Mailing Address
2617 Dekalb Pike Apt 608 City
East Norriton
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 62 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
John Mancano
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
2617 Dekalb Pike Apt 608 City
East Norriton
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Mancano
$25.00
Mailing Address
2617 Dekalb Pike Apt 608 City
East Norriton
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Dale Mandel M.D.
$35.00
Mailing Address
2005 Brandywine Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Dale Mandel M.D.
$35.00
Mailing Address
2005 Brandywine Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Dale Mandel M.D.
$35.00
Mailing Address
2005 Brandywine Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 63 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Ami Matejkovic
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
214 S Haviland Avenue City
Audubon
State
Zip Code (Plus 4)
NJ
08106
Full Name of Contributor
Ami Matejkovic
$25.00
Mailing Address
214 S Haviland Avenue City
Audubon
State
Zip Code (Plus 4)
NJ
08106
Full Name of Contributor
Ami Matejkovic
$25.00
Mailing Address
214 S Haviland Avenue City
Audubon
State
Zip Code (Plus 4)
NJ
08106
Full Name of Contributor
Brett Mayfield
$60.00
Mailing Address
1515 Aidenn Lair Rd City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Brett Mayfield
$60.00
Mailing Address
1515 Aidenn Lair Rd City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 64 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Brett Mayfield
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$60.00
Mailing Address
1515 Aidenn Lair Rd City
Maple Glen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John McClung
$40.00
Mailing Address
7 Berkshire Rd City
Landenberg
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John McClung
$40.00
Mailing Address
7 Berkshire Rd City
Landenberg
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John McClung
$40.00
Mailing Address
7 Berkshire Rd City
Landenberg
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John McDaid
$35.00
Mailing Address
1414 Robinson Ave City
Havertown
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$215.00
PAGE 65 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
John McDaid
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
1414 Robinson Ave City
Havertown
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John McDaid
$35.00
Mailing Address
1414 Robinson Ave City
Havertown
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Tonya McDonald-Lewis
$25.00
Mailing Address
1634 Harrison St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Tonya McDonald-Lewis
$25.00
Mailing Address
1634 Harrison St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Tonya McDonald-Lewis
$25.00
Mailing Address
1634 Harrison St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 66 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Joanne McFall
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
1109 Lincoln Ave. City
Springfield
State
Zip Code (Plus 4)
PA
19064
Full Name of Contributor
Joanne McFall
$60.00
Mailing Address
1109 Lincoln Ave. City
Springfield
State
Zip Code (Plus 4)
PA
19064
Full Name of Contributor
Kathleen McHenry
$25.00
Mailing Address
911 13th Avenue City
Prospect Park
State
Zip Code (Plus 4)
PA
19076
Full Name of Contributor
Kathleen McHenry
$25.00
Mailing Address
911 13th Avenue City
Prospect Park
State
Zip Code (Plus 4)
PA
19076
Full Name of Contributor
Richard McLaughlin
$60.00
Mailing Address
90 Larkspur Circle Box 318 City
Sicklerville
State
Zip Code (Plus 4)
NJ
08081
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$230.00
PAGE 67 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Richard McLaughlin
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$60.00
Mailing Address
90 Larkspur Circle Box 318 City
Sicklerville
State
Zip Code (Plus 4)
NJ
08081
Full Name of Contributor
Jill Michal
$60.00
Mailing Address
24 Longacre Drive City
Collegeville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jill Michal
$60.00
Mailing Address
24 Longacre Drive City
Collegeville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jill Michal
$60.00
Mailing Address
24 Longacre Drive City
Collegeville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Miller
$30.00
Mailing Address
456 Argyle Road City
Drexel Hill
State
Zip Code (Plus 4)
PA
19026
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$270.00
PAGE 68 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Joseph Miller
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$30.00
Mailing Address
456 Argyle Road City
Drexel Hill
State
Zip Code (Plus 4)
PA
19026
Full Name of Contributor
Michael Miller
$35.00
Mailing Address
120 Galway Circle City
Chalfont
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Miller
$35.00
Mailing Address
120 Galway Circle City
Chalfont
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Miller
$35.00
Mailing Address
120 Galway Circle City
Chalfont
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Cher-Ron Milton
$25.00
Mailing Address
115 Emory Lane City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$160.00
PAGE 69 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Cher-Ron Milton
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
115 Emory Lane City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Cher-Ron Milton
$25.00
Mailing Address
115 Emory Lane City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Janine Mueller
$25.00
Mailing Address
259 Three Bridge Road PO Box 921 City
Monroeville
State
Zip Code (Plus 4)
NJ
08343
Full Name of Contributor
Janine Mueller
$25.00
Mailing Address
259 Three Bridge Road PO Box 921 City
Monroeville
State
Zip Code (Plus 4)
NJ
08343
Full Name of Contributor
Janine Mueller
$25.00
Mailing Address
259 Three Bridge Road PO Box 921 City
Monroeville
State
Zip Code (Plus 4)
NJ
08343
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$125.00
PAGE 70 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Brenda Myrick
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
274 Gravelly Run Branch City
Clayton
State
Zip Code (Plus 4)
DE
19938
Full Name of Contributor
Brenda Myrick
$35.00
Mailing Address
274 Gravelly Run Branch City
Clayton
State
Zip Code (Plus 4)
DE
19938
Full Name of Contributor
Shelley Najjar
$35.00
Mailing Address
25 South Forge Manor Drive City
Phoenixville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Shelley Najjar
$35.00
Mailing Address
25 South Forge Manor Drive City
Phoenixville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Shelley Najjar
$35.00
Mailing Address
25 South Forge Manor Drive City
Phoenixville
