Image# 11932424231
09/16/2011 17 : 38
FEC
FORM 3X
1. NAME OF COMMITTEE (in full)
REPORT OF RECEIPTS AND DISBURSEMENTS
For Other Than An Authorized Committee
USE FEC MAILING LABEL OR TYPE OR PRINT
Office Use Only
Example:If typing, type over the lines
Pacific Life Insurance Company Political Action Committee
ADDRESS (number and street) Check if different than previously reported. (ACC) 2.
700 Newport Center Drive
Newport Beach
FEC IDENTIFICATION NUMBER C00068528
CITY
.
X NEW (N)
CA
STATE
.
Sep 20 (M9)
92660
ZIPCODE AMENDED (A)
3. IS THIS REPORT (b) Monthly Report Due On:
OR
4.
TYPE OF REPORT
(Choose One) (a) Quarterly Reports: April 15 Quarterly Report(Q1) July 15 Quarterly Report(Q2) October 15 Quarterly Report(Q3) January 31 Quarterly Report(YE) July 31 Mid-Year Report(Non-election Year Only) (MY) Termination Report (TER)
Feb 20 (M2) Mar 20 (M3) Apr 20 (M4)
May 20 (M5) Jun 20 (M6) Jul 20 (M7) Primary (12P) Convention (12C) X
Aug 20 (M8)
Nov 20 (M11)
(Non-Election Year Only) (Non-Election Year Only)
Dec 20 (M12) Jan 31 (YE) Runoff (12R)
Oct 20 (M10) General (12G) Special (12G) in the State of
(c)
12-Day PRE-Election Report for the:
Election on (d) 30-Day Post -Election Report for the: Election on
General (30G)
Runoff (30R) in the State of
Special (30S)
5.
Covering Period
08
01
2011
through
08
31
2011
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Patricia Douglass
Signature of Treasurer
Electronically Filed by
Patricia Douglass
Date
09
16
2011
NOTE : Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C 437g. Office Use Only
FE6AN026
FEC FORM 3X
(Rev. 12/2004)
Image# 11932424232 FEC Form 3X (Rev. 02/2003) Write or Type Committee Name
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS Page 2
Pacific Life Insurance Company Political Action Committee
Y Y
Report Covering the Period:
From:
08
01
2011
To:
08
31
2011
COLUMN A
This Period 6. (a) Cash on Hand January 1
COLUMN B
Calendar Year-to-Date
2011
34626.87 92191.68
(b) Cash on Hand at Begining of Reporting Period ..............
(c) Total Receipts (from Line 19) .............. (d) Subtotal (add lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B) ................
18553.97
162618.78
110745.65 16500.00
197245.65 103000.00
7. 8.
Total Disbursements (from Line 31) ............ Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)) .................. Debts and Obligations owed TO the committee (Itemize all on Schedule C and/or Schedule D) .................
94245.65
94245.65
9.
0.00
10. Debts and Obligations owed BY the committee (Itemize all on Schedule C and/or Schedule D) ..................
0.00
X This Committee has qualified as a multicandidate committee. (see FEC FORM 1M)
For further information contact:
Federal Election Commission 999 E street, NW Washington, DC 20463 Toll Free 800-424-9530 Local 202-694-1100
FE6AN026
Image# 11932424233 FEC Form 3X (Rev. 06/2004) Write or Type Committee Name
DETAILED SUMMARY PAGE
OF RECEIPTS Page 3
Pacific Life Insurance Company Political Action Committee
Y Y
Report Covering the Period:
From:
08
01
2011
To:
08
31
2011
I. Receipts
11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ........... (ii) Unitemized .................................... (iii) TOTAL (add Lines 11(a)(i) and (ii) ................
COLUMN A Total This Period
COLUMN B Calendar Year-to-Date
16456.64 2097.33 18553.97 0.00 0.00 18553.97 0.00 0.00 0.00 0.00 0.00 0.00
113099.14 49519.64 162618.78 0.00 0.00 162618.78 0.00 0.00 0.00 0.00 0.00 0.00
. .
(b) Political Party Committees ................... (c) Other Political Committees (such as PACs) .................................. (d) Total Contributions (add Lines 11(a)(iii),(b) and (c)) (Carry Totals to Line 33, page 5) ................
12. Transfers From Affiliated/Other Party Committees ...................................... 13. All Loans Received ................................... 14. Loan Repayments Received ..................... 15. Offsets To Operating Expenditures (Refunds, Rebates, etc.) (Carry Totals to Line 37, page 5) .............. 16. Refunds of Contributions Made to Federal candidates and Other Political Committees ................................... 17. Other Federal Receipts (Dividends, Interest, etc.) ........................... 18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3) ........................ (b) Levin Funds (from Schedule H5) ....... (c) Total Transfer (add 18(a) and 18(b)). 19. Total Receipts (add Lines 11(d), 12, 13, 14, 15, 16, 17, and 18(c)) .............. 20. Total Federal Receipts (subtract Line 18(c) from Line 19) .............
0.00 0.00 0.00 18553.97 18553.97
0.00 0.00 0.00 162618.78 162618.78
FE6AN026
Image# 11932424234 FEC Form 3X (Rev. 02/2003)
DETAILED SUMMARY PAGE
of Disbursements
COLUMN A Total This Period Page 4 COLUMN B Calendar Year-to-Date
II. DISBURSEMENTS
21. Operating Expenditures: (a) Shared Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share.............................. (ii) Non-Federal Share...................... (b) Other Federal Operating Expenditures...................................... (c) Total Operating Expenditures
0.00 0.00 0.00 0.00 0.00 16500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 103000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(add 21(a)(i), (a)(ii) and (b))............ 22. Transfers to Affiliated/Other Party Committees................................................. 23. Contributions to Federal Candidates/Committees................. and Other Political Committees................... 24. Independent Expenditure (use Schedule E) ...................................... 25. Coordinated Expenditures Made by Party Committees (2 U.S.C. 441a(d)) (use Schedule F)........................................ 26. Loan Repayments Made.............................
27. Loans Made................................................ 28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees ................... (b) Political Party Committees (c) Other Political Committees (such as PACs) ................................. (d) Total Contribution Refunds (add Lines 28(a), (b), and (c)) .......... 29. Other Disbursements................................. 30. Federal Election Activity (2 U.S.C 431(20)) (a) Shared Federal Election Activity (from Schedule H6) (i) Federal Share ....................... (ii) "Levin" Share ....................... (b) Federal Election Activity Paid Entirely With Federal Funds ................... (c) Total Federal Election Activity (add Lines 30(a)(i), 30(a)(ii) and 30(b)).... 31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c)).. 32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31).......................
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
16500.00
103000.00
16500.00
103000.00
FE6AN026
Image# 11932424235 FEC Form 3X (Rev. 02/2003) III. Net Contributions/Operating Expenditures 33.
DETAILED SUMMARY PAGE
of Disbursements
COLUMN A Total This Period COLUMN B Calendar Year-to-Date Page 5
Total Contributions (other than loans) from Line 11(d), page 3) ............................ Total Contribution Refunds (from Line 28(d)) ........................................ Net Contributions (other than loans) (subtract Line 34 from Line 33) .................. Total Federal Operating Expenditures (add Line 21(a)(i) and Line 21(b))..........
18553.97 0.00 18553.97 0.00 0.00 0.00
162618.78 0.00 162618.78 0.00 0.00 0.00
34.
35.
36.
37.
Offsets to Operating Expenditures (from Line 15, page 3) ............................... Net Operating Expenditures (subtract Line 37 from Line 36) .............
38.
