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  <ReportHeader>
    <CommitteeCode>CC-17-00193</CommitteeCode>
    <CommitteeName>Karen Kwiatkowski for Supervisor</CommitteeName>
    <ReportYear>2017</ReportYear>
    <Address>
      <Line1>1785 Deerhead Road</Line1>
      <City>Mount Jackson</City>
      <State>VA</State>
      <ZipCode>22842</ZipCode>
    </Address>
    <FilingDate>2017-09-08</FilingDate>
    <StartDate>2017-07-01</StartDate>
    <EndDate>2017-08-31</EndDate>
    <SubmitterPhone>540-477-2821</SubmitterPhone>
    <SubmitterEmail>ksusiek@shentel.net</SubmitterEmail>
    <FilingType>Report</FilingType>
    <IsFinalReport>false</IsFinalReport>
    <IsAmendment>false</IsAmendment>
    <AmendedReportNumber>0</AmendedReportNumber>
    <NoActivity>false</NoActivity>
    <BalanceLastReportingPeriod>589.55</BalanceLastReportingPeriod>
    <ElectionCycle>11/2017</ElectionCycle>
    <OfficeSought>Member Board of Supervisors</OfficeSought>
    <District>Election - DISTRICT 1</District>
  </ReportHeader>
  <ScheduleA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>John</FirstName>
        <LastName>Riffee</LastName>
        <Address>
          <Line1>1868 Polk Road</Line1>
          <City>Edinburg</City>
          <State>VA</State>
          <ZipCode>22824</ZipCode>
        </Address>
        <NameOfEmployer>none</NameOfEmployer>
        <OccupationOrTypeOfBusiness>retired</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>none</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2017-07-15</TransactionDate>
      <Amount>1000.00</Amount>
      <TotalToDate>1000.00</TotalToDate>
    </LiA>
  </ScheduleA>
  <ScheduleB />
  <ScheduleC>
    <LiC>
      <Payer IsIndividual="false">
        <LastName>Shenandoah County Board of Supervisors</LastName>
        <Address>
          <Line1>600 N. Main Street</Line1>
          <Line2>Suite 102</Line2>
          <City>Woodstock</City>
          <State>VA</State>
          <ZipCode>22664</ZipCode>
        </Address>
      </Payer>
      <TransactionDate>2017-07-14</TransactionDate>
      <Amount>204.00</Amount>
      <ReceiptType>return of primary fee</ReceiptType>
    </LiC>
  </ScheduleC>
  <ScheduleD>
    <LiD>
      <Payee IsIndividual="false">
        <LastName>Vistaprint</LastName>
        <Address>
          <Line1>Hudsonweg 8</Line1>
          <City>Venlo,The Netherlands 5928LW</City>
          <State>N/A</State>
          <ZipCode>00000</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2017-08-17</TransactionDate>
      <Amount>337.48</Amount>
      <AuthorizingName>Karen Kwiatkowski</AuthorizingName>
      <ItemOrService>yard signs</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="false">
        <LastName>Build a Sign</LastName>
        <Address>
          <Line1>11525A Stonehollow Drive</Line1>
          <Line2>100</Line2>
          <City>Austin</City>
          <State>TX</State>
          <ZipCode>78758</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2017-08-27</TransactionDate>
      <Amount>75.00</Amount>
      <AuthorizingName>Karen Kwiatkowski</AuthorizingName>
      <ItemOrService>bumper stickers</ItemOrService>
    </LiD>
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    <ScheduleATotal>1000.00</ScheduleATotal>
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    <UnItemizedTotal>0.00</UnItemizedTotal>
    <UnItemizedInKindCount>0</UnItemizedInKindCount>
    <UnItemizedInKindTotal>0.00</UnItemizedInKindTotal>
    <AllContributionsCount>1</AllContributionsCount>
    <AllContributionsTotal>1000.00</AllContributionsTotal>
    <ScheduleCTotal>204.00</ScheduleCTotal>
    <ScheduleBTotalRepeated>0.00</ScheduleBTotalRepeated>
    <UnItemizedInKindTotalRepeated>0.00</UnItemizedInKindTotalRepeated>
    <ScheduleDTotal>412.48</ScheduleDTotal>
    <TotalInKindAndExpenditures>412.48</TotalInKindAndExpenditures>
    <BeginningLoanBalance>0.00</BeginningLoanBalance>
    <LoansReceivedTotal>0.00</LoansReceivedTotal>
    <LoansReceivedAndExistingTotal>0.00</LoansReceivedAndExistingTotal>
    <LoansPaidTotal>0.00</LoansPaidTotal>
    <NewLoanBalance>0.00</NewLoanBalance>
  </ScheduleG>
  <ScheduleH>
    <BeginningBalance>589.55</BeginningBalance>
    <ContributionsReceived>1000.00</ContributionsReceived>
    <ScheduleCTotal>204.00</ScheduleCTotal>
    <LoansReceivedTotal>0.00</LoansReceivedTotal>
    <ContributionsAndReceiptsReceived>1204.00</ContributionsAndReceiptsReceived>
    <TotalExpendableFunds>1793.55</TotalExpendableFunds>
    <TotalInKindAndExpenditures>412.48</TotalInKindAndExpenditures>
    <LoansPaidTotal>0.00</LoansPaidTotal>
    <ScheduleITotal>0.00</ScheduleITotal>
    <TotalPaymentsMade>412.48</TotalPaymentsMade>
    <ExpendableFundsBalance>1381.07</ExpendableFundsBalance>
    <TotalUnPaidDebts>0.00</TotalUnPaidDebts>
    <BalanceAtStartOfElectionCycle>0.00</BalanceAtStartOfElectionCycle>
    <PreviousReceipts>600.00</PreviousReceipts>
    <CurrentReceipts>1204.00</CurrentReceipts>
    <TotalReceiptsThisElectionCycle>1804.00</TotalReceiptsThisElectionCycle>
    <TotalFundsAvailable>1804.00</TotalFundsAvailable>
    <PreviousDisbursements>510.45</PreviousDisbursements>
    <CurrentDisbursements>412.48</CurrentDisbursements>
    <TotalDisbursements>922.93</TotalDisbursements>
    <EndingBalance>881.07</EndingBalance>
  </ScheduleH>
</Report>