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 71 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Victor Negron
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$60.00
Mailing Address
2115 N. Howard Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19122
Full Name of Contributor
Victor Negron
$60.00
Mailing Address
2115 N. Howard Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19122
Full Name of Contributor
Ginny Nelson
$25.00
Mailing Address
2429 Locust Street #520 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Ginny Nelson
$25.00
Mailing Address
2429 Locust Street #520 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Ginny Nelson
$25.00
Mailing Address
2429 Locust Street #520 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 72 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Philip Neri
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
1715 Stocker St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Philip Neri
$25.00
Mailing Address
1715 Stocker St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Philip Neri
$25.00
Mailing Address
1715 Stocker St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kenneth Norton
$35.00
Mailing Address
63 Overlook Circle City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kenneth Norton
$35.00
Mailing Address
63 Overlook Circle City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 73 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Kenneth Norton
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
63 Overlook Circle City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Thomas O'Connell
$45.00
Mailing Address
121 N Lambert St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Thomas O'Connell
$45.00
Mailing Address
121 N Lambert St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Thomas O'Connell
$45.00
Mailing Address
121 N Lambert St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Stacey Oakman
$25.00
Mailing Address
71 Colts Neck Drive City
Sicklerville
State
Zip Code (Plus 4)
NJ
19130
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 74 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Stacey Oakman
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
71 Colts Neck Drive City
Sicklerville
State
Zip Code (Plus 4)
NJ
19130
Full Name of Contributor
Stacey Oakman
$25.00
Mailing Address
71 Colts Neck Drive City
Sicklerville
State
Zip Code (Plus 4)
NJ
19130
Full Name of Contributor
Virginia Barakat
$30.00
Mailing Address
10 Leeds Rd City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Virginia Barakat
$30.00
Mailing Address
10 Leeds Rd City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Virginia Barakat
$30.00
Mailing Address
10 Leeds Rd City
Moorestown
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$140.00
PAGE 75 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Carol Pandza
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
14 Rolling Road City
Stratford
State
Zip Code (Plus 4)
NJ
08084
Full Name of Contributor
Carol Pandza
$96.15
Mailing Address
14 Rolling Road City
Stratford
State
Zip Code (Plus 4)
NJ
08084
Full Name of Contributor
Jason Parr
$50.00
Mailing Address
247 Parkview Blvd City
Spring City
State
Zip Code (Plus 4)
PA
19401
Full Name of Contributor
Jason Parr
$50.00
Mailing Address
247 Parkview Blvd City
Spring City
State
Zip Code (Plus 4)
PA
19401
Full Name of Contributor
Jason Parr
$50.00
Mailing Address
247 Parkview Blvd City
Spring City
State
Zip Code (Plus 4)
PA
19401
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$342.30
PAGE 76 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Linda Paterson
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$60.00
Mailing Address
4 Westbury Ct City
Bordentown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Linda Paterson
$60.00
Mailing Address
4 Westbury Ct City
Bordentown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Linda Paterson
$60.00
Mailing Address
4 Westbury Ct City
Bordentown
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Lawrence Paul
$35.00
Mailing Address
4 Cottonwood Court City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19444
Full Name of Contributor
Lawrence Paul
$35.00
Mailing Address
4 Cottonwood Court City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19444
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$250.00
PAGE 77 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Joshua Pechar
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
2020 Walnut Street Apt. 5L City
Philadelpia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joshua Pechar
$35.00
Mailing Address
2020 Walnut Street Apt. 5L City
Philadelpia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joshua Pechar
$35.00
Mailing Address
2020 Walnut Street Apt. 5L City
Philadelpia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Anthony Pero
$25.00
Mailing Address
3752 Manayunk Avenue Apartment 2 City
Philadelphia
State
Zip Code (Plus 4)
PA
19128
Full Name of Contributor
Anthony Pero
$25.00
Mailing Address
3752 Manayunk Avenue Apartment 2 City
Philadelphia
State
Zip Code (Plus 4)
PA
19128
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 78 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Anthony Pero
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
3752 Manayunk Avenue Apartment 2 City
Philadelphia
State
Zip Code (Plus 4)
PA
19128
Full Name of Contributor
Michele Petrone
$25.00
Mailing Address
1315 Ardsley Rd City
Swarthmore
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michele Petrone
$25.00
Mailing Address
1315 Ardsley Rd City
Swarthmore
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michele Petrone
$25.00
Mailing Address
1315 Ardsley Rd City
Swarthmore
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Suanne Pettit
$35.00
Mailing Address
32 Fowler Avenue City
Millville
State
Zip Code (Plus 4)
NJ
08332
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$135.00
PAGE 79 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Suanne Pettit
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
32 Fowler Avenue City
Millville
State
Zip Code (Plus 4)
NJ
08332
Full Name of Contributor
Patricia Pfeiffer
$25.00
Mailing Address
1712 Gilpin Avenue City
Wilmington
State
Zip Code (Plus 4)
DE
19806
Full Name of Contributor
Patricia Pfeiffer
$25.00
Mailing Address
1712 Gilpin Avenue City
Wilmington
State
Zip Code (Plus 4)
DE
19806
Full Name of Contributor
Martha Phan
$35.00
Mailing Address
6340 Woodbine Avenue City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Martha Phan
$35.00
Mailing Address
6340 Woodbine Avenue City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$155.00
PAGE 80 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Martha Phan
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