FE6AN026
Image# 11932424236
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 6 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. JUNE G ARCE
Date of Receipt
Mailing Address City
20050 EMERALD MEADOW DR
State Zip Code 91789
08
31
2011
WALNUT
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10362105091 Amount of Each Receipt this Period
C
Occupation
60.00
DIR MKTG COMPL
Aggregate Year-to-Date General
450.00
P/R Deduction ($60.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. JULIE E TRASK
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
181 S CRAIG DR
State Zip Code 92869
31 2011 Transaction ID: PR10362125091
Amount of Each Receipt this Period
08
ORANGE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
DIR CUSTOMER SERVICE
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. ALAN H BROWN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
505 13TH ST
State Zip Code 92648
08 CA
31
2011
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362255091 Amount of Each Receipt this Period
C
Occupation
0.00
AVP ITS STRATEGIC SVCS
Aggregate Year-to-Date General
350.00
P/R Deduction ($0.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
100.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424237
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 7 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. KATHLEEN N WILSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2525 JUANITA WAY
State Zip Code 92651
08 CA
31
2011
LAGUNA BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362275091 Amount of Each Receipt this Period
C
Occupation
30.00
SR BUS ANA
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. DEWEY P BUSHAW
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
29132 ALFIERI ST
State Zip Code 92677
31 2011 Transaction ID: PR10362305091
Amount of Each Receipt this Period
08
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
167.00
EXEC VP RSD
Aggregate Year-to-Date General
1336.00
P/R Deduction ($167.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. EDWARD R BYRD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
17520 PAGE CT
State Zip Code 92886
08 CA
31
2011
YORBA LINDA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362325091 Amount of Each Receipt this Period
C
Occupation
125.00
SR VP & CHF ACTG OFCR
Aggregate Year-to-Date General
925.00
P/R Deduction ($125.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
322.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424238
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 8 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOSEPH E CELENTANO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
26661 CAMPESINO
State Zip Code 92691
08 CA
31
2011
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362385091 Amount of Each Receipt this Period
C
Occupation
100.00
SR VP ERM
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. LAURIE A CHURCH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
21851 NEWLAND ST SPC 246
State Zip Code 92646
31 2011 Transaction ID: PR10362425091
Amount of Each Receipt this Period
08
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
STRCT STTLMNTS CONS (G)
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. GAIL C MOSCOSO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
31558 WEST NINE DR
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362485091 Amount of Each Receipt this Period
C
Occupation
60.00
VP CLIENT SERVICES
Aggregate Year-to-Date General
480.00
P/R Deduction ($60.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
200.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424239
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 9 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. DENNIS M CORBETT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
15136 TOURAINE WAY
State Zip Code 92604
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362515091 Amount of Each Receipt this Period
C
Occupation
100.00
VP TAX COMPLIANCE
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. PAUL J CROXTON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
30132 HILLSIDE TER
State Zip Code 92675
31 2011 Transaction ID: PR10362555091
Amount of Each Receipt this Period
08
SN JUAN CAPISTRANO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. DEBRA CUNNINGHAM HONERKAMP
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2712 LIGHTHOUSE LN
State Zip Code 92625
08 CA
31
2011
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362565091 Amount of Each Receipt this Period
C
Occupation
100.00
AVP RE ASSET MGMT
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
250.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424240
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 10 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. MICHAEL R CURRY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
12162 WICKLOW LN
State Zip Code 34120
08 FL
31
2011
NAPLES
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362575091 Amount of Each Receipt this Period
C
Occupation
100.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. STEPHANIE J CURRY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
PO BOX 15358
State Zip Code 92623
31 2011 Transaction ID: PR10362595091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
90.00
AVP ADVANCED SALES
Aggregate Year-to-Date General
720.00
P/R Deduction ($90.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. DIANE W DALES
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
28 CLERMONT
State Zip Code 92657
08 CA
31
2011
NEWPORT COAST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362605091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP CREDIT ANALYSIS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
240.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424241
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 11 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. LINDA D LARSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8315 ROAD R NW
State Zip Code 98848
08 WA
31
2011
QUINCY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362625091 Amount of Each Receipt this Period
C
Occupation
120.00
AVP IND COMPLIANCE
Aggregate Year-to-Date General
960.00
P/R Deduction ($120.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MARK R FALK
Date of Receipt
Mailing Address City
64 SUMMERSTONE
State Zip Code 92614
31 2011 Transaction ID: PR10362715091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
125.00
AVP STRATEGIC PROGRAMS
Aggregate Year-to-Date General
1000.00
P/R Deduction ($125.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DAVID R FINEAR
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
718 K THANGA DR
State Zip Code 92625
08 CA
31
2011
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362785091 Amount of Each Receipt this Period
C
Occupation
35.00
AVP RE INVESTMENTS
Aggregate Year-to-Date General
280.00
P/R Deduction ($35.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
280.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424242
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 12 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. MARTHA A GATES
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
31411 MONTEREY ST
State Zip Code 92651
08 CA
31
2011
LAGUNA BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362865091 Amount of Each Receipt this Period
C
Occupation
416.66
SR VP OPERATIONS
Aggregate Year-to-Date General
2683.30
P/R Deduction ($416.66 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. FRANK J GOETZ
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
7 SOVENTE
State Zip Code 92606
31 2011 Transaction ID: PR10362905091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
70.00
AVP RISK SELECTION
Aggregate Year-to-Date General
560.00
P/R Deduction ($70.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. MILDA C GOODMAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
310 ALISO AVE
State Zip Code 92663
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362925091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP ADV & PUB RLTNS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
536.66
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424243
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 13 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. C MARLA GRAHAM
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
23672 BRASILIA ST
State Zip Code 92691
08 CA
31
2011
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362945091 Amount of Each Receipt this Period
C
Occupation
50.00
APPLIC DEV MGR
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. ADRIAN S GRIGGS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8766 CANARY AVE
State Zip Code 92708
31 2011 Transaction ID: PR10362965091
Amount of Each Receipt this Period
08
FOUNTAIN VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
100.00
SR VP FINANCE & RISK
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. IRENE L JACOBSEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6052 SAN YSIDRO CIR
State Zip Code 90620
08 CA
31
2011
BUENA PARK
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10362995091 Amount of Each Receipt this Period
C
Occupation
30.00
ACCOUNT MGMT SPEC
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
180.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424244
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 14 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. BRENDA K HARDWIG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
13112 EARLHAM ST
State Zip Code 92705
08 CA
31
2011
SANTA ANA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363035091 Amount of Each Receipt this Period
C
Occupation
60.00
COMMUNITY RELTNS COORD
Aggregate Year-to-Date General
480.00
P/R Deduction ($60.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. ROBERT G HASKELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1880 N EL CAMINO REAL
State Zip Code 92672
31 2011 Transaction ID: PR10363065091
Amount of Each Receipt this Period
08
SAN CLEMENTE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
416.66
SVP BRAND MGMT & PA
Aggregate Year-to-Date General
3333.28
P/R Deduction ($416.66 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DALE E HAWLEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2702 SAN JOAQUIN HILLS RD
State Zip Code 92625
08
31
2011
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10363075091 Amount of Each Receipt this Period
C
Occupation
74.00
AVP COUNSEL
Aggregate Year-to-Date General
592.00
P/R Deduction ($74.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
550.66
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424245
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 15 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. ROBERT J HEMSTEAD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5613 DAISY ST
State Zip Code 93063
08 CA
31
2011
SIMI VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363105091 Amount of Each Receipt this Period
C
Occupation
100.00
AVP & VALUATION ACTUARY
Aggregate Year-to-Date General
740.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. KEVIN A HENDRA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
58 VIAGGIO LN
State Zip Code 92610
31 2011 Transaction ID: PR10363115091
Amount of Each Receipt this Period
08
FOOTHILL RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
75.00
AVP TAX
Aggregate Year-to-Date General
555.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. HOWARD T HIRAKAWA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
23972 GOLDENEYE DR
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363165091 Amount of Each Receipt this Period
C
Occupation
100.00
VP INV ADVISOR OPS
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
275.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424246
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 16 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. MARYBETH HUGHES
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2283 WATERMAN WAY
State Zip Code 92627
08 CA
31
2011
COSTA MESA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363205091 Amount of Each Receipt this Period
C
Occupation
40.00
DIR CORPORATE RISK
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. CAROL A JENSEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8554 202ND STREET SW
State Zip Code 98026
31 2011 Transaction ID: PR10363245091
Amount of Each Receipt this Period
08
EDMONDS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
WA
C
Occupation
250.00
NATL SLS MGR M CHANNEL
Aggregate Year-to-Date General
2000.00
P/R Deduction ($250.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JEFF R JOHNSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1 SAND OAKS RD.
