THE FEDERAL ELECTION COMMISSION Washington, DC 20463 ACKNOWLEDGEMENT OF RECEIPT REQUEST FOR PRESIDENTIAL PRIMARY MATCHING FUNDS DATE RECEIVED: November 4, 2015 COMMITTEE NAME: O'Malley for President COMMITTEE REPRESENTATIVE: NO. CONTRIBUTIONS: 897 REQUEST TYPE & NO.: Threshold Neil Reiff, Esq. AMOUNT REQUESTED: $339,873.11 COVERAGE DATES OF DEPOSITS NOT PREVIOUSLY SUBMITTED: May 17, 2015 through October 30, 2015 SUBMITTED DOCUMENTATION 0 ZIPFILES [8J BANK DOCUMENTATION [8J WRITTEN INSTRUMENTS 0 [8J PHOTOCOPY [8J NSF LIST WITH DEBIT MEMOS (partial) [8J BATCH ORDER [8J BANK STATEMENTS D ALL 0 [8J SELECTED [8J TREASURER'S CERTIFICATION 0 ALPHABETICAL 0 NOCO STATEMENT (after date of ineligibility) 0 ENTERTAINMENT EVENT DOCUMENTATION 0 CONTRIBUTIONS REFUND LIST WITH DOCUMENTATION- NONE MAGNETIC MEDIA JOINT FUNDRAISING DOCUMENTATION Absent any communication to the contrary, this Matching Fund Request was determined to be in conformance with the FEC Guideline for Presentation in Good Order with respect to format and submitted Digitallysignedbyzuzanao. accompanying documentation identified above. Zuzana 0 • DN: cn=Zuzana 0. Pacious, o, Pacious Pacious ou, email=zpacious@fec.gov, c=US Date: 2015.11.09 15:45:24 -05'00' Received b y : - - - - - - - - - - - for the Federal Election Commission November 9, 2015 November 2, 2015 The Honorable Ann M. Ravel, Chairperson Federal Election Commission 999 Street, NW. Washington, DC 20463 Dear Madame Chairperson: As a candidate for nomination of the Democratic Party of the United States for President of the US, seeking to become eligible to receive Presidential primary matching funds, I certify and agree to the following provisions, as prescribed by 11 C.F.R 9033.1 and 9033.2: I. II. IV. VI. lnaccordance with 11 C.F.R. and (3), I certify that I am seeking the nomination of the Democratic Party for election to the Office of President in more than one State. I and/or my authorized committee(s) have received matchable contributions which in the aggregate exceed $5,000 from residents of each of at least twenty States which with respect to any one person do not exceed $250. Pursuant to 11 C.F.R. I and/or my authorized committee(s) certify that we have not incurred and will not incur quali?ed campaign expenditures in connection with my campaign for nomination in excess of the expenditure limitations prescribed by 26 9035 and 11 C.F.R. Part 9035. In accordance with ll C.F.R. I acknowledge that I have the burden of proving that disbursements made by me, or any of my authorized committee(s) or agents are quali?ed campaign expenses as de?ned at 11 C.F.R. 9032.9. Pursuant to 11 C.F.R. I and my authorized committee(s) will comply with the documentation requirements set forth in 11 C.F.R. 9033.11. Upon the request of the Commission, I and my authorized committee(s) will supply an explanation of the connection between any disbursement made by me or my authorized committee(s) and the campaign, if requested by the Commission, as prescribed by 1 C.F.R. In accordance with 11 C.F.R. I and my authorized committee(s) agree to keep and furnish to the Commission all documentation for matching fund submissions, any books, records (including bank records for all accounts), and supporting documentation and other information that the The Honorable Ann M. Ravel November 2, 2015 Page 2 VII. IX. Commission may request. As provided at 11 C.F.R. I and my authorized committee(s) agree to keep and furnish to the Commission all documentation relating to disbursements and receipts including any books, records (including bank records for all accounts), all documentation required to be maintained by this section (including those required to be maintained under 11 C.F.R. 9033.11), and other information that the Commission may request. If I or my authorized committee(s) maintains or uses computerized information containing any of the categories of data listed in II C.F.R. the committee(s) will provide computerized magnetic media, such as magnetic tapes or magnetic diskettes, containing the computerized information at the times speci?ed in 11 C.F.R. that meet the requirements of 11 C.F.R. Upon request, documentation explaining the computers system's software capabilities shall be provided, and such personnel as are necessary to explain the operation of the computer system's software and the computerized information prepared or maintained by the committee(s) shall be made available. As prescribed at 11 C.F.R. I and my authorized committee(s) will obtain and furnish to the