6340 Woodbine Avenue City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Maryann Phillip
$35.00
Mailing Address
214 Bridge Rd City
Boothwyn
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Maryann Phillip
$35.00
Mailing Address
214 Bridge Rd City
Boothwyn
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Maryann Phillip
$35.00
Mailing Address
214 Bridge Rd City
Boothwyn
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Arielle Phillips
$25.00
Mailing Address
6801 Clubhouse Dr. Apt. A City
Harrisburg
State
Zip Code (Plus 4)
PA
17111
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$165.00
PAGE 81 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Arielle Phillips
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
6801 Clubhouse Dr. Apt. A City
Harrisburg
State
Zip Code (Plus 4)
PA
17111
Full Name of Contributor
Arielle Phillips
$25.00
Mailing Address
6801 Clubhouse Dr. Apt. A City
Harrisburg
State
Zip Code (Plus 4)
PA
17111
Full Name of Contributor
Adelaide Pingue
$35.00
Mailing Address
2925 Highwoods Drive City
Aston
State
Zip Code (Plus 4)
PA
19014
Full Name of Contributor
Adelaide Pingue
$35.00
Mailing Address
2925 Highwoods Drive City
Aston
State
Zip Code (Plus 4)
PA
19014
Full Name of Contributor
Rebecca Polss
$25.00
Mailing Address
868 Delmont Drive City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 82 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Rebecca Polss
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
868 Delmont Drive City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Rebecca Polss
$25.00
Mailing Address
868 Delmont Drive City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
R. Scott Post
$70.00
Mailing Address
733 Bellingham Ln City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
R. Scott Post
$70.00
Mailing Address
733 Bellingham Ln City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
R. Scott Post
$70.00
Mailing Address
733 Bellingham Ln City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$260.00
PAGE 83 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Michele Powers
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$60.00
Mailing Address
600 N. Atlantic Ave Unit 203 City
Collingswood
State
Zip Code (Plus 4)
NJ
19130
Full Name of Contributor
Michele Powers
$60.00
Mailing Address
600 N. Atlantic Ave Unit 203 City
Collingswood
State
Zip Code (Plus 4)
NJ
19130
Full Name of Contributor
Mark Pozzi
$25.00
Mailing Address
2025 Rodman St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mark Pozzi
$25.00
Mailing Address
2025 Rodman St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mark Pozzi
$25.00
Mailing Address
2025 Rodman St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 84 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mariellen Rachubinski
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
1601 S 2nd St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mariellen Rachubinski
$35.00
Mailing Address
1601 S 2nd St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mariellen Rachubinski
$35.00
Mailing Address
1601 S 2nd St City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Francine Raichlen
$35.00
Mailing Address
505 Hoffman Drive City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Francine Raichlen
$35.00
Mailing Address
505 Hoffman Drive City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 85 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Francine Raichlen
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
505 Hoffman Drive City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Razzi
$45.00
Mailing Address
515 Vestry Drive City
Ambler
State
Zip Code (Plus 4)
PA
19002
Full Name of Contributor
Michael Razzi
$45.00
Mailing Address
515 Vestry Drive City
Ambler
State
Zip Code (Plus 4)
PA
19002
Full Name of Contributor
Michael Razzi
$45.00
Mailing Address
515 Vestry Drive City
Ambler
State
Zip Code (Plus 4)
PA
19002
Full Name of Contributor
Gregory Reed
$35.00
Mailing Address
29 Breyer Court City
Elkins Park
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$205.00
PAGE 86 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Gregory Reed
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
29 Breyer Court City
Elkins Park
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Gregory Reed
$35.00
Mailing Address
29 Breyer Court City
Elkins Park
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Thomas B Rim
$60.00
Mailing Address
840 Doe Run Road City
Newark
State
Zip Code (Plus 4)
DE
19711
Full Name of Contributor
Thomas B Rim
$60.00
Mailing Address
840 Doe Run Road City
Newark
State
Zip Code (Plus 4)
DE
19711
Full Name of Contributor
Michael Robak
$65.00
Mailing Address
204 Fairfield Drive City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$255.00
PAGE 87 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Michael Robak
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$65.00
Mailing Address
204 Fairfield Drive City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Robak
$65.00
Mailing Address
204 Fairfield Drive City
Wallingford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Kevin Roberts
$25.00
Mailing Address
220 Country Club Drive City
Telford
State
Zip Code (Plus 4)
PA
19401
Full Name of Contributor
Michael Kevin Roberts
$25.00
Mailing Address
220 Country Club Drive City
Telford
State
Zip Code (Plus 4)
PA
19401
Full Name of Contributor
Michael Kevin Roberts
$25.00
Mailing Address
220 Country Club Drive City
Telford
State
Zip Code (Plus 4)
PA
19401
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$205.00
PAGE 88 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Margo Robinson
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$40.00
Mailing Address
250 S. 13th Street Apt. 4C City
Philadelphia
State
Zip Code (Plus 4)
PA
19107
Full Name of Contributor
Margo Robinson
$40.00
Mailing Address
250 S. 13th Street Apt. 4C City
Philadelphia
State
Zip Code (Plus 4)
PA
19107
Full Name of Contributor
Richard Roccato
$70.00
Mailing Address
1326 Spruce St Apt 2703 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Richard Roccato
$70.00
Mailing Address
1326 Spruce St Apt 2703 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Richard Roccato
$70.00
Mailing Address
1326 Spruce St Apt 2703 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$290.00
PAGE 89 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
John Rockenbach Jr.
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
2518 Parke Lane City
Broomall
State
Zip Code (Plus 4)
PA
19008
Full Name of Contributor
John Rockenbach Jr.
$35.00
Mailing Address
2518 Parke Lane City
Broomall
State
Zip Code (Plus 4)
PA
19008
Full Name of Contributor
John Rockenbach Jr.