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363255091 Amount of Each Receipt this Period
C
Occupation
55.00
AVP CORP FIN
Aggregate Year-to-Date General
440.00
P/R Deduction ($55.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
345.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424247
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 17 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. KENT R JOHNSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
25621 DEL NORTE
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363265091 Amount of Each Receipt this Period
C
Occupation
50.00
VP ACTUARIAL & REINS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MARK J JOHNSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1812 LEADBURN RD
State Zip Code 21204
31 2011 Transaction ID: PR10363275091
Amount of Each Receipt this Period
08
TOWSON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
MD
C
Occupation
150.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
1125.00
P/R Deduction ($150.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. SCOTT E JOHNSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
906 NEWTON LN
State Zip Code 92870
08 CA
31
2011
PLACENTIA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363285091 Amount of Each Receipt this Period
C
Occupation
100.00
VP CORPORATE TECHNOLOGY
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
300.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424248
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 18 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. LORI A JOHNSTONE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
27 GRAY STONE WAY
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363295091 Amount of Each Receipt this Period
C
Occupation
30.00
AVP SPECIALTY INVESTMENTS
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. SUZANNE T KAMPA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5531 STANFORD AVE
State Zip Code 92845
31 2011 Transaction ID: PR10363325091
Amount of Each Receipt this Period
08
GARDEN GROVE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
60.00
IT AUDIT CONS
Aggregate Year-to-Date General
480.00
P/R Deduction ($60.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. BRIAN D KLEMENS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
24611 BENJAMIN CIR
State Zip Code 92629
08 CA
31
2011
DANA POINT
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363375091 Amount of Each Receipt this Period
C
Occupation
80.00
VP & CORPORATE CONTROLLER
Aggregate Year-to-Date General
640.00
P/R Deduction ($80.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
170.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424249
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 19 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOHN P KONTOS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6307 CAMINO MARINERO
State Zip Code 92673
08
31
2011
SAN CLEMENTE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10363425091 Amount of Each Receipt this Period
C
Occupation
150.00
VP INSTITUTIONAL MARKETS
Aggregate Year-to-Date General
1200.00
P/R Deduction ($150.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. JODY L LINNEMAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
262 S FAIRFIELD LN
State Zip Code 92869
31 2011 Transaction ID: PR10363455091
Amount of Each Receipt this Period
08
ORANGE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
0.00
AVP COUNSEL
Aggregate Year-to-Date General
340.00
P/R Deduction ($0.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. FLETCHER C LARSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
709 AVENIDA MIROLA
State Zip Code 90274
08 CA
31
2011
PALOS VERDES EST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363475091 Amount of Each Receipt this Period
C
Occupation
400.00
REGIONAL VP
Aggregate Year-to-Date General
3200.00
P/R Deduction ($400.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
550.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424250
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 20 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. TERESA M LORD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
16432 CAMINO CANADA LN
State Zip Code 92649
08
31
2011
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10363545091 Amount of Each Receipt this Period
C
Occupation
40.00
SR SYSTEMS ANALYST
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. LAURENE E MAC ELWEE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1033 SECRETARIAT CIR
State Zip Code 92626
31 2011 Transaction ID: PR10363565091
Amount of Each Receipt this Period
08
COSTA MESA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
100.00
VP FUND COMPLIANCE
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DESMOND G MARSH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
74 SETON RD
State Zip Code 92612
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363595091 Amount of Each Receipt this Period
C
Occupation
150.00
AVP ANNUITY APPS ADMIN
Aggregate Year-to-Date General
1200.00
P/R Deduction ($150.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
290.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424251
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 21 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. THOMAS J MAYS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
7406 PALOMA DR
State Zip Code 92648
08 CA
31
2011
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363605091 Amount of Each Receipt this Period
C
Occupation
50.00
VP GOVT RELNS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. GAIL H MC INTOSH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
622 18TH ST
State Zip Code 92648
31 2011 Transaction ID: PR10363615091
Amount of Each Receipt this Period
08
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP COUNSEL
Aggregate Year-to-Date General
440.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. JULIA C MC KINNEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
3615 PASEO DEL CAMPO
State Zip Code 90274
08
31
2011
PALOS VERDES EST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10363635091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP COUNSEL
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
165.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424252
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 22 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. MORGAN C MC KNIGHT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1217 HIGHCREST DR
State Zip Code 76028
08 TX
31
2011
BURLESON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363645091 Amount of Each Receipt this Period
C
Occupation
50.00
APPLIC DEV CONS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. HENRY M MC MILLAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
4006 INLET ISLE DR
State Zip Code 92625
31 2011 Transaction ID: PR10363665091
Amount of Each Receipt this Period
08
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
100.00
SR VP & CHIEF RISK OFCR
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. AUDREY L MILFS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
26922 ROCKING HORSE LN
State Zip Code 92653
08
31
2011
LAGUNA HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10363715091 Amount of Each Receipt this Period
C
Occupation
0.00
VP & SECRETARY
Aggregate Year-to-Date General
270.00
P/R Deduction ($0.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
150.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424253
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 23 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOSE T MISCOLTA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20 BRYCE CYN
State Zip Code 92656
08 CA
31
2011
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363755091 Amount of Each Receipt this Period
C
Occupation
65.00
AVP PROD & PORT MKTG
Aggregate Year-to-Date General
520.00
P/R Deduction ($65.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. ELIZABETH A MOORE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6412 N 159TH ST
State Zip Code 68116
31 2011 Transaction ID: PR10363765091
Amount of Each Receipt this Period
08
OMAHA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
NE
C
Occupation
45.00
SYSTEMS ANALYSIS CONS
Aggregate Year-to-Date General
360.00
P/R Deduction ($45.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JAMES T MORRIS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
32141 COOK LN
State Zip Code 92675
08 CA
31
2011
SN JUAN CAPISTRANO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363795091 Amount of Each Receipt this Period
C
Occupation
416.00
CHAIRMAN, PRESIDENT & CEO
Aggregate Year-to-Date General
3328.00
P/R Deduction ($416.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
526.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424254
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 24 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOHN C MULVIHILL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
27382 VIA PRIORATO
State Zip Code 92675
08 CA
31
2011
SN JUAN CAPISTRANO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10363805091 Amount of Each Receipt this Period
C
Occupation
175.00
VP RE ASSET MGMT
Aggregate Year-to-Date General
1400.00
P/R Deduction ($175.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. RICHARD P OLSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
24902 SUNSET PL E
State Zip Code 92653
31 2011 Transaction ID: PR10363935091
Amount of Each Receipt this Period
08
LAGUNA HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
DIR SECURITY SVCS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. JOYCE J PEAD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
25 SUNRISE
State Zip Code 92603
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364005091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP TALENT ACQ & DEV
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
300.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424255
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 25 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. ALYCE PETERSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
10033 WINESAP AVE
State Zip Code 92223
08 CA
31
2011
CHERRY VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364025091 Amount of Each Receipt this Period
C
Occupation
80.00
VP MARKETING SVCS
Aggregate Year-to-Date General
640.00
P/R Deduction ($80.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. B P PILLION
Date of Receipt
Mailing Address City
915 STOKE RD
State Zip Code 19085
31 2011 Transaction ID: PR10364045091
Amount of Each Receipt this Period
08
VILLANOVA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
PA
C
Occupation
40.00
REGIONAL VP
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. YVES F PINKOWITZ
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20541 VIA EL TAJO
State Zip Code 92887
08 CA
31
2011
YORBA LINDA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364055091 Amount of Each Receipt this Period
C
Occupation
44.00
VP CORP AUDIT
Aggregate Year-to-Date General
346.00
P/R Deduction ($44.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
164.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424256
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 26 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. THEODORE A PREMER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20 MOLINO
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364085091 Amount of Each Receipt this Period
C
Occupation
225.00
VP REAL ESTATE FINANCE
Aggregate Year-to-Date General
1800.00
P/R Deduction ($225.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. JOSEPH A PUM
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
33 BOLERO
State Zip Code 92692
31 2011 Transaction ID: PR10364095091
Amount of Each Receipt this Period
08
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
75.00
INTERNAL AUDIT DIR
Aggregate Year-to-Date General
525.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JAMES R RICE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
11 STILLWATER
State Zip Code 92603
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364145091 Amount of Each Receipt this Period
C
Occupation
125.00
VP M FINANCIAL DISTRIBUTION
Aggregate Year-to-Date General
1000.00
P/R Deduction ($125.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
425.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424257
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 27 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. THOMAS M RONCE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
19 GLEN ELLEN
State Zip Code 92602
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364205091 Amount of Each Receipt this Period
C
Occupation
30.00
VP & TAX COUNSEL
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. RICHARD J SCHINDLER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
28472 AVENIDA PLACIDA
State Zip Code 92675
31 2011 Transaction ID: PR10364265091
Amount of Each Receipt this Period
08
SN JUAN CAPISTRANO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
325.00
SR VP LIFE CHF MKTG OFCR
Aggregate Year-to-Date General
2525.00
P/R Deduction ($325.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. CATHY L SCHWARTZ
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
87 PELICAN CT
