06/20/2018 19 : 03 Image# 201806209114131832 PAGE 1 / 9 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee Office Use Only 1. NAME OF COMMITTEE (in full) Example: If typing, type over the lines. TYPE OR PRINT ▼ 12FE4M5 The Collective Super PAC PO Box 15320 ▼ FEC IDENTIFICATION NUMBER C CITY 3. IS THIS REPORT C00592808 4. TYPE OF REPORT (Choose One) DC Washington (a) Quarterly Reports: April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) (b) Monthly Report Due On: Feb 20 (M2) Apr 20 (M4) (c) 12-Day PRE-Election Report for the: Election on January 31 Year-End Report (YE) July 31 Mid-Year Report (Non-election Year Only) (MY) Termination Report (TER) Mar 20 (M3) (d) 30-Day POST-Election Report for the: Election on ✘ ✘ Covering Period 05 01 2018 ZIP CODE NEW (N) OR AMENDED (A) May 20 (M5) Aug 20 (M8) Jun 20 (M6) Sep 20 (M9) Dec 20 (M12) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) Primary (12P) General (12G) Convention (12C) Special (12S) General (30G) Nov 20 (M11) (Non-Election Year Only) (Non-Election Year Only) Runoff (12R) in the State of M M / D D / Y Y Y Y Runoff (30R) Special (30S) in the State of M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y 5. 20003 STATE ▼ 2. Check if different than previously reported. (ACC) ▼ ▼ ▼ ADDRESS (number and street) through 05 31 2018 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 Signature of Treasurer May, Jennifer, , , May, Jennifer, , , M M / D D / Y Y Y Y [Electronically Filed] Date 06 20 2018 NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109. Office Use Only FEC FORM 3X Rev. 05/2016 Image# 201806209114131833 SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS FEC Form 3X (Rev. 05/2016 ) Page 2 Write or Type Committee Name The Collective Super PAC M M / D D / Y Y Y Y Report Covering the Period: From: 05 01 M M / D D / Y Y Y Y To: 2018 COLUMN A This Period 6. (a) Cash on Hand January 1, (d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B)................ 7. Total Disbursements (from Line 31)............ 8. Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)).................. 9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D)................. 10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D)................. 2018 , , . ▲ ▲ ▲ 8673.08 2018 (c) Total Receipts (from Line 19).............. 31 COLUMN B Calendar Year-to-Date Y Y Y Y (b) Cash on Hand at Beginning of Reporting Period............. 05 715.05 , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ 742770.61 , , . ▲ ▲ 744070.61 ▲ , , . ▲ ▲ 743485.66 ▲ , , . ▲ ▲ 752743.69 ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ 12635.37 ▲ 12635.37 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 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 Image# 201806209114131834 DETAILED SUMMARY PAGE of Receipts FEC Form 3X (Rev. 05/2016 ) Page 3 Write or Type Committee Name The Collective Super PAC M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 05 01 To: 2018 COLUMN A Total This Period 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).................. ▼ (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...................................... 31 2018 COLUMN B Calendar Year-to-Date 0.00 , , . ▲ ▲ ▲ 743720.00 , , . 100.61 , , . ▲ ▲ ▲ , , . ▲ ▲ 743820.61 ▲ 0.00 , , . ▲ ▲ ▲ 250.00 , , . ▲ ▲ ▲ , , . ▲ ▲ 742770.61 ▲ , , . ▲ ▲ 744070.61 ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ 0.00 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 50.61 , , . ▲ ▲ ▲ , , . ▲ ▲ 742770.61 ▲ 0.00 , , . ▲ ▲ ▲ 0.00 (b) Levin Funds (from Schedule H5).......... 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ (c) Total Transfers (add 18(a) and 18(b))... 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ ▼ 0.00 0.00 , , . ▲ ▲ 742770.61 ▲ , , . ▲ ▲ 744070.61 ▲ ▼ 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).............................. , , . ▲ ▲ 742720.00 ▲ 05 , , . ▲ ▲ ▲ , , . ▲ ▲ 744070.61 ▲ 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).......... 742770.61 Image# 201806209114131835 DETAILED SUMMARY PAGE of Disbursements FEC Form 3X (Rev. 05/2016 ) II. Disbursements ▼ 21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share.............................. (ii) Non-Federal Share....................... (b) Other Federal Operating Expenditures........................................ (c) Total Operating Expenditures (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 Expenditures (use Schedule E)........................................ 25. Coordinated Party Expenditures (52 U.S.C. § 30116(d)) (use Schedule F)........................................ Page 4 COLUMN A Total This Period COLUMN B Calendar Year-to-Date 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ 0.00 0.00 , , . ▲ ▲ ▲ 26. Loan Repayments Made............................. 