$35.00
Mailing Address
2518 Parke Lane City
Broomall
State
Zip Code (Plus 4)
PA
19008
Full Name of Contributor
Antoinette Rothey
$35.00
Mailing Address
906 Hackberry Court City
Bel Air
State
Zip Code (Plus 4)
MD
19103
Full Name of Contributor
Antoinette Rothey
$35.00
Mailing Address
906 Hackberry Court City
Bel Air
State
Zip Code (Plus 4)
MD
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 90 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Antoinette Rothey
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
906 Hackberry Court City
Bel Air
State
Zip Code (Plus 4)
MD
19103
Full Name of Contributor
Michele Rouzer
$38.50
Mailing Address
31 Dale Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michele Rouzer
$38.50
Mailing Address
31 Dale Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michele Rouzer
$38.50
Mailing Address
31 Dale Drive City
Royersford
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Shawna Russell-Young
$25.00
Mailing Address
7121 Louise Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.50
PAGE 91 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Shawna Russell-Young
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$25.00
Mailing Address
7121 Louise Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Shawna Russell-Young
$25.00
Mailing Address
7121 Louise Road City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Melissa Ryan
$40.00
Mailing Address
301 Butler Road City
Springfield
State
Zip Code (Plus 4)
PA
19064
Full Name of Contributor
Melissa Ryan
$40.00
Mailing Address
301 Butler Road City
Springfield
State
Zip Code (Plus 4)
PA
19064
Full Name of Contributor
Charles Sanbe
$45.00
Mailing Address
57 Deerfield Drive City
Malvern
State
Zip Code (Plus 4)
PA
19355
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 92 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Charles Sanbe
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$45.00
Mailing Address
57 Deerfield Drive City
Malvern
State
Zip Code (Plus 4)
PA
19355
Full Name of Contributor
Eileen Santos-Galarza
$25.00
Mailing Address
4924 Rorer Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Eileen Santos-Galarza
$25.00
Mailing Address
4924 Rorer Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Eileen Santos-Galarza
$25.00
Mailing Address
4924 Rorer Street City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Carrie Sayers
$45.00
Mailing Address
20 Latschar Ln City
Spring City
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$165.00
PAGE 93 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Carrie Sayers
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$45.00
Mailing Address
20 Latschar Ln City
Spring City
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Carrie Sayers
$10.00
Mailing Address
20 Latschar Ln City
Spring City
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Richard Scanlon
$30.00
Mailing Address
853 Colony Road City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19010
Full Name of Contributor
Richard Scanlon
$30.00
Mailing Address
853 Colony Road City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19010
Full Name of Contributor
Daniel Serota
$25.00
Mailing Address
345 West Fullerton Parkway Apartment 1705 City
Chicago
State
Zip Code (Plus 4)
IL
60614
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$140.00
PAGE 94 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Daniel Serota
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$25.00
Mailing Address
345 West Fullerton Parkway Apartment 1705 City
Chicago
State
Zip Code (Plus 4)
IL
60614
Full Name of Contributor
Daniel Serota
$25.00
Mailing Address
345 West Fullerton Parkway Apartment 1705 City
Chicago
State
Zip Code (Plus 4)
IL
60614
Full Name of Contributor
Laura Sherlock
$25.00
Mailing Address
700 North Pennock Street Apartment 203 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laura Sherlock
$25.00
Mailing Address
700 North Pennock Street Apartment 203 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Laura Sherlock
$25.00
Mailing Address
700 North Pennock Street Apartment 203 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$125.00
PAGE 95 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mary Pat Sherry
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
710 Hirst Avenue City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
Mary Pat Sherry
$35.00
Mailing Address
710 Hirst Avenue City
Havertown
State
Zip Code (Plus 4)
PA
19083
Full Name of Contributor
Kimberly Siejak
$35.00
Mailing Address
862 Old State Rd City
Berwyn
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kimberly Siejak
$35.00
Mailing Address
862 Old State Rd City
Berwyn
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kimberly Siejak
$35.00
Mailing Address
862 Old State Rd City
Berwyn
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$175.00
PAGE 96 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Efram Silberstein
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$60.00
Mailing Address
12 Levering Cir City
Bala Cynwyd
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Efram Silberstein
$60.00
Mailing Address
12 Levering Cir City
Bala Cynwyd
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Efram Silberstein
$60.00
Mailing Address
12 Levering Cir City
Bala Cynwyd
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Linda Slaughter
$25.00
Mailing Address
9205 A Ambassador Place City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Linda Slaughter
$25.00
Mailing Address
9205 A Ambassador Place City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$230.00
PAGE 97 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Linda Slaughter
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$25.00
Mailing Address
9205 A Ambassador Place City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Morey Smerling
$25.00
Mailing Address
49 Wynmere Dr. City
Horsham
State
Zip Code (Plus 4)
PA
19044
Full Name of Contributor
Morey Smerling
$25.00
Mailing Address
49 Wynmere Dr. City
Horsham
State
Zip Code (Plus 4)
PA
19044
Full Name of Contributor
Robert Smith
$60.00
Mailing Address
1215 Locust Street Apt 1 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Robert Smith
$60.00
Mailing Address
1215 Locust Street Apt 1 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 98 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Robert Smith
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$60.00
Mailing Address
1215 Locust Street Apt 1 City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
David Snyder
$70.00
Mailing Address
1412 Dorset Ln City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
David Snyder
$70.00
Mailing Address
1412 Dorset Ln City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
David Snyder
$70.00
Mailing Address
1412 Dorset Ln City
Wynnewood
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jamie Stanton
$20.00
Mailing Address
8454 Clodian Ct City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$290.00
PAGE 99 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Jamie Stanton
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$20.00
Mailing Address
8454 Clodian Ct City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Jamie Stanton
$20.00
Mailing Address
8454 Clodian Ct City
Wyndmoor
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Paul Staudenmeier
$60.00
Mailing Address
692 Raven Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Paul Staudenmeier
$60.00
Mailing Address
692 Raven Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Paul Staudenmeier
$60.00
Mailing Address
692 Raven Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$220.00
PAGE 100 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Charles Stefanosky
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$35.00
Mailing Address
5673 Strasburg Rd City
Atglen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Charles Stefanosky
$35.00
Mailing Address
5673 Strasburg Rd City
Atglen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Charles Stefanosky
$35.00
Mailing Address
5673 Strasburg Rd City
Atglen
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Edward Stefanski
$45.00
Mailing Address
69 Crestline Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Edward Stefanski
$45.00
Mailing Address
69 Crestline Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 101 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Edward Stefanski
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
$45.00