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364315091 Amount of Each Receipt this Period
C
Occupation
100.00
AVP CREDIT ANALYSIS
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
455.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424258
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 28 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. SONJA V SCOTT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
30 CANYONWOOD
State Zip Code 92620
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364335091 Amount of Each Receipt this Period
C
Occupation
45.00
AVP COMPENSATION
Aggregate Year-to-Date General
360.00
P/R Deduction ($45.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. BRADLEY W SHERRELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2315 VIA ZAFIRO
State Zip Code 92673
31 2011 Transaction ID: PR10364355091
Amount of Each Receipt this Period
08
SAN CLEMENTE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
AVP TECH OFFICE
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. CAROL R SUDBECK
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
11 SOMMET
State Zip Code 92657
08 CA
31
2011
NEWPORT COAST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364505091 Amount of Each Receipt this Period
C
Occupation
416.00
SR VP HR & FACILITIES
Aggregate Year-to-Date General
2680.00
P/R Deduction ($416.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
511.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424259
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 29 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOHN G TORELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
355 S LORETTA DR
State Zip Code 92869
08 CA
31
2011
ORANGE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364585091 Amount of Each Receipt this Period
C
Occupation
90.00
VP ACCTG & RPTG
Aggregate Year-to-Date General
720.00
P/R Deduction ($90.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. STEPHEN J TORETTO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
22862 ORENSE
State Zip Code 92691
31 2011 Transaction ID: PR10364595091
Amount of Each Receipt this Period
08
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
60.00
VP COUNSEL
Aggregate Year-to-Date General
465.00
P/R Deduction ($60.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. KHANH T TRAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
47 VERNAL SPG
State Zip Code 92603
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364605091 Amount of Each Receipt this Period
C
Occupation
416.66
EXEC VP CFO & CHF INVEST OFCR
Aggregate Year-to-Date General
3333.28
P/R Deduction ($416.66 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
566.66
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424260
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 30 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. EDDIE D TUNG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
PO BOX 10386
State Zip Code 92658
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364625091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP REGULATORY PROD ACCTG
Aggregate Year-to-Date General
585.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. CATHRYN L VAN WEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
41974 CARSON CT
State Zip Code 92562
31 2011 Transaction ID: PR10364635091
Amount of Each Receipt this Period
08
MURRIETA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
AVP NATL ACCTS & BD SVCS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JOHN M WALDECK
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
67 LAURELHURST DR
State Zip Code 92694
08 CA
31
2011
LADERA RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364655091 Amount of Each Receipt this Period
C
Occupation
175.00
VP RE UWG & CONST SVCS
Aggregate Year-to-Date General
1325.00
P/R Deduction ($175.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
300.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424261
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 31 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JOHN WHITE
Date of Receipt
Mailing Address City
28532 VIA PRIMAVERA
State Zip Code 92675
08 CA
31
2011
SN JUAN CAPISTRANO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364745091 Amount of Each Receipt this Period
C
Occupation
120.00
VP SALES
Aggregate Year-to-Date General
960.00
P/R Deduction ($120.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. ALAN D WUEST
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
32 COLORIDO
State Zip Code 92688
31 2011 Transaction ID: PR10364805091
Amount of Each Receipt this Period
08
RCHO STA MARGARITA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP OPERATIONS SUPPORT
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. ROBIN S YONIS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8 CASTLEBAR
State Zip Code 92618
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364825091 Amount of Each Receipt this Period
C
Occupation
50.00
VP & FUND ADVISOR COUNSEL
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
210.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424262
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 32 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. MARIA ZAMBELLI-DOUGHERTY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
525 LOMBARDY RD
State Zip Code 19026
08 PA
31
2011
DREXEL HILL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10364835091 Amount of Each Receipt this Period
C
Occupation
0.00
SUPR OPERATIONS
Aggregate Year-to-Date General
360.00
P/R Deduction ($0.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MICHAEL A BELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2 PRECIPICE
State Zip Code 92677
31 2011 Transaction ID: PR10365145091
Amount of Each Receipt this Period
08
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
350.00
EVP LIFE INSURANCE
Aggregate Year-to-Date General
2800.00
P/R Deduction ($350.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. PAUL V LIGEROS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
44 RABANO
State Zip Code 92688
08 CA
31
2011
RCHO STA MARGARITA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365205091 Amount of Each Receipt this Period
C
Occupation
30.00
PROD & COMPETITION CONS
Aggregate Year-to-Date General
225.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
380.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424263
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 33 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. REED J LLOYD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6 SANDERLING LN
State Zip Code 92656
08 CA
31
2011
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365215091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP ADVANCED MKTG
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. REX A OLSON
Date of Receipt
Mailing Address City
1963 PORT LAURENT PL
State Zip Code 92660
31 2011 Transaction ID: PR10365225091
Amount of Each Receipt this Period
08
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
VP&SR MANAGING DIR (LEV FIN)
Aggregate Year-to-Date General
325.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. SAMUEL TANG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
PO BOX 4586
State Zip Code 92690
08 CA
31
2011
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365235091 Amount of Each Receipt this Period
C
Occupation
50.00
PRINCIPAL PAC TRIGUARD COO
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
175.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424264
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 34 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. CAROLYN DEAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
PO BOX 3051
State Zip Code 92629
08 CA
31
2011
DANA POINT
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365345091 Amount of Each Receipt this Period
C
Occupation
40.00
ACCOUNTING DIR
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. ANGELA D HARRELSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
286 VIRGINIA PL
State Zip Code 92627
31 2011 Transaction ID: PR10365405091
Amount of Each Receipt this Period
08
COSTA MESA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
30.00
BUS SYSTEMS ANA
Aggregate Year-to-Date General
225.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. PHILIP A TEETER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
376 MYRTLE ST
State Zip Code 92651
08 CA
31
2011
LAGUNA BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365475091 Amount of Each Receipt this Period
C
Occupation
175.00
SR VP TECH & OPS
Aggregate Year-to-Date General
1355.00
P/R Deduction ($175.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
245.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424265
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 35 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. TENNYSON S OYLER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
52 PEONY
State Zip Code 92618
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365615091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP PUBLIC AFFAIRS
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. VALERIE MORRIS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
48 W YALE LOOP
State Zip Code 92604
31 2011 Transaction ID: PR10365685091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
100.00
VP HR PRGMS & SVCS
Aggregate Year-to-Date General
770.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. PATRICIA S DOUGLASS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
640 SAINT JAMES RD
State Zip Code 92663
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365735091 Amount of Each Receipt this Period
C
Occupation
275.00
VP GOVT RELNS
Aggregate Year-to-Date General
2125.00
P/R Deduction ($275.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
450.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424266
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 36 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. WILLIAM D BURKE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2216 NELDA WAY
State Zip Code 94507
08 CA
31
2011
ALAMO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365785091 Amount of Each Receipt this Period
C
Occupation
100.00
REGIONAL VP
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. SILAS K DUNN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
14 ELDERWOOD
State Zip Code 92614
31 2011 Transaction ID: PR10365845091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP PSD COMPLIANCE
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. RODERICK P HANSEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
87 CUMMINGS BATTLE TRL
State Zip Code 28739
08
31
2011
HENDERSONVILLE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
NC
Transaction ID: PR10365855091 Amount of Each Receipt this Period
C
Occupation
100.00
REGIONAL VP
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
240.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424267
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 37 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. CHRISTINA Q HE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
16625 SONORA STREET
State Zip Code 92782
08 CA
31
2011
TUSTIN
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365875091 Amount of Each Receipt this Period
C
Occupation
40.00
VP INVESTMENT MGMT
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. JOHN F O'DONNELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
30 BRIAN RD
State Zip Code 02324
31 2011 Transaction ID: PR10365965091
Amount of Each Receipt this Period
08
BRIDGEWATER
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
MA
C
Occupation
100.00
NATL SLS MGR KEY ACCT MKTG
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. JULIET A PINKERTON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
301 DEMONBREUN ST
State Zip Code 37201
08 TN
31
2011
NASHVILLE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10365995091 Amount of Each Receipt this Period
C
Occupation
250.00
DIVISIONAL VP
Aggregate Year-to-Date General
2000.00
P/R Deduction ($250.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
390.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424268
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 38 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. RICHARD A TAUBE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
24081 NUTHATCH LN
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366045091 Amount of Each Receipt this Period
C
Occupation
85.00
VP PRODUCT MGMT
Aggregate Year-to-Date General
650.00
P/R Deduction ($85.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. TRAVIS R MC KAY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
210 OXFORD AVE
State Zip Code 60514
31 2011 Transaction ID: PR10366065091
Amount of Each Receipt this Period
08
CLARENDON HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
IL
C
Occupation
100.00
SR WHOLESALER
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. KATHARINE B YOUNG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
18647 SANTA ISADORA ST
State Zip Code 92708
08
31
2011
FOUNTAIN VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10366105091 Amount of Each Receipt this Period
C
Occupation
100.00
VP VALUATION & RISK MGMT
Aggregate Year-to-Date General
760.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
285.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424269
