1 Name of organization Employer identification number Prosperous Michigan Fund

Transcription

1 A For the period beginning 07/01/2015 and ending 12/31/2015 B Check applicable box: Initial report Change of address Amended report Final report 1 Name of organization Employer identification number Prosperous Michigan Fund Mailing address (P.O. box or number, street, and room or suite number) 106 W. Allegan Suite 200 City or town, state, and ZIP code 3 address of organization: 4 Date organization was formed: no@ 05/21/2012 5a Name of custodian of records 5b Custodian's address Dave Biswas 106 W. Allegan Suite 200 6a Name of contact person 6b Contact person's address Dave Biswas 106 W. Allegan Suite Business address of organization (if different from mailing address shown above). Number, street, and room or suite number 106 W. Allegan Suite 200 City or town, state, and ZIP code 8 Type of report (check only one box) First quarterly report Monthly report for the month of: (due by April 15) (due by the 20th day following the month shown above, except the Second quarterly report December report, which is due by January 31) (due by July 15) Pre-election report (due by the 12th or 15th day before the election) Third quarterly report (1) Type of election: (due by October 15) (2) Date of election: Year-end report (3) For the state of: (due by January 31) Post-general election report (due by the 30th day after general election) Mid-year report (Non-election (1) Date of election: year only-due by July 31) (2) For the state of: 9 Total amount of reported contributions (total from all attached Schedules A) $ Total amount of reported expenditures (total from all attached Schedules B) $ Dave Biswas 01/10/2016

2 Anheuser Busch 1 Busch Pl Contributor's occupation Amount of contribution St. Louis, MO $ 5000 $ /12/2015 Verizon 140 W. St. Contributor's occupation Amount of contribution New York, NY $ 500 $ /21/2015 BPH Communities Inc Cascade Suite 110 Contributor's occupation Amount of contribution Commerce, MI $ 2500 $ /23/2015 Blue Cross Blue Shield 600 E. Lafayette St. Contributor's occupation Amount of contribution Detroit, MI $ 2500 $ /17/2015 ATT 208 S. Ackard ST. Contributor's occupation Amount of contribution Dallas, TX $ 5000 $ /12/2015 Health Alliance Plans 2850 W. Grand Blvd. Contributor's occupation Amount of contribution Detroit, MI $ 1000 $ /17/2015 Johnson and Johnson 1 Johnson and Johnson Plaza Tower 4th Floor Contributor's occupation Amount of contribution New Brunswick, NJ $ 750 $ /10/2015 RAI Services PO Box 464 Contributor's occupation Amount of contribution Winston-Salem, NC $ 2500 $ /17/2015 Health Care Association of Michigan 7413 Westshire Dr. Contributor's occupation Amount of contribution Lansing, MI $ 1000 $ /07/2015 Blue Cross Blue Shield 600 E. Lafayette St. Contributor's occupation Amount of contribution Detroit, MI $ 2500 $ /20/2015 MI Citizens for Fiscal Responsiblity 100 Progress Place Contributor's occupation Amount of contribution Midland, MI $ 3500 $ /29/2015

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4 Kordenbrock & Associates PC $ Meridian RD. Recipients's occupation Date of expenditure Williamston, MI /03/2015 Professional Services Sterling Corporation $ /09/2015 Kordenbrock & Associates PC $ Meridian Rd. Recipients's occupation Date of expenditure Williamston, MI /07/2015 Book Keeping Steve Sachs State of Michigan $ 5000 East Lansing, MI Chief of Staff 08/31/2015 Consulting Services Steve Sachs State of MIchigan $ 785 East Lansing, MI Chief of Staff 08/12/2015 Mileage for travel, printing and software Sterling Corporation $ 9608 LAnsing, MI /03/2015 Steve Sachs State of Michigan $ 133 East Lansing, MI Chief of Staff 10/08/2015 Mileage Reimbursement Pattrick Yockey Photography $ Boston Blvd. Recipients's occupation Date of expenditure Lansing, MI /31/2015 Photography services GOV Delivery $ St. Peter St. Suite 600 Recipients's occupation Date of expenditure St. Paul, MN /23/2015 Communications Services

5 Delta $ Delta Blvd. Recipients's occupation Date of expenditure Atlanta, GA /20/2015 Travel Multiple expenses under threshold $ /31/2015 Multiple tax-exempt expenditures under the reporting threshold. Kordenbrock & Associates PC $ Meridian Rd. Recipients's occupation Date of expenditure Williamston, MI /08/2015 Professional Services Sterling Corporation $ /06/2015 Dren Art Design not $ S. Fox St. 106 Recipients's occupation Date of expenditure Littleton, CO /20/2015 Graphic design and printing