Mailing Address
69 Crestline Road City
Wayne
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Stockman
$25.00
Mailing Address
21 Skyline Drive City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Stockman
$25.00
Mailing Address
21 Skyline Drive City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
John Stockman
$25.00
Mailing Address
21 Skyline Drive City
Glen Mills
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Tanika Stokes
$25.00
Mailing Address
600 Valley Road C68 City
Warrington
State
Zip Code (Plus 4)
PA
18976
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 102 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Tanika Stokes
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$25.00
Mailing Address
600 Valley Road C68 City
Warrington
State
Zip Code (Plus 4)
PA
18976
Full Name of Contributor
Lilton Taliaferro
$60.00
Mailing Address
17 Pikes Way City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Lilton Taliaferro
$60.00
Mailing Address
17 Pikes Way City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Lilton Taliaferro
$60.00
Mailing Address
17 Pikes Way City
Cheltenham
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Taylor
$20.00
Mailing Address
507 Woodbrook Lane City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$225.00
PAGE 103 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Joseph Taylor
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$20.00
Mailing Address
507 Woodbrook Lane City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Joseph Taylor
$20.00
Mailing Address
507 Woodbrook Lane City
Philadelphia
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Stephen Tenaglio
$20.00
Mailing Address
4064 Oak Ln City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Stephen Tenaglio
$20.00
Mailing Address
4064 Oak Ln City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Stephen Tenaglio
$20.00
Mailing Address
4064 Oak Ln City
Lafayette Hill
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$100.00
PAGE 104 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Robert Toner
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
$35.00
Mailing Address
15 Forest Hill Drive City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Robert Toner
$35.00
Mailing Address
15 Forest Hill Drive City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Robert Toner
$35.00
Mailing Address
15 Forest Hill Drive City
Garnet Valley
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Robert Tootle
$75.00
Mailing Address
744 S. Warnock St. City
Philadelphia
State
Zip Code (Plus 4)
PA
19147
Full Name of Contributor
Robert Tootle
$75.00
Mailing Address
744 S. Warnock St. City
Philadelphia
State
Zip Code (Plus 4)
PA
19147
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$255.00
PAGE 105 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Linda Travaglione
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
$35.00
Mailing Address
802 Marshall Mill City
Franklinville
State
Zip Code (Plus 4)
NJ
08322
Full Name of Contributor
Linda Travaglione
$35.00
Mailing Address
802 Marshall Mill City
Franklinville
State
Zip Code (Plus 4)
NJ
08322
Full Name of Contributor
Miguel Triana
$45.00
Mailing Address
1546 Spruce Court City
Jamison
State
Zip Code (Plus 4)
PA
18929
Full Name of Contributor
Miguel Triana
$45.00
Mailing Address
1546 Spruce Court City
Jamison
State
Zip Code (Plus 4)
PA
18929
Full Name of Contributor
Ruth Tucker
$35.00
Mailing Address
112 Cassina Drive City
Middletown
State
Zip Code (Plus 4)
DE
19709
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$195.00
PAGE 106 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Ruth Tucker
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
$35.00
Mailing Address
112 Cassina Drive City
Middletown
State
Zip Code (Plus 4)
DE
19709
Full Name of Contributor
Paul Tufano
$25.00
Mailing Address
919 Castlehill Ln City
Devon
State
Zip Code (Plus 4)
PA
19333-1871
Full Name of Contributor
Paul Tufano
$25.00
Mailing Address
919 Castlehill Ln City
Devon
State
Zip Code (Plus 4)
PA
19333-1871
Full Name of Contributor
Paul Tufano
$25.00
Mailing Address
919 Castlehill Ln City
Devon
State
Zip Code (Plus 4)
PA
19333-1871
Full Name of Contributor
Susan Tweer
$20.00
Mailing Address
160 Mink Hollow Road Apartment 2F City
East Fallowfield
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$130.00
PAGE 107 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Susan Tweer
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$20.00
Mailing Address
160 Mink Hollow Road Apartment 2F City
East Fallowfield
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Susan Tweer
$20.00
Mailing Address
160 Mink Hollow Road Apartment 2F City
East Fallowfield
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Charlene Vickers
$35.00
Mailing Address
21 Jennifer Lane City
Aston
State
Zip Code (Plus 4)
PA
19014
Full Name of Contributor
Charlene Vickers
$35.00
Mailing Address
21 Jennifer Lane City
Aston
State
Zip Code (Plus 4)
PA
19014
Full Name of Contributor
Mitch Vidovich
$35.00
Mailing Address
231 Valley View Road City
Media
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 108 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Mitch Vidovich
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$35.00
Mailing Address
231 Valley View Road City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Mitch Vidovich
$35.00
Mailing Address
231 Valley View Road City
Media
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Corinne Vile
$25.00
Mailing Address
9974 Bridle Rd City
Philadelphia
State
Zip Code (Plus 4)
PA
19115
Full Name of Contributor
Corinne Vile
$25.00
Mailing Address
9974 Bridle Rd City
Philadelphia
State
Zip Code (Plus 4)
PA
19115
Full Name of Contributor
Corinne Vile
$25.00
Mailing Address
9974 Bridle Rd City
Philadelphia
State
Zip Code (Plus 4)
PA
19115
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$145.00
PAGE 109 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Kelly Wachtman
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
$60.00
Mailing Address
404 Asborne Lane City
Wallingford
State
Zip Code (Plus 4)
PA
19086
Full Name of Contributor
Kelly Wachtman
$60.00
Mailing Address
404 Asborne Lane City
Wallingford
State
Zip Code (Plus 4)
PA
19086
Full Name of Contributor
Jeniece Waters
$35.00
Mailing Address
220 McCallmont Road City
New Castle
State
Zip Code (Plus 4)
DE
19720
Full Name of Contributor
Jeniece Waters
$35.00
Mailing Address
220 McCallmont Road City
New Castle
State
Zip Code (Plus 4)
DE
19720
Full Name of Contributor
Matthew White
$30.00
Mailing Address
333 Lancaster Avenue Apartment 116 City
Malvern
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$220.00
PAGE 110 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Matthew White
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$30.00
Mailing Address
333 Lancaster Avenue Apartment 116 City
Malvern
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Matthew White
$30.00
Mailing Address
333 Lancaster Avenue Apartment 116 City
Malvern
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Kena Williams
$25.00
Mailing Address
637 Country Path Drive City
New Castle
State
Zip Code (Plus 4)
DE
19720
Full Name of Contributor
Kena Williams
$25.00
Mailing Address
637 Country Path Drive City
New Castle
State
Zip Code (Plus 4)
DE
19720
Full Name of Contributor
Kena Williams
$25.00
Mailing Address
637 Country Path Drive City
New Castle
State
Zip Code (Plus 4)
DE
19720
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$135.00
PAGE 111 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Cyd Gaskins Witherspoon
11/28/2016
AMOUNT
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$45.00
Mailing Address
112 Glencoe Ct City
Newark
State
Zip Code (Plus 4)
DE
19103
Full Name of Contributor
Cyd Gaskins Witherspoon
$45.00
Mailing Address
112 Glencoe Ct City
Newark
State
Zip Code (Plus 4)
DE
19103
Full Name of Contributor
Cyd Gaskins Witherspoon
$45.00
Mailing Address
112 Glencoe Ct City
Newark
State
Zip Code (Plus 4)
DE
19103
Full Name of Contributor
Frances Woodward
$45.00
Mailing Address
435 Washington Avenue City
Haddonfield
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
Frances Woodward
$45.00
Mailing Address
435 Washington Avenue City
Haddonfield
State
Zip Code (Plus 4)
NJ
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$225.00
PAGE 112 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Frances Woodward
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
11
4
2016
MO.