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 39 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. CHRISTOPHER VAN MIERLO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
400 EL VUELO
State Zip Code 92672
08 CA
31
2011
SAN CLEMENTE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366155091 Amount of Each Receipt this Period
C
Occupation
75.00
SVP RSD SALES CHF MKTG OFCR
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MICHAEL S ROBB
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
34 CLIFFHOUSE BLF
State Zip Code 92657
31 2011 Transaction ID: PR10366195091
Amount of Each Receipt this Period
08
NEWPORT COAST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
250.00
EXEC VP RE INVEST
Aggregate Year-to-Date General
2000.00
P/R Deduction ($250.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. RICHARD M WILKES
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
7124 HAWKSBEARD DR
State Zip Code 43082
08 OH
31
2011
WESTERVILLE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366275091 Amount of Each Receipt this Period
C
Occupation
100.00
SR WHOLESALER
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
425.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424270
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 40 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. RICHARD S BANNO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
26666 WHITE OAKS DR
State Zip Code 92653
08 CA
31
2011
LAGUNA HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366285091 Amount of Each Receipt this Period
C
Occupation
75.00
AVP CAPITAL MKTS
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. STEPHEN M BOLLINGER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
17345 FLAME TREE CIR
State Zip Code 92708
31 2011 Transaction ID: PR10366305091
Amount of Each Receipt this Period
08
FOUNTAIN VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP E-COMMERCE
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. MARY ANN BROWN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
304 WEYMOUTH PL
State Zip Code 92651
08 CA
31
2011
LAGUNA BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366315091 Amount of Each Receipt this Period
C
Occupation
416.66
EVP CORPORATE
Aggregate Year-to-Date General
3333.28
P/R Deduction ($416.66 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
531.66
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424271
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 41 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. LORI K CARRASCO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2742 PORTOLA DR
State Zip Code 92626
08 CA
31
2011
COSTA MESA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366325091 Amount of Each Receipt this Period
C
Occupation
40.00
CORP SECRETARIAL CONS
Aggregate Year-to-Date General
275.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. SIMON S FENG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
10 CANDELA
State Zip Code 92620
31 2011 Transaction ID: PR10366355091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
200.00
AVP BUS & TECH INTEG
Aggregate Year-to-Date General
1600.00
P/R Deduction ($200.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. THOMAS GIBBONS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1970 PARK NEWPORT
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366365091 Amount of Each Receipt this Period
C
Occupation
315.00
SVP TAX
Aggregate Year-to-Date General
2475.00
P/R Deduction ($315.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
555.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424272
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 42 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. MARY M HAWKINS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6182 S 177TH ST
State Zip Code 68135
08 NE
31
2011
OMAHA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366395091 Amount of Each Receipt this Period
C
Occupation
45.00
AVP OPS BUS SOLUTNS
Aggregate Year-to-Date General
360.00
P/R Deduction ($45.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. JAMES KARAFA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
105 PALO ALTO PL
State Zip Code 95003
31 2011 Transaction ID: PR10366405091
Amount of Each Receipt this Period
08
APTOS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
125.00
DIVISIONAL VP
Aggregate Year-to-Date General
1000.00
P/R Deduction ($125.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. MARK A KARPE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
16 AUTUMNLEAF
State Zip Code 92614
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366415091 Amount of Each Receipt this Period
C
Occupation
30.00
DIR COMPLIANCE
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
200.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424273
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 43 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. GREGORY L KEELING
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
406 1/2 HELIOTROPE AVE
State Zip Code 92625
08
31
2011
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR10366425091 Amount of Each Receipt this Period
C
Occupation
40.00
VP FINANCE
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. STEPHAN P MITCHELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
18111 THEODORA DR
State Zip Code 92780
31 2011 Transaction ID: PR10366465091
Amount of Each Receipt this Period
08
TUSTIN
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
PRODUCT SPEC DIR
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. CHAD A ROSS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
851 VIA BARQUERO
State Zip Code 92069
08 CA
31
2011
SAN MARCOS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366495091 Amount of Each Receipt this Period
C
Occupation
30.00
MGR BROKER DEALER SVCS
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
110.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424274
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 44 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. DAVID K ROSUCK
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20 SAINT JOHN DR
State Zip Code 60047
08 IL
31
2011
HAWTHORN WOODS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366505091 Amount of Each Receipt this Period
C
Occupation
30.00
REGIONAL VP
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. ELIZABETH H SKINNER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
57 CORAL LK
State Zip Code 92614
31 2011 Transaction ID: PR10366555091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
30.00
AVP TECHNOLOGY
Aggregate Year-to-Date General
225.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DENNIS L BAHLMANN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6052 MEADOW VIEW CT
State Zip Code 50131
08 IA
31
2011
JOHNSTON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366625091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP RISK SELECTION
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
110.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424275
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 45 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JEFF J BRADSHAW
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
22081 OAK GRV
State Zip Code 92692
08 CA
31
2011
MISSION VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366675091 Amount of Each Receipt this Period
C
Occupation
50.00
VP CORP DEV
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. DEBORAH K JOHNSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
3019 SAN ANSELINE AVE
State Zip Code 90808
31 2011 Transaction ID: PR10366685091
Amount of Each Receipt this Period
08
LONG BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
SYSTEMS ANALYSIS SUPR
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. KAREN M BROWN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
11 FOREST HILLS CT
State Zip Code 92629
08 CA
31
2011
DANA POINT
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366695091 Amount of Each Receipt this Period
C
Occupation
40.00
AVP MODEL OFC ANN TECH
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
140.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424276
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 46 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. KENNETH W COX
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
4291 AVOCADO AVE
State Zip Code 92886
08 CA
31
2011
YORBA LINDA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366705091 Amount of Each Receipt this Period
C
Occupation
50.00
IT DELIVERY MGR
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. STEVEN R ELDER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
385 25TH AVE
State Zip Code 98354
31 2011 Transaction ID: PR10366725091
Amount of Each Receipt this Period
08
MILTON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
WA
C
Occupation
50.00
SR WHOLESALER
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. STEPHEN K ENG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
324 TURTLE CREST DR
State Zip Code 92603
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366735091 Amount of Each Receipt this Period
C
Occupation
40.00
DIR RISK MGMT
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
140.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424277
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 47 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. CHARLENE A GRANT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
3311 SEAVIEW AVE
State Zip Code 92625
08 CA
31
2011
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366755091 Amount of Each Receipt this Period
C
Occupation
35.00
AVP COUNSEL
Aggregate Year-to-Date General
280.00
P/R Deduction ($35.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. DAVID C HONERKAMP
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2712 LIGHTHOUSE LN
State Zip Code 92625
31 2011 Transaction ID: PR10366765091
Amount of Each Receipt this Period
08
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
AVP RE ACQUISITIONS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. LINDA L KOTOWICZ
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
795 TREPHANNY LN
State Zip Code 19087
08 PA
31
2011
WAYNE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366795091 Amount of Each Receipt this Period
C
Occupation
60.00
FVP M MKTG
Aggregate Year-to-Date General
480.00
P/R Deduction ($60.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
145.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424278
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 48 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. SHARON E PACHECO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
21611 BLUEJAY ST
State Zip Code 92679
08 CA
31
2011
TRABUCO CANYON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366825091 Amount of Each Receipt this Period
C
Occupation
40.00
VP CHIEF COMPLIANCE
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. DAWN M TRAUTMAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
7424 CITY LIGHTS DR
State Zip Code 92656
31 2011 Transaction ID: PR10366865091
Amount of Each Receipt this Period
08
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
105.00
SR VP IT & STRATEGIC PLNG
Aggregate Year-to-Date General
840.00
P/R Deduction ($105.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JEFFREY R WILT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1 BAILEY DR
State Zip Code 07418
08 NJ
31
2011
GLENWOOD
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366885091 Amount of Each Receipt this Period
C
Occupation
55.00
REGIONAL VP
Aggregate Year-to-Date General
440.00
P/R Deduction ($55.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
200.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424279
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 49 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. STUART A HOLLAND
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
4931 CAREFREE TRAIL
State Zip Code 80134
08 CO
31
2011
PARKER
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10366915091 Amount of Each Receipt this Period
C
Occupation
75.00
SR FVP-NCM IP
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. BRANDON J CAGE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
27 SKYWOOD ST
State Zip Code 92694
31 2011 Transaction ID: PR10366955091
Amount of Each Receipt this Period
08
LADERA RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP COUNSEL
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. ADRIANNE M GEORGANTAS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
28373 BOULDER DR
State Zip Code 92679
08 CA
31
2011
TRABUCO CANYON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10367005091 Amount of Each Receipt this Period
C
Occupation
40.00
SR FLD SVCS PROJ ANA
Aggregate Year-to-Date General
280.00
P/R Deduction ($40.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
155.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424280
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 50 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. DAVID L GOLDSTEIN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
12324 CANTURA ST
State Zip Code 91604
08 CA
31
2011
STUDIO CITY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10367015091 Amount of Each Receipt this Period
C
Occupation
30.00
FVP COLI UNIT
