Commonwealth of Pennsylvania - Campaign Finance Report

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

11/29/2016

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

12/31/2016 $129,086.47 $30,323.71 $159,410.18

D. Total Expenditures (From Schedule III)

$4,767.18

E. Ending Cash Balance (Subtract Line D from Line C)

$154,643.00

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 11/29/2016 to 12/31/2016

1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period

(1)

$5,392.93

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)

$19,516.80 TOTAL for the Reporting Period

(2)

3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND D) Contributions Received from Political Committees (Part C)

$19,516.80

$0.00

All Other Contributions (Part D)

$5,413.98 TOTAL for the Reporting Period

(3)

$5,413.98

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

$30,323.71

PAGE

PART B

1 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Alan Adler

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

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

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

$240.00

PAGE

PART B

2 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Phillipa Ashby

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

$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

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

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

$145.00

PAGE

PART B

3 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Ellen Baker

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

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

Ronald Baldwin

$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

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

4 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Geralyn Barbato

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Scott Bass

$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

Scott Bass

$60.00

Mailing Address

6836 Anderson St. Apt 7204 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

$250.00

PAGE

PART B

5 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Ellan Baumgartner

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

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

$125.00

PAGE

PART B

6 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Andrew Berenato

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

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

$176.00

PAGE

PART B

7 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Bernadette Billetta

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Tyrina Blomer

$60.00

Mailing Address

15622 Ripplewind Lane City

Houston

State

Zip Code (Plus 4)

TX

77068

Full Name of Contributor

Tyrina Blomer

$60.00

Mailing Address

15622 Ripplewind Lane City

Houston

State

Zip Code (Plus 4)

TX

77068

Full Name of Contributor

Tyrina Blomer

$60.00

Mailing Address

15622 Ripplewind Lane City

Houston

State

Zip Code (Plus 4)

TX

77068

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$250.00

PAGE

PART B

8 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Rejean Boivin

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

$170.00

PAGE

PART B

9 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Lisa Bond

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

Lisa Bond

$35.00

Mailing Address

6832 Henry Avenue City

Philadelphia

State

Zip Code (Plus 4)

PA

19128

Full Name of Contributor

Evan Booker

$96.15

Mailing Address

1377 Drayton Lane Apt B918 City

Wynnewood

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Evan Booker

$96.15

Mailing Address

1377 Drayton Lane Apt B918 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

$297.30

PAGE 10 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Bobbi Jo Brissette

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

$165.00

PAGE 11 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Donald Brovero

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$165.00

PAGE 12 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

John Butts

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

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 96

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

11/29/2016 To

DATE Full Name of Contributor

Victor Caraballo

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

Heidi Chan

$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

Heidi Chan

$35.00

Mailing Address

25 Waverly Drive City

Hummelstown

State

Zip Code (Plus 4)

PA

17036

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$195.00

PAGE 14 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Darren Chance

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

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

$225.00

PAGE 15 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Mario Civera

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Anthony Close

$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

Anthony Close

$35.00

Mailing Address

38 S Forge Manor Drive City

Phoenixville

State

Zip Code (Plus 4)

PA

19460

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 16 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Matthew Cooney

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

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

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

Stephen Cozzo

$35.00

Mailing Address

1700 Huntigdon Pike Apt 861 City

Huntingdon Valley

State

Zip Code (Plus 4)

PA

19006

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$165.00

PAGE 17 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

George Cronan

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$145.00

PAGE 18 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Donna Crudele

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$170.00

PAGE 19 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Brian Daly

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Jennifer DeVuono

$25.00

Mailing Address

112 W. Madison AVe City

Clifton Heights

State

Zip Code (Plus 4)

PA

19018

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

$145.00

PAGE 20 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Jennifer DeVuono

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$185.00

PAGE 21 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Lisa Dirska

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

Full Name of Contributor

Tina Drahus

$25.00

Mailing Address

540 Fifth Street Manor City

West Wyoming

State

Zip Code (Plus 4)

PA

18644

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

$135.00

PAGE 22 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Tina Drahus

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Michael Duplessis

$35.00

Mailing Address

716 Cottage Road City

Glenside

State

Zip Code (Plus 4)