DAY
YEAR
11
18
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
$45.00
Mailing Address
435 Washington Avenue City
Haddonfield
State
Zip Code (Plus 4)
NJ
19103
Full Name of Contributor
John Zepka
$35.00
Mailing Address
2221 Ardmore Ave. City
Drexel Hill
State
Zip Code (Plus 4)
PA
19026
Full Name of Contributor
John Zepka
$35.00
Mailing Address
2221 Ardmore Ave. City
Drexel Hill
State
Zip Code (Plus 4)
PA
19026
Full Name of Contributor
Michael Zipfel
$45.00
Mailing Address
72 Saratoga Way City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Michael Zipfel
$45.00
Mailing Address
72 Saratoga Way City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$205.00
PAGE 113 OF 113
PART B
ALL OTHER CONTRIBUTIONS $50.01 to $250.00
Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
Reporting Period
Independence Blue Cross PAC (IBCPAC) PA
From
10/25/2016 To
DATE Full Name of Contributor
Michael Zipfel
11/28/2016
AMOUNT
MO.
DAY
YEAR
11
26
2016
MO.
DAY
YEAR
10
29
2016
MO.
DAY
YEAR
11
12
2016
MO.
DAY
YEAR
11
26
2016
$45.00
Mailing Address
72 Saratoga Way City
Harleysville
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Emily Zitser
$60.00
Mailing Address
641 Morris Ave City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Emily Zitser
$60.00
Mailing Address
641 Morris Ave City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Full Name of Contributor
Emily Zitser
$60.00
Mailing Address
641 Morris Ave City
Bryn Mawr
State
Zip Code (Plus 4)
PA
19103
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$225.00
PAGE
PART D
1
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA
10/25/2016 To 11/28/2016 DATE AMOUNT
Full Name of Contributor
MO.
DAY
YEAR
Evan Booker
10
29
2016
$96.15
Mailing Address
1377 Drayton Lane Apt B918 City
State
Zip Code (Plus 4)
Wynnewood
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Business Development
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Evan Booker
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
1377 Drayton Lane Apt B918 City
State
Zip Code (Plus 4)
Wynnewood
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Business Development
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Evan Booker
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
1377 Drayton Lane Apt B918 City
State
Zip Code (Plus 4)
Wynnewood
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Business Development
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Yvette Bright
10
29
2016
$192.30
Mailing Address
739 Westview St City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
EVP&ChiefAdministrativeOfficer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Yvette Bright
MO.
DAY
YEAR
11
12
2016
$192.30
Mailing Address
739 Westview St City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
EVP&ChiefAdministrativeOfficer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$673.05
PAGE
PART D
2
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Yvette Bright
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
26
2016
$192.30
Mailing Address
739 Westview St City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
EVP&ChiefAdministrativeOfficer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Eileen Coggins
MO.
DAY
YEAR
11
4
2016
$266.26
Mailing Address
1111 Locust St Unit 10E City
State
Zip Code (Plus 4)
Philadelphia
PA
19107
Employer Name
Occupation
AmeriHealth Caritas
SVP Compliance & Risk Mngmnt
Employer Mailing Address/Principal Place of Business
100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor
Eileen Coggins
MO.
DAY
YEAR
11
18
2016
$266.26
Mailing Address
1111 Locust St Unit 10E City
State
Zip Code (Plus 4)
Philadelphia
PA
19107
Employer Name
Occupation
AmeriHealth Caritas
SVP Compliance & Risk Mngmnt
Employer Mailing Address/Principal Place of Business
100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor
MO.
DAY
YEAR
Anthony Coletta
10
29
2016
$192.30
Mailing Address
247 Valley Ridge Road City
State
Zip Code (Plus 4)
Haverford
PA
19103
Employer Name
Occupation
EVP&Pres Faciltd Health Ntwrks Employer Mailing Address/Principal Place of Business Full Name of Contributor
Anthony Coletta
MO.
DAY
YEAR
11
12
2016
$192.30
Mailing Address
247 Valley Ridge Road City
State
Zip Code (Plus 4)
Haverford
PA
19103
Employer Name
Occupation
EVP&Pres Faciltd Health Ntwrks Employer Mailing Address/Principal Place of Business
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$1,109.42
PAGE
PART D
3
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Anthony Coletta
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
26
2016
$192.30
Mailing Address
247 Valley Ridge Road City
State
Zip Code (Plus 4)
Haverford
PA
19103
Employer Name
Occupation
EVP&Pres Faciltd Health Ntwrks Employer Mailing Address/Principal Place of Business Full Name of Contributor
MO.
DAY
YEAR
Christopher Drumm
11
4
2016
$192.30
Mailing Address
8 Moredun Place City
State
Zip Code (Plus 4)
Philadelphia
PA
19115
Employer Name
Occupation
AmeriHealth Caritas
SVP Gov't & External Affairs
Employer Mailing Address/Principal Place of Business
1701 Market St. Philadelphia, PA 19103 Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Christopher Drumm
11
18
2016
$192.30
Mailing Address
8 Moredun Place City
State
Zip Code (Plus 4)
Philadelphia
PA
19115
Employer Name
Occupation
AmeriHealth Caritas
SVP Gov't & External Affairs
Employer Mailing Address/Principal Place of Business
1701 Market St. Philadelphia, PA 19103 Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Stephen Fera
10
29
2016
$96.15
Mailing Address
3208 Denfield Pl City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Public Affairs
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Stephen Fera
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
3208 Denfield Pl City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Public Affairs
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$769.20
PAGE
PART D
4
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Stephen Fera
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
3208 Denfield Pl City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Public Affairs
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Kathryn Galarneau
10
29
2016
$97.00
Mailing Address
1014 Brick House Farm Ln City
State
Zip Code (Plus 4)
Newtown Square
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Actuarial & Underwriting
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Kathryn Galarneau
MO.