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 27. Loans Made................................................. 28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees.................. 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ (b) Political Party Committees.................. (c) Other Political Committees (such as PACs).................................... 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 , , . ▲ ▲ ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ ▼ (d) Total Contribution Refunds (add Lines 28(a), (b), and (c))............ 0.00 29. Other Disbursements (Including Non-Federal Donations).................................... (b) (c) (ii) "Levin" Share................................. Federal Election Activity Paid Entirely With Federal Funds............... Total Federal Election Activity (add Lines 30(a)(i), 30(a)(ii) and 30(b))...... ▼ 30. Federal Election Activity (52 U.S.C. § 30101(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share................................. 32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31)............................................... ▼ 31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c))... 0.00 0.00 0.00 0.00 0.00 Image# 201806209114131836 DETAILED SUMMARY PAGE of Disbursements FEC Form 3X (Rev. 05/2016 ) III. Net Contributions/ Operating Expenditures ▼ 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)).......... Offsets to Operating Expenditures (from Line 15, page 3)............................... Net Operating Expenditures (subtract Line 37 from Line 36)................. ▼ 33. 34. 35. 36. 37. 38. COLUMN A Total This Period Page 5 COLUMN B Calendar Year-to-Date , , . ▲ ▲ 742770.61 ▲ , , . ▲ ▲ 744070.61 ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ 742770.61 ▲ , , . ▲ ▲ 744070.61 ▲ , , . ▲ ▲ 730850.29 ▲ , , . ▲ ▲ 740108.32 ▲ 0.00 , , . ▲ ▲ ▲ 0.00 , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ 730850.29 740108.32 Image# 201806209114131837 SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS FOR LINE NUMBER: (check only one) Use separate schedule(s) for each category of the Detailed Summary Page ✘ 11a 13 PAGE 6 11b 11c 12 14 15 16 OF 9 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) The Collective Super PAC Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Collective Future Date of Receipt Mailing Address PO Box 15320 M M / D D / Y Y Y Y City Washington 05 State DC FEC ID number of contributing federal political committee. Zip Code 20003 2018 Transaction ID : SA11AI.4690 Amount of Each Receipt this Period C Name of Employer (for Individual) 07 ▲ ▲ ▲ , , . 742720.00 Memo Item Occupation (for Individual) Contribution Receipt For: Primary General Other (specify) ▼ Aggregate Year-to-Date ▼ ▲ ▲ 742720.00 ▲ , , . Full Name of Individual (Last, First, Middle Initial) or Full Organization Name Date of Receipt B. Mailing Address City M M / D D / Y Y Y Y State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. C Name of Employer (for Individual) Receipt For: Primary General Other (specify) ▼ ▲ ▲ ▲ , , . Memo Item Occupation (for Individual) Aggregate Year-to-Date ▼ ▲ ▲ ▲ , , . Full Name of Individual (Last, First, Middle Initial) or Full Organization Name Date of Receipt C. Mailing Address City M M / D D / Y Y Y Y State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer (for Individual) Memo Item Occupation (for Individual) Aggregate Year-to-Date ▼ ▲ ▲ ▲ , , . SUBTOTAL of Receipts This Page (optional)............................................................................. ▼ General , , . TOTAL This Period (last page this line number only)................................................................ ▼ Receipt For: Primary Other (specify) C 742720.00 , , . ▲ ▲ 742720.00 ▲ , , . FEC Schedule A (Form 3X) Rev. 06/2016 Image# 201806209114131838 SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS FOR LINE NUMBER: (check only one) Use separate schedule(s) for each category of the Detailed Summary Page 11a 11b 13 14 PAGE 7 ✘ 11c OF 9 12 15 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) The Collective Super PAC Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. ActBlue Date of Receipt Mailing Address PO Box 441146 M M / D D / Y Y Y Y City Somerville 05 State MA FEC ID number of contributing federal political committee. C Name of Employer (for Individual) Zip Code 02144 30 2018 Transaction ID : SA11C.4698 Amount of Each Receipt this Period ▲ ▲ ▲ , , . 