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. CHIN H KIM
Date of Receipt
Mailing Address City
24 TAOS
State Zip Code 92688
31 2011 Transaction ID: PR10367025091
Amount of Each Receipt this Period
08
RCHO STA MARGARITA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
65.00
DIR ADVD MKTG
Aggregate Year-to-Date General
445.00
P/R Deduction ($65.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. KEITH C WERSCHKE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
25252 NORTHRUP DR
State Zip Code 92653
08 CA
31
2011
LAGUNA HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10367125091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP EC & AGG RISK
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
145.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424281
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 51 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JIM Y CHU
Date of Receipt
Mailing Address City
22931 GALAXY LN
State Zip Code 92630
08 CA
31
2011
LAKE FOREST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10367145091 Amount of Each Receipt this Period
C
Occupation
100.00
AVP PRICING & DESIGN
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. ROBERT J HUNT
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20130 NE 28TH PL
State Zip Code 98074
31 2011 Transaction ID: PR10367165091
Amount of Each Receipt this Period
08
SAMMAMISH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
WA
C
Occupation
40.00
SR WHOLESALER
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. STEVEN H GOLDBERG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
11 TWIN FLOWER ST
State Zip Code 92694
08 CA
31
2011
LADERA RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10367185091 Amount of Each Receipt this Period
C
Occupation
75.00
DIR ANNUITIES PRODUCT DEVELPMT
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
215.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424282
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 52 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JASON T TODD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
59 LAURELHURST DR
State Zip Code 92694
08 CA
31
2011
LADERA RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10371995091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP CREDIT ANALYSIS
Aggregate Year-to-Date General
325.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. CARLETON J MUENCH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
111 NORTHERN PINE LOOP
State Zip Code 92656
31 2011 Transaction ID: PR10614835091
Amount of Each Receipt this Period
08
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
45.00
AVP INVESTMENT OVERSIGHT
Aggregate Year-to-Date General
360.00
P/R Deduction ($45.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. PATRICK J O'BRIEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1112 LAS POSAS
State Zip Code 92673
08 CA
31
2011
SAN CLEMENTE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10614845091 Amount of Each Receipt this Period
C
Occupation
35.00
AVP SPECIALIZED MRKTS
Aggregate Year-to-Date General
280.00
P/R Deduction ($35.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
130.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424283
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 53 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. TIM N SHAHEEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
27621 HOMESTEAD RD
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10614875091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP BUS INTEL & ILLUS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MATTHEW WELLS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
120 BONITA DR
State Zip Code 35209
31 2011 Transaction ID: PR10614925091
Amount of Each Receipt this Period
08
HOMEWOOD
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
AL
C
Occupation
100.00
SR WHOLESALER
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JAMES P LEASURE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2427 PORT WHITBY PL
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR10668015091 Amount of Each Receipt this Period
C
Occupation
30.00
AVP&SR MANAGING DIR (LEV FIN)
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
180.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424284
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 54 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JAMES F SHERIDAN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
9584 ROBIN AVE
State Zip Code 92708
08 CA
31
2011
FOUNTAIN VALLEY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR11084695091 Amount of Each Receipt this Period
C
Occupation
35.00
DIR ACG/AIRCRAFT SVCS
Aggregate Year-to-Date General
265.00
P/R Deduction ($35.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. DAVID J VAN DE WATER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
6433 PALOMINO WAY
State Zip Code 97068
31 2011 Transaction ID: PR11106895091
Amount of Each Receipt this Period
08
WEST LINN
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
OR
C
Occupation
50.00
MARKETING CONSULTANT
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. ANN E FARLEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
4014 ALADDIN DR
State Zip Code 92649
08 CA
31
2011
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR11323355091 Amount of Each Receipt this Period
C
Occupation
45.00
AVP PRODUCT DEV
Aggregate Year-to-Date General
360.00
P/R Deduction ($45.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
130.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424285
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 55 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. ANN M DELANEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
9 GRENADA ST
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR12361935091 Amount of Each Receipt this Period
C
Occupation
40.00
PROJECT MANAGER
Aggregate Year-to-Date General
275.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. ROGER D BOND
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
225 SAN TROPEZ CT.
State Zip Code 92651
31 2011 Transaction ID: PR15598895091
Amount of Each Receipt this Period
08
LAGUNA BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
INTERNAL AUDIT CONS
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. ANDREW OLEKSIW
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
22 SKY RANCH RD
State Zip Code 92694
08 CA
31
2011
LADERA RANCH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR15598905091 Amount of Each Receipt this Period
C
Occupation
30.00
SVP CORP DEVELPMT
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
110.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424286
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 56 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. RAE A MCKEATING
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
25842 DANA BLF W
State Zip Code 92624
08 CA
31
2011
CAPISTRANO BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR22130715091 Amount of Each Receipt this Period
C
Occupation
70.00
AVP LEGAL
Aggregate Year-to-Date General
560.00
P/R Deduction ($70.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. EDWIN J FERRELL
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
34 CASTLEROCK
State Zip Code 92603
31 2011 Transaction ID: PR22130755091
Amount of Each Receipt this Period
08
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
100.00
VP INVSTMT MGMT
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DONAL P HANLEY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
591 S MARENGO AVE UNIT 7
State Zip Code 91106
08
31
2011
PASADENA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR22130775091 Amount of Each Receipt this Period
C
Occupation
26.00
VP LEGAL
Aggregate Year-to-Date General
205.00
P/R Deduction ($26.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
196.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424287
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 57 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. JENNIFER L KRUMM
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
22 AMBROISE
State Zip Code 92657
08 CA
31
2011
NEWPORT COAST
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR22130805091 Amount of Each Receipt this Period
C
Occupation
65.00
AVP FIN & DERIVATIVE RPTG
Aggregate Year-to-Date General
505.00
P/R Deduction ($65.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. SUSAN M KEELING
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
406 1/2 HELIOTROPE AVE
State Zip Code 92625
31 2011 Transaction ID: PR22130825091
Amount of Each Receipt this Period
08
CORONA DEL MAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
70.00
AVP INV MGT ACCTG & RPTG
Aggregate Year-to-Date General
485.00
P/R Deduction ($70.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. TIMOTHY C MYERS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
23819 CLAYMORE WAY
State Zip Code 91354
08 CA
31
2011
VALENCIA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR22130865091 Amount of Each Receipt this Period
C
Occupation
90.00
CORP TAX DIRECTOR
Aggregate Year-to-Date General
690.00
P/R Deduction ($90.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
225.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424288
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 58 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. JAY C HAMILTON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
14 ARGOS
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR22336355091 Amount of Each Receipt this Period
C
Occupation
60.00
VP CONTRACTS
Aggregate Year-to-Date General
390.00
P/R Deduction ($60.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. RICHARD J MILLER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
22501 CHASE APT 9112
State Zip Code 92656
31 2011 Transaction ID: PR31736845091
Amount of Each Receipt this Period
08
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
VP IND PROD CHANNEL
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DOUGLAS P JACKSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
59 AUGUSTA
State Zip Code 92679
08 CA
31
2011
COTO DE CAZA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR32777125091 Amount of Each Receipt this Period
C
Occupation
100.00
FVP SALES DEVELOPMENT
Aggregate Year-to-Date General
725.00
P/R Deduction ($100.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
210.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424289
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 59 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. PATRICK M ALLEN
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
58 RUE DU CHATEAU
State Zip Code 92656
08 CA
31
2011
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677825091 Amount of Each Receipt this Period
C
Occupation
30.00
MGR EQ ACCTG & RPTG
Aggregate Year-to-Date General
225.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. MARIAN C BLACKSHEAR
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5528 BELLFLOWER BLVD
State Zip Code 90713
31 2011 Transaction ID: PR33677855091
Amount of Each Receipt this Period
08
LAKEWOOD
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
35.00
SYSTEMS ANALYST
Aggregate Year-to-Date General
250.00
P/R Deduction ($35.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. LAURA J JUNG
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1111 BAYPOINTE DR
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677865091 Amount of Each Receipt this Period
C
Occupation
30.00
INTERNAL AUDIT CONS
Aggregate Year-to-Date General
225.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026 FECSchedule A ( Form 3X )
95.00
(Revised 02/2003)
Image# 11932424290
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 60 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. DANIEL E KOMOROSKE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8 OSPREY AVE
State Zip Code 92656
08 CA
31
2011
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677885091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP LIFE REINSURANCE
Aggregate Year-to-Date General
325.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. ADRIENNE MOUCH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2524 W WATROUS AVE
State Zip Code 33629
31 2011 Transaction ID: PR33677905091
Amount of Each Receipt this Period
08
TAMPA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
FL
C
Occupation
100.00
REGIONAL VP
Aggregate Year-to-Date General
800.00
P/R Deduction ($100.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. KAREN L MOYER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
4821 SUNNYBROOK AVE
State Zip Code 90621
08 CA
31
2011
BUENA PARK
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677915091 Amount of Each Receipt this Period
C
Occupation
30.00
SR SYSTEMS ANALYST
Aggregate Year-to-Date General
220.00
P/R Deduction ($30.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
180.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424291
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 61 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. BRIAN D PEAD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
25 SUNRISE
State Zip Code 92603
08 CA
31
2011
IRVINE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677945091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP APPL ARCH & INTEG.