DAY
YEAR
11
12
2016
$97.00
Mailing Address
1014 Brick House Farm Ln City
State
Zip Code (Plus 4)
Newtown Square
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Actuarial & Underwriting
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Kathryn Galarneau
MO.
DAY
YEAR
11
26
2016
$97.00
Mailing Address
1014 Brick House Farm Ln City
State
Zip Code (Plus 4)
Newtown Square
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP Actuarial & Underwriting
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Regina Heffernan
10
29
2016
$96.15
Mailing Address
308 Birchwood Rd City
State
Zip Code (Plus 4)
Aldan
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Human Resources
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$483.30
PAGE
PART D
5
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Regina Heffernan
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
308 Birchwood Rd City
State
Zip Code (Plus 4)
Aldan
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Human Resources
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Regina Heffernan
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
308 Birchwood Rd City
State
Zip Code (Plus 4)
Aldan
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Human Resources
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Thomas Hutton
10
29
2016
$100.00
Mailing Address
4341 Annandale Road City
State
Zip Code (Plus 4)
Schwenksville
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Government Affairs & DGC
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Thomas Hutton
MO.
DAY
YEAR
11
12
2016
$100.00
Mailing Address
4341 Annandale Road City
State
Zip Code (Plus 4)
Schwenksville
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Government Affairs & DGC
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Thomas Hutton
MO.
DAY
YEAR
11
26
2016
$100.00
Mailing Address
4341 Annandale Road City
State
Zip Code (Plus 4)
Schwenksville
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Government Affairs & DGC
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$492.30
PAGE
PART D
6
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA
10/25/2016 To 11/28/2016 DATE AMOUNT
Full Name of Contributor
MO.
DAY
YEAR
John Janney
10
29
2016
$100.00
Mailing Address
104 Saddlebrook Ct City
State
Zip Code (Plus 4)
Cherry Hill
NJ
19103
Employer Name
Occupation
Independence Blue Cross
SVP Marketing Services
Employer Mailing Address/Principal Place of Business Full Name of Contributor
John Janney
MO.
DAY
YEAR
11
12
2016
$100.00
Mailing Address
104 Saddlebrook Ct City
State
Zip Code (Plus 4)
Cherry Hill
NJ
19103
Employer Name
Occupation
Independence Blue Cross
SVP Marketing Services
Employer Mailing Address/Principal Place of Business Full Name of Contributor
John Janney
MO.
DAY
YEAR
11
26
2016
$100.00
Mailing Address
104 Saddlebrook Ct City
State
Zip Code (Plus 4)
Cherry Hill
NJ
19103
Employer Name
Occupation
Independence Blue Cross
SVP Marketing Services
Employer Mailing Address/Principal Place of Business Full Name of Contributor
MO.
DAY
YEAR
Brian Lobley
10
29
2016
$96.15
Mailing Address
1035 Waverly Road City
State
Zip Code (Plus 4)
Gladwyne
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Strategy Dev&Execution
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Brian Lobley
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
1035 Waverly Road City
State
Zip Code (Plus 4)
Gladwyne
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Strategy Dev&Execution
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$492.30
PAGE
PART D
7
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Brian Lobley
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
1035 Waverly Road City
State
Zip Code (Plus 4)
Gladwyne
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Strategy Dev&Execution
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Richard Neeson
10
29
2016
$192.30
Mailing Address
605 Longchamps Dr City
State
Zip Code (Plus 4)
Devon
PA
19103
Employer Name
Occupation
Independence Blue Cross
President AHA & Ancillary Bus
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Richard Neeson
MO.
DAY
YEAR
11
12
2016
$192.30
Mailing Address
605 Longchamps Dr City
State
Zip Code (Plus 4)
Devon
PA
19103
Employer Name
Occupation
Independence Blue Cross
President AHA & Ancillary Bus
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Richard Neeson
MO.
DAY
YEAR
11
26
2016
$192.30
Mailing Address
605 Longchamps Dr City
State
Zip Code (Plus 4)
Devon
PA
19103
Employer Name
Occupation
Independence Blue Cross
President AHA & Ancillary Bus
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Lauren C. O'Brien
10
29
2016
$96.15
Mailing Address
PO Box 13245 City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Accounting Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$769.20
PAGE
PART D
8
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Lauren C. O'Brien
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
PO Box 13245 City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Accounting Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Lauren C. O'Brien
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
PO Box 13245 City
State
Zip Code (Plus 4)
Philadelphia
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Accounting Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Marcy Rost
10
29
2016
$96.15
Mailing Address
700 Thomas Road City
State
Zip Code (Plus 4)
Lafayette Hill
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Office Administration
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Marcy Rost
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
700 Thomas Road City
State
Zip Code (Plus 4)
Lafayette Hill
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Office Administration
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Marcy Rost
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
700 Thomas Road City
State
Zip Code (Plus 4)
Lafayette Hill
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Corp Office Administration
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$480.75
PAGE
PART D
9
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA
10/25/2016 To 11/28/2016 DATE AMOUNT
Full Name of Contributor
MO.
DAY
YEAR
Richard Snyder
10
29
2016
$96.15
Mailing Address
636 Olympia Hills Circle City
State
Zip Code (Plus 4)
Berwyn
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Medical Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Richard Snyder
MO.
DAY
YEAR
11
12
2016
$96.15
Mailing Address
636 Olympia Hills Circle City
State
Zip Code (Plus 4)
Berwyn
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Medical Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Richard Snyder
MO.
DAY
YEAR
11
26
2016
$96.15
Mailing Address
636 Olympia Hills Circle City
State
Zip Code (Plus 4)
Berwyn
PA
19103
Employer Name
Occupation
Independence Blue Cross
SVP & Chief Medical Officer
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
MO.
DAY
YEAR
Paula Sunshine
10
29
2016
$90.00
Mailing Address
209 North Latches Lane City
State
Zip Code (Plus 4)
Merion
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Product Services
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Paula Sunshine
MO.
