C
C
M M / D D / Y Y Y Y
1. NAME OF
COMMITTEE (in full)
ADDRESS (number and street)
Check if dierent
than previously
reported. (ACC)
2. FEC IDENTIFICATION NUMBER
TYPE OR PRINT
DEBT SETTLEMENT PLAN
Example: If typing, type over the lines.
12FE4M5
CITY STATE ZIP CODE
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PART I - COMMITTEE SUMMARY INFORMATION
4. Cash on Hand as of is
5. Total Assets to be Liquidated .................................................................................
6. Total (Add 4 and 5) .....................................................................................................
7. Year To Date Receipts................................................................................................
8. Year To Date Disbursements ...................................................................................
9. Total Amount of Debts Owed by the Committee ............................................
10. Total Number of Creditors Owed ...........................................................................
11. Number of Creditors in Part II of this Plan .......................................................
12. Total Amount of Debts Owed to the Creditors in Part II of this Plan ....
13. Total Amount to be Paid to Creditors in Part II of this Plan......................
FEC
FORM 8
Oce Use Only
3. IMPORTANT– By checking this box, the committee veries that it qualies as a “terminating committee” as that term is dened
in 11 CFR 116.1(a), plans to terminate and does not intend to raise contributions or make expenditures except for the purpose
of paying winding-down costs and retiring its debts. (Only a terminating committee may settle debts for less than the full amount
owed. A committee that plans to continue raising contributions and making expenditures cannot le this form.)
14. If this is an authorized committee, does the candidate have other authorized committees?
If yes, please list below and use DSP Supplemental Page for additional entries:
No
Yes
Name of Committee
FEC Identication Number
(Revised 01/2018)
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page 2
M M / D D / Y Y Y Y
Oce
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Plan to the penalties of 52 USC §30109.
I certify that I have examined this Plan and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
Write or Type Name of Committee Filing this Plan
15. Does the committee have sucient funds to pay the total amount indicated in this Plan?
If no, please indicate what steps will be taken to obtain the funds:
16. After disposing of all the committee’s debts and obligations, will there be any residual funds?
If yes, please indicate how the funds will be disbursed:
17. Has the committee been released from any debts included in this Debt Settlement Plan pursuant
to a discharge under 11 USC Chapter 7 by a Bankruptcy Court? If so, please attach a copy of
the order(s) and a list of debts so released.
No
No
No
Yes
Yes
Yes
C
FEC Identication Number
PART I - COMMITTEE SUMMARY INFORMATION (continued)
PART II - CREDITOR SUMMARY INFORMATION
(FILL OUT FOR EACH CREDITOR IN PLAN)
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page of
Write or Type Name of Committee Filing this Plan
C
FEC Identication Number
M M / D D / Y Y Y Y
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A. FULL NAME AND MAILING ADDRESS OF CREDITOR
ADDRESS (number and street)
CITY STATE ZIP CODE
B. DATE(S) INCURRED ........................................................................................................
C. AMOUNT OWED TO CREDITOR ...................................................................................
D. AMOUNT OFFERED IN SETTLEMENT .........................................................................
F. LIST EFFORTS MADE BY THE COMMITTEE TO PAY THE DEBT
Incorporated Commercial Vendor
Candidate
Unincorporated Commercial Vendor
Committee Employee
Other Individual
E. TYPE OF CREDITOR
PART II – CREDITOR SECTION
(TO BE FILLED OUT BY CREDITOR)
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page of
Write or Type Name of Committee Filing this Plan
C
FEC Identication Number
FULL NAME AND MAILING ADDRESS OF CREDITOR
ADDRESS (number and street)
CITY STATE ZIP CODE
A. List terms of the initial extension of credit and nature of the debt.
D. List steps by the creditor to collect the debt:
C. If the creditor is a commercial vendor, does the creditor’s usual and normal business involve providing
the same type(s) of goods or services that it provided to the committee?
B. Did the creditor agree to provide the committee additional time to pay beyond the original due date(s)?
Were the terms under which credit was extended to the committee similar to those under
which the creditor extended credit to non-political debtors of similar risk and obligation size?
Describe the terms of credit extension by the creditor to non-political debtors of similar risk and obligation size:
No
No
No
Yes
Yes
Yes
If yes, list the terms of any additional payment agreement(s):
PART II - CREDITOR SECTION (continued)
(TO BE FILLED OUT BY CREDITOR)
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page of
Write or Type Name of Committee Filing this Plan
C
FEC Identication Number
FULL NAME AND MAILING ADDRESS OF CREDITOR
ADDRESS (number and street)
CITY STATE ZIP CODE
E. If the creditor is a commercial vendor:
1. Did the vendor follow its established procedures and past practices in approving the extension of credit? ..................
2. Has the creditor previously extended credit to the committee? ...........................................................................................................
If yes, did it receive prompt payment in full? ...................................................................................................................
3. Did the creditor extend credit in conformity to the usual and normal practice in the creditor’s trade or industry? .....
F. Was the eort made by the creditor to collect the debt similar to other debts collection eorts
against non-political debtors in similar circumstances? If no, please explain ......................................................................
G. Are the terms of the debt settlement comparable to other settlements made by the creditor
with other non-political debtors in similar circumstances? If no, please explain ......................................................
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
M M / D D / Y Y Y Y
Oce
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Plan to the penalties of 52 USC §30109.
As the creditor or a representative of the creditor, I hereby accept the settlement oer made to me by the committee and upon payment
agree to consider the debt satised (or attach a copy of the signed statement).
Type or Print Name of
Creditor or Representative
Telephone Number E-Mail Address
Signature of Creditor
or Representative Date
Title
Yes
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page of
Write or Type Name of Committee Filing this Plan
C
FEC Identication Number
PART III - LIST OF REMAINING DEBTS
FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
ADDRESS (number and street)
CITY STATE ZIP CODE
Incorporated
Commercial Vendor
Repayment Obligation to U.S.
Treasury of Presidential Candidate
Candidate
Unincorporated
Commercial Vendor
Committee Employee
Other Individual
1. Type Of Creditor
3. Amount Owed to Creditor .............
4. Amount Expected to Pay/Oer ....
2. Is This A Disputed Debt?
If yes, describe the nature
of dispute and status of
eorts to resolve
No
Yes
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FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
ADDRESS (number and street)
CITY STATE ZIP CODE
Incorporated
Commercial Vendor
Repayment Obligation to U.S.
Treasury of Presidential Candidate
Candidate
Unincorporated
Commercial Vendor
Committee Employee
Other Individual
1. Type Of Creditor
3. Amount Owed to Creditor .............
4. Amount Expected to Pay/Oer ....
2. Is This A Disputed Debt?
If yes, describe the nature
of dispute and status of
eorts to resolve
No
Yes
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No (Please list steps that will
be taken to obtain the funds)
Yes
Reproduce this page to list additional remaining debts.
DOES THE COMMITTEE HAVE SUFFICIENT FUNDS TO PAY THE REMAINING AMOUNTS TO BE PAID OR OFFERED?
SUPPLEMENTAL PAGE (use if needed to supplement information provided in the Plan)
DEBT SETTLEMENT PLAN
FEC Form 8 (Revised 01/2018) Page of
Write or Type Name of Committee Filing this Plan
C
FEC Identication Number
The information listed below is supplemental to PART , LINE on PAGE :
The information listed below is supplemental to PART , LINE on PAGE :