Commission upon request all documentation relating to funds received and disbursements made on my behalf by other political committees and organizations associated with me. Inaccordance with 26 U.S.C. ?9038 and 11 C.F.R ?9038 and II C.F.R. I and my authorized committee(s) shall permit an audit and examination pursuant to 11 C.F.R. Part 9038 of all receipts and disbursements, including those made by me, all authorized committee(s) and any agent or person authorized to make expenditures on my behalf or on behalf of my authorized committee(s). I and my authorized committee(s) shall also provide any material required in connection with an audit, investigation or examination conducted pursuant to 11 C.F.R. Part 9039. I and my authorized committee(s) shall facilitate the audit my making available in one central location, of?ce space, records and such personnel as are necessary to conduct the audit and examination, and shall pay any amounts required to be repaid under 11 C.F.R. Parts 9038 and 9039. Pursuant to 11 C.F.R. the person listed below is entitled to receive matching fund payments on my behalf which will be deposited into the listed depository which Ihave designated as the campaign depository. Any change in the information required by this paragraph shall not be effective until submitted to the Commission in a letter signed by me or the Treasurer of my authorized principal campaign committee. Terry Lee Lierrnan 1501 St. Paul Street, Suite 114 Baltimore, MD 21202?2846 Amalgamated Bank Name of person: Mailing address: Designated depository: 2 The Honorable Ann M. Ravel November 2, 2015 Page 3 X1. XII. Signed: 1825 Street NW. Washington, DC. 20006 Pursuant to 11 CPR. (10) and (11), I and my authorized committee(s) will: (A) prepare matching fund submissions in accordance with the Federal Election Commission's Guideline for Presentation in Good Order, including the provision of any magnetic media pertaining to the matching fund submissions and which conforms to the requirements speci?ed at 11 C.F.R. 9033.12; (B) comply with the applicable requirements of 2 U.S.C. ?431 et seg.; 26 U.S.C. ?9031 et seg., and the Commission's regulations at 11 C.F.R. 100- 116, 300 and 11 C.F.R. 903 1-903 9; and (C) pay civil penalties included in a conciliation agreement or otherwise imposed under 2 U.S.C. 437g against myself, any of my authorized committees(s) or any agent thereof. Address: Pursuant to 11 C.F.R. any television commercial prepared or distributed by me or my authorized committee(s) will be prepared in a manner which ensures that the commercial contains or is accompanied by closed captioning of the oral content of the commercial to be broadcast in line 21 of the vertical blanking interval, or is capable of being viewed by deaf and hearing impaired individuals via any comparable successor technology to line 21 of the vertical blanking interval. Pursuant to 11 CPR. land my authorized committee(s) will file all reports with the Commission in an electronic format that meets the requirements of 11 CPR. 104.18 if I or my authorized committee(s) maintain or use computerized information containing any of the information described in 11 C.F.R. 104.3. Martin J. O?Malley FEDERAL ELECTION COMMISSION Washington, DC 20463 THRESHOLD SUBMISSION CONTRIBUTOR LIST SUBMITTED BY O’MALLEY FOR PRESIDENT O’Malley for President submitted the following list of contributors on November 3, 2015 as part of the Threshold Submission, which also contains images of contributor checks and other supporting documentation. On November 19, 2015, the Federal Election Commission determined that the portion of Matching Fund submissions containing the listing of contributors could be placed on the public record as they were filed. It was further determined that Privacy Act considerations would prohibit placing the entire submission (i.e. images of contributors’ checks) on the public record. SUMMARY STATE ALPHA LISTING Submitted for Matching State Count California Colorado Connecticut District of Columbia Florida Iowa Illinois Kentucky Massachusetts Maryland Michigan Minnesota North Carolina New Hampshire New Jersey New York Pennsylvania Rhode Island Tennessee Texas Virginia Washington TOTAL Amount Submitted 27 29 29 29 32 52 29 28 32 33 45 76 80 74 26 30 32 27 26 25 29 107 $10,800.00 $9,900.00 $35,095.00 $9,931.00 $22,000.00 $9,965.00 $12,702.00 $9,250.00 $12,450.00 $8,250.00 $20,500.00 $11,825.00 $10,561.00 $13,760.11 $28,680.00 $7,500.00 $10,200.00 $21,500.00 $31,950.00 $27,125.00 $9,500.00 $6,429.00 897 $339,873.11