PA

19038

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 23 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Michael Duplessis

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Lori Egan

$35.00

Mailing Address

56 Cherry Blossom Dr. City

Churchville

State

Zip Code (Plus 4)

PA

18966

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

$155.00

PAGE 24 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Lori Egan

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

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

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

$155.00

PAGE 25 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Heather Falck

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

Stephen Fera

$96.15

Mailing Address

3208 Denfield Pl City

Philadelphia

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Stephen Fera

$96.15

Mailing Address

3208 Denfield Pl City

Philadelphia

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$277.30

PAGE 26 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Dennis Foley

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Sara Fritz

$35.00

Mailing Address

3 Green Valley Road 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

$175.00

PAGE 27 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Sara Fritz

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

Full Name of Contributor

Kathryn Galarneau

$97.00

Mailing Address

1014 Brick House Farm Ln City

Newtown Square

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Kathryn Galarneau

$97.00

Mailing Address

1014 Brick House Farm Ln City

Newtown Square

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

$319.00

PAGE 28 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Jennifer Gallagher

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Full Name of Contributor

Patrick Gallagher

$60.00

Mailing Address

11 Sandy Bank Rd. City

Media

State

Zip Code (Plus 4)

PA

19063

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

$270.00

PAGE 29 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Amy Gallo

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

$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

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

$210.00

PAGE 30 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Russell Gianforcaro

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$70.00

Mailing Address

8 Dara Circle City

Broomall

State

Zip Code (Plus 4)

PA

19008

Full Name of Contributor

Russell Gianforcaro

$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

Stephen Gitkos

$25.00

Mailing Address

2001 Hamilton St. Apt. 707 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

$215.00

PAGE 31 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Steven Giuliano

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$225.00

PAGE 32 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Adrienne Greenfield

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$245.00

PAGE 33 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Glenn Hamilton

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

$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

Full Name of Contributor

Keith Harris

$35.00

Mailing Address

217 Jockey Hollow Run City

Woolwich Twp

State

Zip Code (Plus 4)

NJ

08085

Full Name of Contributor

Keith Harris

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$210.00

PAGE 34 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Julie Haywood

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

24

2016

$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

Full Name of Contributor

Regina Heffernan

$96.15

Mailing Address

308 Birchwood Rd City

Aldan

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

Full Name of Contributor

Regina Heffernan

$96.15

Mailing Address

308 Birchwood Rd City

Aldan

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

$287.30

PAGE 35 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Regina Heffernan

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Madonna Hickey

$35.00

Mailing Address

205 E Cobblefield Ct City

Newark

State

Zip Code (Plus 4)

DE

19713

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

$215.00

PAGE 36 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Madonna Hickey

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Mary Jane Hill

$25.00

Mailing Address

448 Wellesley Road City

Philadelphia

State

Zip Code (Plus 4)

PA

19119

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

$155.00

PAGE 37 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Mary Jane Hill

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Kathleen Hopkins

$25.00

Mailing Address

27 North Penn Avenue City

Rockledge

State

Zip Code (Plus 4)

PA

19046

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

$153.00

PAGE 38 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Kathleen Hopkins

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

Michael Hudson

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 39 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Harold Hunter

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

$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

Thomas Hutton

$100.00

Mailing Address

4341 Annandale Road City

Schwenksville

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Thomas Hutton

$100.00

Mailing Address

4341 Annandale Road City

Schwenksville

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Valerie Jachimowicz

$35.00

Mailing Address

616 S 21 Street 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

$285.00

PAGE 40 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Valerie Jachimowicz

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

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

John Janney

$100.00

Mailing Address

104 Saddlebrook Ct City

Cherry Hill

State

Zip Code (Plus 4)