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. JEFFREY S PHILLIPS
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
14932 PENFIELD CIR
State Zip Code 92647
31 2011 Transaction ID: PR33677955091
Amount of Each Receipt this Period
08
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
PROJECT MANAGER
Aggregate Year-to-Date General
325.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. CHRISTOPHER L RATCHFORD
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2807 FOUNDERS BRIDGE RD
State Zip Code 23113
08
31
2011
MIDLOTHIAN
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
VA
Transaction ID: PR33677965091 Amount of Each Receipt this Period
C
Occupation
50.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
300.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
150.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424292
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 62 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. PARAG S SHAH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
24972 FOOTPATH LN
State Zip Code 92677
08 CA
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33677985091 Amount of Each Receipt this Period
C
Occupation
40.00
VP PRODUCT DESIGN
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. KARI S TURIGLIATTO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
253 NIETO AVE
State Zip Code 90803
31 2011 Transaction ID: PR33677995091
Amount of Each Receipt this Period
08
LONG BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
40.00
AVP COUNSEL
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JAMES P WITKOWSKI
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5620 FOXTAIL LOOP
State Zip Code 92010
08 CA
31
2011
CARLSBAD
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR33678025091 Amount of Each Receipt this Period
C
Occupation
70.00
CHANNEL MKTG DIR
Aggregate Year-to-Date General
485.00
P/R Deduction ($70.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
150.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424293
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 63 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. MICHAEL F MIRANNE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
153 SHUTE CIR
State Zip Code 37138
08 TN
31
2011
OLD HICKORY
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR34419155091 Amount of Each Receipt this Period
C
Occupation
50.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
325.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. KEVIN RODDY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
23221 VIA DORADO
State Zip Code 92679
31 2011 Transaction ID: PR38370895091
Amount of Each Receipt this Period
08
COTO DE CAZA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
VP FINANCE
Aggregate Year-to-Date General
340.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. DAVID A HENDERSON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20727 E MAPLEWOOD LN
State Zip Code 80016
08
31
2011
CENTENNIAL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CO
Transaction ID: PR43582255091 Amount of Each Receipt this Period
C
Occupation
50.00
FIELD VICE PRES
Aggregate Year-to-Date General
300.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
150.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424294
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 64 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. DANIEL J KUBICA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
26362 YOLANDA ST
State Zip Code 92656
08 CA
31
2011
LAGUNA HILLS
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR43582265091 Amount of Each Receipt this Period
C
Occupation
50.00
DIR FLD FIN
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MS. CARLA M MILLER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
890 SHORES BLVD
State Zip Code 75087
31 2011 Transaction ID: PR43582275091
Amount of Each Receipt this Period
08
ROCKWALL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
TX
C
Occupation
50.00
FIELD VICE PRES
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. JOSEPH J NICOLOSI
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5865 E ANDOVER DR
State Zip Code 60133
08 IL
31
2011
HANOVER PARK
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR43582295091 Amount of Each Receipt this Period
C
Occupation
50.00
FIELD VICE PRES
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
150.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424295
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 65 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. VINCENT E SAMA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
39 SAMMIS ST
State Zip Code 11743
08 NY
31
2011
HUNTINGTON
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR43582335091 Amount of Each Receipt this Period
C
Occupation
50.00
SR WHOLESALER
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. VINCENT A SPERA
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
1616 LOOKOUT CIR
State Zip Code 28173
31 2011 Transaction ID: PR43582355091
Amount of Each Receipt this Period
08
WAXHAW
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
NC
C
Occupation
75.00
FVP FIELD WHOLESALING
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. JOANNE T GAGNON
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
359 PEARL ST
State Zip Code 01867
08 MA
31
2011
READING
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR48232225091 Amount of Each Receipt this Period
C
Occupation
42.00
FVP M MARKETING
Aggregate Year-to-Date General
336.00
P/R Deduction ($42.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
167.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424296
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 66 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. GARY D PENCE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
27691 BLOSSOM HILL RD
State Zip Code 92677
08
31
2011
LAGUNA NIGUEL
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
Transaction ID: PR48232265091 Amount of Each Receipt this Period
C
Occupation
50.00
ADVD DESIGN CONS
Aggregate Year-to-Date General
400.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. CADE H CHERRY
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20 ESTERO POINTE
State Zip Code 92656
31 2011 Transaction ID: PR61125885091
Amount of Each Receipt this Period
08
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
75.00
AVP STRATEGIC PLANNING
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. GARY L FALDE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
9212 SANTIAGO DR
State Zip Code 92646
08 CA
31
2011
HUNTINGTON BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR61125905091 Amount of Each Receipt this Period
C
Occupation
75.00
VP & CHIEF ACTUARY
Aggregate Year-to-Date General
600.00
P/R Deduction ($75.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
200.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424297
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 67 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. BRIAN W REEVES
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
20731 VISTA DEL SOL
State Zip Code 92886
08 CA
31
2011
YORBA LINDA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR61125955091 Amount of Each Receipt this Period
C
Occupation
30.00
AVP CORPORATE FINANCE
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. RALPH D SCHOCH
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
3443 CROOKED CREEK DR
State Zip Code 91765
31 2011 Transaction ID: PR61125965091
Amount of Each Receipt this Period
08
DIAMOND BAR
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
30.00
SR DATABASE ADMINR
Aggregate Year-to-Date General
240.00
P/R Deduction ($30.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. REBECCA S WARWAR
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
196 S SAGEWOOD ST
State Zip Code 92869
08 CA
31
2011
ORANGE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR61125975091 Amount of Each Receipt this Period
C
Occupation
40.00
DIR OPEN SYSTEMS
Aggregate Year-to-Date General
320.00
P/R Deduction ($40.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
100.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424298
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 68 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MR. MATTHEW L HANSBERGER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
5516 RIVER AVE
State Zip Code 92663
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR67885065091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP IT OPERATIONS
Aggregate Year-to-Date General
250.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MATTHEW A LEVENE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
2147 IRIS PL
State Zip Code 92627
31 2011 Transaction ID: PR67885075091
Amount of Each Receipt this Period
08
COSTA MESA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
AVP CREDIT ANALYSIS
Aggregate Year-to-Date General
250.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MS. JILL PECKINGHAM
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
50 COLONIAL WAY
State Zip Code 92656
08 CA
31
2011
ALISO VIEJO
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR67885095091 Amount of Each Receipt this Period
C
Occupation
75.00
ANNUITY PROJECT SVCS DIR
Aggregate Year-to-Date General
375.00
P/R Deduction ($75.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
175.00
FECSchedule A ( Form 3X )
(Revised 02/2003)
Image# 11932424299
SCHEDULE A (FEC Form 3X ) ITEMIZED RECEIPTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) X 11a 13 11b 14
PAGE 69 / 73 11c 15 12 16
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
MS. JESSICA L RICE
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
511 S 51ST AVE
State Zip Code 68106
08 NE
31
2011
OMAHA
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR67885105091 Amount of Each Receipt this Period
C
Occupation
50.00
AVP INTERNAL WHOLESALING
Aggregate Year-to-Date General
250.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
B.