50.00 C00401224 ✘ Occupation (for Individual) Memo Item Total Through Conduit This Report Period Receipt For: Primary General Other (specify) ▼ Aggregate Year-to-Date ▼ ▲ ▲ ▲ , , . Full Name of Individual (Last, First, Middle Initial) or Full Organization Name Date of Receipt B. Mailing Address City M M / D D / Y Y Y Y State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. C Name of Employer (for Individual) Receipt For: Primary General Other (specify) ▼ ▲ ▲ ▲ , , . Memo Item Occupation (for Individual) Aggregate Year-to-Date ▼ ▲ ▲ ▲ , , . Full Name of Individual (Last, First, Middle Initial) or Full Organization Name Date of Receipt C. Mailing Address City M M / D D / Y Y Y Y State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer (for Individual) Memo Item Occupation (for Individual) Aggregate Year-to-Date ▼ ▲ ▲ ▲ , , . SUBTOTAL of Receipts This Page (optional)............................................................................. ▼ General , , . TOTAL This Period (last page this line number only)................................................................ ▼ Receipt For: Primary Other (specify) C 0.00 , , . 0.00 ▲ ▲ ▲ , , . FEC Schedule A (Form 3X) Rev. 06/2016 Image# 201806209114131839 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) 22 ✘ 21b 28a 28b PAGE 8 23 26 27 28c 29 30b OF 9 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) The Collective Super PAC Full Name (Last, First, Middle Initial) A. Lyft Mailing Address 548 Market St Suite 68514 City San Francisco Purpose of Disbursement Travel Date of Disbursement M M / D D / Y Y Y Y 05 State CA Zip Code 94104 Candidate Name Office Sought: State: House Senate President District: Disbursement For: Primary General Other (specify) ▼ Lyft Mailing Address 548 Market St Suite 68514 City San Francisco Purpose of Disbursement Travel 2018 FEC Identification Number C Category/ Type Transaction ID : SB21B.4677 Amount of Each Disbursement this Period 10.00 ▲ ▲ ▲ , , . Memo Item Full Name (Last, First, Middle Initial) B. 01 Date of Disbursement M M / D D / Y Y Y Y 05 State CA Zip Code 94104 House Senate President District: FEC Identification Number Disbursement For: Primary Other (specify) Category/ Type Lyft Mailing Address 548 Market St Suite 68514 City San Francisco Purpose of Disbursement Travel Transaction ID : SB21B.4679 Amount of Each Disbursement this Period 12.30 ▲ ▲ ▲ , , . General Memo Item Full Name (Last, First, Middle Initial) C. 2018 C Candidate Name Office Sought: State: 03 Date of Disbursement M M / D D / Y Y Y Y Zip Code 94104 Candidate Name Office Sought: State: House Senate President District: Disbursement For: Primary General Other (specify) ▼ 04 2018 FEC Identification Number C Category/ Type SUBTOTAL of Disbursements This Page (optional)................................................................... Transaction ID : SB21B.4681 Amount of Each Disbursement this Period 38.04 ▲ ▲ ▲ , , . Memo Item ▼ State CA TOTAL This Period (last page this line number only)................................................................ ▼ 05 60.34 ▲ ▲ ▲ , , . , , . FEC Schedule B (Form 3X) Rev. 05/2016 Image# 201806209114131840 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) 22 ✘ 21b 28a 28b PAGE 9 23 26 27 28c 29 30b OF 9 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) The Collective Super PAC Full Name (Last, First, Middle Initial) A. Media Fortitude Partners Mailing Address 30 Newport Parkway Suite 2110 City Jersey City Purpose of Disbursement Consultant - Digital Date of Disbursement M M / D D / Y Y Y Y 05 State NJ Zip Code 07310 Candidate Name Office Sought: State: House Senate President District: Disbursement For: Primary General Other (specify) ▼ 08 2018 FEC Identification Number C Category/ Type Transaction ID : SB21B.4685 Amount of Each Disbursement this Period ▲ ▲ 730720.00 ▲ , , . Memo Item Full Name (Last, First, Middle Initial) Date of Disbursement B. M M / D D / Y Y Y Y Mailing Address City State Zip Code FEC Identification Number C Purpose of Disbursement Candidate Name Office Sought: State: House Senate President District: Disbursement For: Primary Other (specify) Category/ Type Amount of Each Disbursement this Period ▲ ▲ ▲ , , . General Memo Item Full Name (Last, First, Middle Initial) Date of Disbursement C. M M / D D / Y Y Y Y Mailing Address City State Zip Code FEC Identification Number C Purpose of Disbursement Office Sought: State: House Senate President District: Disbursement For: Primary General Other (specify) ▼ Category/ Type SUBTOTAL of Disbursements This Page (optional)................................................................... Amount of Each Disbursement this Period ▲ ▲ ▲ , , . Memo Item ▼ Candidate Name ▼ TOTAL This Period (last page this line number only)................................................................ ▲ ▲ 730720.00 ▲ , , . 730780.34 , , . FEC Schedule B (Form 3X) Rev. 05/2016