NJ

19103

Full Name of Contributor

John Janney

$100.00

Mailing Address

104 Saddlebrook Ct City

Cherry Hill

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$295.00

PAGE 41 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Jill Johnson

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

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

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

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

$165.00

PAGE 42 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Barbara Jones

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

Hillary Kane

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$225.00

PAGE 43 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Hillary Kane

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$245.00

PAGE 44 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

James Kelly

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

$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

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

$205.00

PAGE 45 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Catherine Killian

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$35.00

Mailing Address

325 Twin Oaks Drive City

Havertown

State

Zip Code (Plus 4)

PA

19083

Full Name of Contributor

Catherine Killian

$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

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

$229.00

PAGE 46 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Daphne Klausner

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

$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

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

$309.00

PAGE 47 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Kimberly Kockler

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

$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

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

$195.00

PAGE 48 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

James Laughman

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

$60.00

Mailing Address

12 Hurst Boulevard City

Lititz

State

Zip Code (Plus 4)

PA

17543

Full Name of Contributor

James Laughman

$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

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

$235.00

PAGE 49 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Avelina Leal

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$35.00

Mailing Address

7636 Waters Road City

Cheltenham

State

Zip Code (Plus 4)

PA

19012

Full Name of Contributor

Avelina Leal

$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

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 50 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Richard Levins

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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 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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$230.00

PAGE 51 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Brian Lobley

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$96.15

Mailing Address

1035 Waverly Road City

Gladwyne

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Brian Lobley

$96.15

Mailing Address

1035 Waverly Road City

Gladwyne

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

Full Name of Contributor

John Loesch

$40.00

Mailing Address

6617 Lexington Ave City

Pennsauken

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

$282.30

PAGE 52 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

John Loesch

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

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

Andrew Maiorini

$60.00

Mailing Address

1286 Nicole Lane City

Secane

State

Zip Code (Plus 4)

PA

19018

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

$280.00

PAGE 53 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Andrew Maiorini

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Colleen Malone

$25.00

Mailing Address

600 S. 24th St. Unit 308 City

Philadelphia

State

Zip Code (Plus 4)

PA

19146

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

$230.00

PAGE 54 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Colleen Malone

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

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

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

$145.00

PAGE 55 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Dale Mandel M.D.

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$180.00

PAGE 56 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Brett Mayfield

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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 McDaid

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$210.00

PAGE 57 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Tonya McDonald-Lewis

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Joanne McFall

$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

Joanne McFall

$60.00

Mailing Address

1109 Lincoln Ave. City

Springfield

State

Zip Code (Plus 4)

PA

19064

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 96

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

11/29/2016 To

DATE Full Name of Contributor

Kathleen McHenry

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

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

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

$195.00

PAGE 59 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Richard McLaughlin

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

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

Joseph Miller

$30.00

Mailing Address

456 Argyle Road City

Drexel Hill

State

Zip Code (Plus 4)

PA

19026

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

$240.00

PAGE 60 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Joseph Miller

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

Cher-Ron Milton

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$150.00

PAGE 61 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Janine Mueller

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Brenda Myrick

$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

Brenda Myrick

$35.00

Mailing Address

274 Gravelly Run Branch City

Clayton

State

Zip Code (Plus 4)

DE

19938

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 96

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

11/29/2016 To

DATE Full Name of Contributor

Shelley Najjar

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Victor Negron

$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

Victor Negron

$60.00

Mailing Address

2115 N. Howard Street City

Philadelphia

State

Zip Code (Plus 4)

PA

19122

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$250.00

PAGE 63 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Ginny Nelson

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$135.00

PAGE 64 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Kenneth Norton

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

Stacey Oakman

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$175.00

PAGE 65 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Virginia Barakat

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Linda Paterson

$60.00

Mailing Address

4 Westbury Ct City

Bordentown

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

$220.00

PAGE 66 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Linda Paterson

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

$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

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

Joshua Pechar

$35.00

Mailing Address

2020 Walnut Street Apt. 5L City

Philadelpia

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 67 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Joshua Pechar

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$135.00

PAGE 68 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Suanne Pettit

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$35.00

Mailing Address

32 Fowler Avenue City

Millville

State

Zip Code (Plus 4)

NJ

08332

Full Name of Contributor

Suanne Pettit

$35.00

Mailing Address

32 Fowler Avenue City

Millville

State

Zip Code (Plus 4)