MR. MICHAEL A YETTER
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
3438 E RIDGEWAY RD
State Zip Code 92867
31 2011 Transaction ID: PR67885155091
Amount of Each Receipt this Period
08
ORANGE
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
CA
C
Occupation
50.00
AVP INVESTMENT SERVICES
Aggregate Year-to-Date General
250.00
P/R Deduction ($50.00 Monthly)
Full Name (Last, First, Middle Initial)
C.
MR. ALEXANDER F MUNRO
Date of Receipt
M M / D D / Y Y Y Y
Mailing Address City
8 HILLSBOROUGH
State Zip Code 92660
08 CA
31
2011
NEWPORT BEACH
FEC ID number of contributing federal political committee. Name of Employer Pacific Life Receipt For: Primary Other (specify)
Transaction ID: PR68001205091 Amount of Each Receipt this Period
C
Occupation
60.00
AVP ITS STRATEGIC SVCS
Aggregate Year-to-Date General
240.00
P/R Deduction ($60.00 Monthly)
SUBTOTAL of Receipts This Page (optional) .................................................................. TOTAL This Period (last page this line number only) .......................................................
FE6AN026
160.00 16456.64
FECSchedule A ( Form 3X ) (Revised 02/2003)
Image# 11932424300
SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) 21b 27 22 28a X 23 28b
PAGE 70 / 73 24 28c 25 29 26 30b
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
Friends of Joe Baca
Mailing Address City
Transaction ID: 10231020 Date of Disbursement
555 Capitol Mall Suite 1425
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Sacramento
Purpose of Disbursement Contribution Candidate Name
CA
95814 1000.00 011
Category/ Type
Joseph Baca
Office Sought: X House Senate President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: CA
District: 43
Transaction ID: 10231126 Date of Disbursement
Full Name (Last, First, Middle Initial)
B.
Friends of Sherrod Brown
Mailing Address City
2280 Kresge Drive
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Amherst
Purpose of Disbursement Contribution Candidate Name
OH
44001 1000.00 011
Category/ Type
Sherrod Brown
Office Sought: House Senate X President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: OH
District:
Transaction ID: 10231135 Date of Disbursement
Full Name (Last, First, Middle Initial)
C.
Friends of Dennis Cardoza
Mailing Address City
200 East Jefferson Street
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Falls Church
Purpose of Disbursement Contribution Candidate Name
VA
22046 1000.00 011
Category/ Type
Dennis Cardoza
Office Sought: X House Senate President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: CA
District: 18
SUBTOTAL of Disbursements This Page (optional) ......................................................... TOTAL This Period (last page this line number only) .......................................................
FE6AN026
3000.00
FEC Schedule B ( Form 3X) (Revised 02/2003)
Image# 11932424301
SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) 21b 27 22 28a X 23 28b
PAGE 71 / 73 24 28c 25 29 26 30b
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
Carper for Senate
Mailing Address City
Transaction ID: 10231136 Date of Disbursement
19 East Commons Blvd Second Floor
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
New Castle
Purpose of Disbursement Contribution Candidate Name
DE
19720 2000.00 011
Category/ Type
Thomas Carper
Office Sought: House X Senate President Disbursement For: 2012 Primary X General Other (specify)
Contribution
State: DE
District:
Transaction ID: 10231705 Date of Disbursement
Full Name (Last, First, Middle Initial)
B.
Crapo for US Senate
Mailing Address City
200 South Fairfax Street, #5
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Alexandria
Purpose of Disbursement Contribution Candidate Name
VA
22314 2000.00 011
Category/ Type
Michael Crapo
Office Sought: House Senate X President Disbursement For: 2016 X Primary General Other (specify)
Contribution
State: ID
District:
Transaction ID: 10231706 Date of Disbursement
Full Name (Last, First, Middle Initial)
C.
CROWLEY FOR CONGRESS
Mailing Address City
P.O. Box 75214
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20013 1000.00 011
Category/ Type
Joseph Crowley
Office Sought: X House Senate President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: NY
District: 07
SUBTOTAL of Disbursements This Page (optional) ......................................................... TOTAL This Period (last page this line number only) .......................................................
FE6AN026
5000.00
FEC Schedule B ( Form 3X) (Revised 02/2003)
Image# 11932424302
SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) 21b 27 22 28a X 23 28b
PAGE 72 / 73 24 28c 25 29 26 30b
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
Fund for the Majority
Mailing Address City
Transaction ID: 10231707 Date of Disbursement
426 C Street, NE
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20002 2000.00 011
Category/ Type
Fund for the Majority
Office Sought: House Senate President Disbursement For: Primary Other (specify) General
Contribution
State:
District:
Transaction ID: 10231708 Date of Disbursement
Full Name (Last, First, Middle Initial)
B.
Levin for Congress
Mailing Address City
209 Pennsylvania Avenue, SE
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20003 1000.00 011
Category/ Type
Sander Levin
Office Sought: X House Senate President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: MI
District: 12
Transaction ID: 10231709 Date of Disbursement
Full Name (Last, First, Middle Initial)
C.
Rob Portman For US Senate
Mailing Address City
900 19th Street, NW, 8th Floor
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20006 1000.00 011
Category/ Type
Mr. Rob Portman
Office Sought: House X Senate President Disbursement For: 2016 X Primary General Other (specify)
Contribution
State: OH
District:
SUBTOTAL of Disbursements This Page (optional) ......................................................... TOTAL This Period (last page this line number only) .......................................................
FE6AN026
4000.00
FEC Schedule B ( Form 3X) (Revised 02/2003)
Image# 11932424303
SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS
Use separate schedule(s) for each category of the Detailed Summary Page
FOR LINE NUMBER: (check only one) 21b 27 22 28a X 23 28b
PAGE 73 / 73 24 28c 25 29 26 30b
Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee NAME OF COMMITTEE (In Full)
Pacific Life Insurance Company Political Action Committee
Full Name (Last, First, Middle Initial)
A.
Defend America PAC
Mailing Address City
Transaction ID: 10231711 Date of Disbursement
700 12th Street NW, Suite 700
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20005 2500.00 011
Category/ Type
Defend America PAC
Office Sought: House Senate President Disbursement For: Primary Other (specify) General
Contribution
State:
District:
Transaction ID: 10231712 Date of Disbursement
Full Name (Last, First, Middle Initial)
B.
Friends Of Pat Toomey
Mailing Address City
700 12th Street, NW, Suite 700
State Zip Code
08
17
2011
Amount of Each Disbursement this Period
Washington
Purpose of Disbursement Contribution Candidate Name
DC
20005 1000.00 011
Category/ Type
Sen. Pat Toomey
Office Sought: House Senate X President Disbursement For: 2016 X Primary General Other (specify)
Contribution
State: PA
District:
Transaction ID: 10246703 Date of Disbursement
Full Name (Last, First, Middle Initial)
C.
The Committee to Re-Elect Loretta Sanchez
Mailing Address City
604 South Harbor Boulevard
State Zip Code
08
25
2011
Amount of Each Disbursement this Period
Santa Ana
Purpose of Disbursement Contribution Candidate Name
CA
92704 1000.00 011
Category/ Type
Loretta Sanchez
Office Sought: X House Senate President Disbursement For: 2012 X Primary General Other (specify)
Contribution
State: CA
District: 47
SUBTOTAL of Disbursements This Page (optional) ......................................................... TOTAL This Period (last page this line number only) .......................................................
FE6AN026
4500.00 16500.00
FEC Schedule B ( Form 3X) (Revised 02/2003)
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