DAY
YEAR
11
12
2016
$90.00
Mailing Address
209 North Latches Lane City
State
Zip Code (Plus 4)
Merion
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Product Services
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$468.45
PAGE
PART D
10
OF
10
ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate
Reporting Period From
Independence Blue Cross PAC (IBCPAC) PA Full Name of Contributor
Paula Sunshine
10/25/2016 To 11/28/2016 DATE AMOUNT
MO.
DAY
YEAR
11
26
2016
$90.00
Mailing Address
209 North Latches Lane City
State
Zip Code (Plus 4)
Merion
PA
19103
Employer Name
Occupation
Independence Blue Cross
VP Product Services
Employer Mailing Address/Principal Place of Business
1901 Market St Philadelphia PA 19103 Full Name of Contributor
Mesfin Tegenu
MO.
DAY
YEAR
11
4
2016
$192.30
Mailing Address
105 Blackshire Road City
State
Zip Code (Plus 4)
Kennett Square
PA
19348
Employer Name
Occupation
AmeriHealth Caritas
President PerformRx Division
Employer Mailing Address/Principal Place of Business
100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor
Mesfin Tegenu
MO.
DAY
YEAR
11
18
2016
$192.30
Mailing Address
105 Blackshire Road City
State
Zip Code (Plus 4)
Kennett Square
PA
19348
Employer Name
Occupation
AmeriHealth Caritas
President PerformRx Division
Employer Mailing Address/Principal Place of Business
100 Stevens Drive Philadelphia PA 19113
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)
PAGE TOTAL
$474.60
PAGE
Schedule III
1
OF
2
STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Independence Blue Cross PAC (IBCPAC) PA
Reporting Period 10/25/2016 From
To Whom Paid
Brian Fitzpatrick for Congress Mailing Address
MO.
DAY
YEAR
11
7
2016
11/28/2016
Amount
$1,000.00
Description of Expenditure Contributions to Fed. Comms.
PO Box 939 City
State
Langhorne
PA
Zip Code (Plus 4)
19047
To Whom Paid
MO.
DAY
YEAR
Committee to Elect Leanne Krueger-Braneky
10
28
2016
Mailing Address
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 22 City
State
Swarthmore
PA
Zip Code (Plus 4)
19081
To Whom Paid
Friends of Darrell Clarke Mailing Address
MO.
DAY
YEAR
11
4
2016
Amount
$1,000.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 60093 City
State
Philadelphia
PA
Zip Code (Plus 4)
19102
To Whom Paid
MO.
DAY
YEAR
Friends of Joe Scarnati
10
25
2016
Mailing Address
Amount
$1,250.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 177 City
State
Brockway
PA
Zip Code (Plus 4)
15824
To Whom Paid
MO.
DAY
YEAR
Friends of Joe Scarnati
10
25
2016
Mailing Address
Amount
$1,250.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 177 City
State
Brockway
PA
Zip Code (Plus 4)
15824
To Whom Paid
Friends of Kevin Boyle Mailing Address
MO.
DAY
YEAR
11
4
2016
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
8035 Burholme Ave City
State
Philadelphia
PA
Zip Code (Plus 4)
19111-1862
To Whom Paid
Friends of Michael Corr Mailing Address
MO.
DAY
YEAR
11
4
2016
Amount
$250.00
Description of Expenditure Contributions to Non-Fed. Comms
2012 Water Fall Circle City
State
Collegeville
PA
Zip Code (Plus 4)
19426
To Whom Paid
House Republican Campaign Committee(HRCC) Mailing Address
MO.
DAY
YEAR
11
4
2016
Amount
$1,000.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 11787 City
State
Harrisburg
PA
Zip Code (Plus 4)
17108
To Whom Paid
MO.
DAY
YEAR
Jay Costa for State Senate
10
28
2016
Mailing Address
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
314 Newport Road City
State
Pittsburgh
PA
Zip Code (Plus 4)
15221
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. DSEB-502 (7-99)
To
PAGE TOTAL
$7,250.00
PAGE
Schedule III
2
OF
2
STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Independence Blue Cross PAC (IBCPAC) PA
Reporting Period 10/25/2016 From
To Whom Paid
MO.
DAY
YEAR
Kaufer Now Committee
10
28
2016
Mailing Address
11/28/2016
Amount
$250.00
Description of Expenditure Contributions to Non-Fed. Comms
612 Wyoming Avenue City
State
West Pittston
PA
Zip Code (Plus 4)
18643
To Whom Paid
MO.
DAY
YEAR
Killion Victory Committee
10
28
2016
Mailing Address
Amount
$2,000.00
Description of Expenditure Contributions to Non-Fed. Comms
115 N Jackson St. City
State
Media
PA
Zip Code (Plus 4)
19063
To Whom Paid
MO.
DAY
YEAR
Senate Republican Campaign Committee(SRCC)
10
28
2016
Mailing Address
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 792 City
State
Harrisburg
PA
Zip Code (Plus 4)
17108
To Whom Paid
MO.
DAY
YEAR
TOM MACARTHUR FOR CONGRESS INC.
10
28
2016
Mailing Address
Amount
$1,000.00
Description of Expenditure Contributions to Fed. Comms.
506 CHOB City
State
Washington
DC
Zip Code (Plus 4)
20515
To Whom Paid
MO.
DAY
YEAR
TOM MACARTHUR FOR CONGRESS INC.
10
28
2016
Mailing Address
Amount
$1,700.00
Description of Expenditure Contributions to Fed. Comms.
506 CHOB City
State
Washington
DC
Zip Code (Plus 4)
20515
To Whom Paid
MO.
DAY
YEAR
Tomlinson for State Senate
10
28
2016
Mailing Address
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
2207 Bristol Pke City
State
Bensalem
PA
Zip Code (Plus 4)
19020
To Whom Paid
MO.
DAY
YEAR
Upper Providence Republican Committee
10
28
2016
Mailing Address
Amount
$500.00
Description of Expenditure Contributions to Non-Fed. Comms
PO Box 314 City
State
Media
PA
Zip Code (Plus 4)
19063
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. DSEB-502 (7-99)
To
PAGE TOTAL
$6,450.00