NJ

08332

Full Name of Contributor

Suanne Pettit

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 69 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Patricia Pfeiffer

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$165.00

PAGE 70 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Arielle Phillips

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

Adelaide Pingue

$35.00

Mailing Address

2925 Highwoods Drive City

Aston

State

Zip Code (Plus 4)

PA

19014

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 71 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Rebecca Polss

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

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

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

$215.00

PAGE 72 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Mark Pozzi

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$25.00

Mailing Address

2025 Rodman 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

$165.00

PAGE 73 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Rashean Ramsue

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$20.00

Mailing Address

6049 Loretto Ave. City

Philadelphia

State

Zip Code (Plus 4)

PA

19149

Full Name of Contributor

Rashean Ramsue

$20.00

Mailing Address

6049 Loretto Ave. City

Philadelphia

State

Zip Code (Plus 4)

PA

19149

Full Name of Contributor

Rashean Ramsue

$20.00

Mailing Address

6049 Loretto Ave. City

Philadelphia

State

Zip Code (Plus 4)

PA

19149

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$150.00

PAGE 74 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Gregory Reed

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

Thomas B Rim

$60.00

Mailing Address

840 Doe Run Road City

Newark

State

Zip Code (Plus 4)

DE

19711

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$250.00

PAGE 75 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Michael Robak

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

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

Margo Robinson

$40.00

Mailing Address

250 S. 13th Street Apt. 4C City

Philadelphia

State

Zip Code (Plus 4)

PA

19107

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$220.00

PAGE 76 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Margo Robinson

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

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

John Rockenbach Jr.

$35.00

Mailing Address

2518 Parke Lane 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

$255.00

PAGE 77 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

John Rockenbach Jr.

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$35.00

Mailing Address

2518 Parke Lane City

Broomall

State

Zip Code (Plus 4)

PA

19008

Full Name of Contributor

Marcy Rost

$96.15

Mailing Address

700 Thomas Road City

Lafayette Hill

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Marcy Rost

$96.15

Mailing Address

700 Thomas Road City

Lafayette Hill

State

Zip Code (Plus 4)

PA

19103

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

$297.30

PAGE 78 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Michele Rouzer

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Kelley Royer-Marek

$25.00

Mailing Address

1022 Mulberry St. City

Upland

State

Zip Code (Plus 4)

PA

19015

Full Name of Contributor

Kelley Royer-Marek

$25.00

Mailing Address

1022 Mulberry St. City

Upland

State

Zip Code (Plus 4)

PA

19015

Full Name of Contributor

Kelley Royer-Marek

$25.00

Mailing Address

1022 Mulberry St. City

Upland

State

Zip Code (Plus 4)

PA

19015

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$152.00

PAGE 79 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Shawna Russell-Young

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

Melissa Ryan

$40.00

Mailing Address

301 Butler Road City

Springfield

State

Zip Code (Plus 4)

PA

19064

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$170.00

PAGE 80 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Charles Sanbe

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$45.00

Mailing Address

57 Deerfield Drive City

Malvern

State

Zip Code (Plus 4)

PA

19355

Full Name of Contributor

Charles Sanbe

$45.00

Mailing Address

57 Deerfield Drive City

Malvern

State

Zip Code (Plus 4)

PA

19355

Full Name of Contributor

Charles Sanbe

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$185.00

PAGE 81 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Richard Scanlon

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

Richard Scanlon

$30.00

Mailing Address

853 Colony Road City

Bryn Mawr

State

Zip Code (Plus 4)

PA

19010

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

$140.00

PAGE 82 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Mary Pat Sherry

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$175.00

PAGE 83 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Efram Silberstein

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

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

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

Full Name of Contributor

Morey Smerling

$25.00

Mailing Address

49 Wynmere Dr. City

Horsham

State

Zip Code (Plus 4)

PA

19044

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 96

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

11/29/2016 To

DATE Full Name of Contributor

Morey Smerling

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$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

Full Name of Contributor

David Snyder

$70.00

Mailing Address

1412 Dorset Ln 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

$240.00

PAGE 85 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

David Snyder

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$70.00

Mailing Address

1412 Dorset Ln City

Wynnewood

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Richard Snyder

$96.15

Mailing Address

636 Olympia Hills Circle City

Berwyn

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Richard Snyder

$96.15

Mailing Address

636 Olympia Hills Circle City

Berwyn

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

$382.30

PAGE 86 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Charles Stefanosky

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

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

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

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

$185.00

PAGE 87 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Tanika Stokes

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

$25.00

Mailing Address

600 Valley Road C68 City

Warrington

State

Zip Code (Plus 4)

PA

18976

Full Name of Contributor

Tanika Stokes

$25.00

Mailing Address

600 Valley Road C68 City

Warrington

State

Zip Code (Plus 4)

PA

18976

Full Name of Contributor

Paula Sunshine

$90.00

Mailing Address

209 North Latches Lane City

Merion

State

Zip Code (Plus 4)

PA

19103

Full Name of Contributor

Paula Sunshine

$90.00

Mailing Address

209 North Latches Lane City

Merion

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$290.00

PAGE 88 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Lilton Taliaferro

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$60.00

Mailing Address

17 Pikes Way City

Cheltenham

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

$280.00

PAGE 89 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Robert Tootle

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

$75.00

Mailing Address

744 S. Warnock St. City

Philadelphia

State

Zip Code (Plus 4)

PA

19147

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

Linda Travaglione

$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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$225.00

PAGE 90 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Miguel Triana

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

Full Name of Contributor

Ruth Tucker

$35.00

Mailing Address

112 Cassina Drive City

Middletown

State

Zip Code (Plus 4)

DE

19709

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 91 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Paul Tufano

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

$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

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

Charlene Vickers

$35.00

Mailing Address

21 Jennifer Lane City

Aston

State

Zip Code (Plus 4)

PA

19014

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 92 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Mitch Vidovich

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

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

Kelly Wachtman

$60.00

Mailing Address

404 Asborne Lane City

Wallingford

State

Zip Code (Plus 4)

PA

19086

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$180.00

PAGE 93 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Kelly Wachtman

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

MO.

DAY

YEAR

12

30

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

Jeniece Waters

$35.00

Mailing Address

220 McCallmont Road 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

$225.00

PAGE 94 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Matthew White

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

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

Cyd Gaskins Witherspoon

$45.00

Mailing Address

112 Glencoe Ct City

Newark

State

Zip Code (Plus 4)

DE

19103

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$155.00

PAGE 95 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

Cyd Gaskins Witherspoon

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

MO.

DAY

YEAR

12

2

2016

MO.

DAY

YEAR

12

16

2016

$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

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

Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$205.00

PAGE 96 OF 96

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

11/29/2016 To

DATE Full Name of Contributor

John Zepka

12/31/2016

AMOUNT

MO.

DAY

YEAR

12

30

2016

MO.

DAY

YEAR

12

10

2016

MO.

DAY

YEAR

12

24

2016

$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

$125.00

PAGE

PART D

1

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Margaret Angello

12

2

2016

$96.15

Mailing Address

3429 Alinda Cr. City

State

Zip Code (Plus 4)

Camp Hill

PA

17011

Employer Name

Occupation

AmeriHealth Caritas

Market President ACPA ACNE

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Margaret Angello

12

16

2016

$96.15

Mailing Address

3429 Alinda Cr. City

State

Zip Code (Plus 4)

Camp Hill

PA

17011

Employer Name

Occupation

AmeriHealth Caritas

Market President ACPA ACNE

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Margaret Angello

12

30

2016

$96.15

Mailing Address

3429 Alinda Cr. City

State

Zip Code (Plus 4)

Camp Hill

PA

17011

Employer Name

Occupation

AmeriHealth Caritas

Market President ACPA ACNE

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Yvette Bright

12

10

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

MO.

DAY

YEAR

Yvette Bright

12

24

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

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Mark Bullock

12

2

2016

$96.15

Mailing Address

511 Maplewood Avenue City

State

Zip Code (Plus 4)

Wayne

PA

19087

Employer Name

Occupation

AmeriHealth Caritas

Chief Admin & Compliance Ofcr

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Mark Bullock

12

16

2016

$96.15

Mailing Address

511 Maplewood Avenue City

State

Zip Code (Plus 4)

Wayne

PA

19087

Employer Name

Occupation

AmeriHealth Caritas

Chief Admin & Compliance Ofcr

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Mark Bullock

12

30

2016

$96.15

Mailing Address

511 Maplewood Avenue City

State

Zip Code (Plus 4)

Wayne

PA

19087

Employer Name

Occupation

AmeriHealth Caritas

Chief Admin & Compliance Ofcr

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Eileen Coggins

12

2

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

Eileen Coggins

12

16

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 Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. DSEB-502 (7-99)

PAGE TOTAL

$820.97

PAGE

PART D

3

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Eileen Coggins

12

30

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

12

10

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

Anthony Coletta

12

24

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

Fred Dickson

12

2

2016

$96.15

Mailing Address

6755 Brendan Court City

State

Zip Code (Plus 4)

Edina

MN

55439

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Information Officer

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Fred Dickson

12

16

2016

$96.15

Mailing Address

6755 Brendan Court City

State

Zip Code (Plus 4)

Edina

MN

55439

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Information Officer

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

$843.16

PAGE

PART D

4

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Fred Dickson

12

30

2016

$96.15

Mailing Address

6755 Brendan Court City

State

Zip Code (Plus 4)

Edina

MN

55439

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Information Officer

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Christopher Drumm

12

2

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

12

16

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

12

30

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

Andrea Gelzer

12

2

2016

$96.15

Mailing Address

217 Bay Point Road Box 619 City

State

Zip Code (Plus 4)

Newbury

NH

03255

Employer Name

Occupation

AmeriHealth Caritas

SVP Corp Chief Medical Ofcr

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

$769.20

PAGE

PART D

5

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Andrea Gelzer

12

16

2016

$96.15

Mailing Address

217 Bay Point Road Box 619 City

State

Zip Code (Plus 4)

Newbury

NH

03255

Employer Name

Occupation

AmeriHealth Caritas

SVP Corp Chief Medical Ofcr

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Andrea Gelzer

12

30

2016

$96.15

Mailing Address

217 Bay Point Road Box 619 City

State

Zip Code (Plus 4)

Newbury

NH

03255

Employer Name

Occupation

AmeriHealth Caritas

SVP Corp Chief Medical Ofcr

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Michael Golinkoff

12

2

2016

$96.15

Mailing Address

111 Colwyn Lane City

State

Zip Code (Plus 4)

Bala Cynwyd

PA

19004

Employer Name

Occupation

AmeriHealth Caritas

SVP/President PerformCare

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Michael Golinkoff

12

16

2016

$96.15

Mailing Address

111 Colwyn Lane City

State

Zip Code (Plus 4)

Bala Cynwyd

PA

19004

Employer Name

Occupation

AmeriHealth Caritas

SVP/President PerformCare

Employer Mailing Address/Principal Place of Business Full Name of Contributor

MO.

DAY

YEAR

Michael Golinkoff

12

30

2016

$96.15

Mailing Address

111 Colwyn Lane City

State

Zip Code (Plus 4)

Bala Cynwyd

PA

19004

Employer Name

Occupation

AmeriHealth Caritas

SVP/President PerformCare

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

$480.75

PAGE

PART D

6

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Peter Jakuc

12

2

2016

$96.15

Mailing Address

9967 Coddington Way City

State

Zip Code (Plus 4)

St. Louis

MO

63132

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Development Officer

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Peter Jakuc

12

16

2016

$96.15

Mailing Address

9967 Coddington Way City

State

Zip Code (Plus 4)

St. Louis

MO

63132

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Development Officer

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Peter Jakuc

12

30

2016

$96.15

Mailing Address

9967 Coddington Way City

State

Zip Code (Plus 4)

St. Louis

MO

63132

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Development Officer

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Thomas Lyman

12

2

2016

$96.15

Mailing Address

1139 Dodgson Ct. City

State

Zip Code (Plus 4)

West Chester

PA

19382

Employer Name

Occupation

AmeriHealth Caritas

SVP Mkt Expansion & Plan

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Thomas Lyman

12

16

2016

$96.15

Mailing Address

1139 Dodgson Ct. City

State

Zip Code (Plus 4)

West Chester

PA

19382

Employer Name

Occupation

AmeriHealth Caritas

SVP Mkt Expansion & Plan

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

$480.75

PAGE

PART D

7

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Thomas Lyman

12

30

2016

$96.15

Mailing Address

1139 Dodgson Ct. City

State

Zip Code (Plus 4)

West Chester

PA

19382

Employer Name

Occupation

AmeriHealth Caritas

SVP Mkt Expansion & Plan

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Richard Neeson

12

10

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

Richard Neeson

12

24

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

Carol Pandza

12

2

2016

$96.15

Mailing Address

14 Rolling Road City

State

Zip Code (Plus 4)

Stratford

NJ

08084

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Human Resource Ofcr

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Carol Pandza

12

16

2016

$96.15

Mailing Address

14 Rolling Road City

State

Zip Code (Plus 4)

Stratford

NJ

08084

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Human Resource Ofcr

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

$673.05

PAGE

PART D

8

OF

8

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

11/29/2016 To 12/31/2016 DATE AMOUNT

Full Name of Contributor

MO.

DAY

YEAR

Carol Pandza

12

30

2016

$96.15

Mailing Address

14 Rolling Road City

State

Zip Code (Plus 4)

Stratford

NJ

08084

Employer Name

Occupation

AmeriHealth Caritas

SVP Chief Human Resource Ofcr

Employer Mailing Address/Principal Place of Business

100 Stevens Drive Philadelphia PA 19113 Full Name of Contributor

MO.

DAY

YEAR

Mesfin Tegenu

12

2

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

MO.

DAY

YEAR

Mesfin Tegenu

12

16

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

MO.

DAY

YEAR

Mesfin Tegenu

12

30

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

$673.05

PAGE

Schedule III

1

OF

1

STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Independence Blue Cross PAC (IBCPAC) PA

Reporting Period 11/29/2016 From

To Whom Paid

MO.

DAY

YEAR

Blue Cross Blue Shield Association

12

20

2016

Mailing Address

12/31/2016

Amount

$2,017.18

Description of Expenditure Transfer to affiliated committee

1310 G Street, NW City

State

Washington

DC

Zip Code (Plus 4)

20005

To Whom Paid

MO.

DAY

YEAR

Committee to Elect Mike Stack

12

9

2016

Mailing Address

Amount

$500.00

Description of Expenditure Contributions to Non-Fed. Comms

PO Box 292 City

State

Newtown

PA

Zip Code (Plus 4)

18940

To Whom Paid

MO.

DAY

YEAR

Committee to Elect Mike Stack

12

9

2016

Mailing Address

Amount

$500.00

Description of Expenditure Contributions to Non-Fed. Comms

PO Box 292 City

State

Newtown

PA

Zip Code (Plus 4)

18940

To Whom Paid

MO.

DAY

YEAR

Friends of Sherif Street

12

22

2016

Mailing Address City

State

Philadelphia

PA

Amount

$500.00

Description of Expenditure Contributions to Non-Fed. Comms

1421 West Susquehanna Avenue Zip Code (Plus 4)

19121

To Whom Paid

MO.

DAY

YEAR

Republican Party of Pennsylvania

12

9

2016

Mailing Address

Amount

$1,000.00

Description of Expenditure Contributions to Non-Fed. Comms

717 North Second Street City

State

Harrisburg

PA

Zip Code (Plus 4)

17102

To Whom Paid

MO.

DAY

YEAR

Scott Wagner for Senate

12

9

2016

Mailing Address

Amount

$250.00

Description of Expenditure Contributions to Non-Fed. Comms

PO Box 792 City

State

Harrisburg

PA

Zip Code (Plus 4)

17108

Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. DSEB-502 (7-99)

To

PAGE TOTAL

$4,767.18