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  <ReportHeader>
    <CommitteeCode>CC-19-00414</CommitteeCode>
    <CommitteeName>Sam Kroiz for Catoctin Supervisor</CommitteeName>
    <ReportYear>2019</ReportYear>
    <Address>
      <Line1>11861 Georges Mill Rd</Line1>
      <City>Lovettsville</City>
      <State>VA</State>
      <ZipCode>20180</ZipCode>
    </Address>
    <FilingDate>2019-10-14</FilingDate>
    <StartDate>2019-09-01</StartDate>
    <EndDate>2019-09-30</EndDate>
    <SubmitterEmail>Samkroizforsupervisor@gmail.com</SubmitterEmail>
    <FilingType>Report</FilingType>
    <IsFinalReport>false</IsFinalReport>
    <IsAmendment>false</IsAmendment>
    <AmendedReportNumber>0</AmendedReportNumber>
    <NoActivity>false</NoActivity>
    <BalanceLastReportingPeriod>4754.87</BalanceLastReportingPeriod>
    <ElectionCycle>11/2019</ElectionCycle>
    <OfficeSought>Member Board of Supervisors</OfficeSought>
    <District>Election - CATOCTIN DISTRICT</District>
  </ReportHeader>
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      <Contributor IsIndividual="true">
        <FirstName>Phyllis</FirstName>
        <LastName>Baker</LastName>
        <Address>
          <Line1>38665 Morrisonville Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>VA Polytechnic Dupont Equine Center</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Dept Supervisor</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Leesburg, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-02</TransactionDate>
      <Amount>100.00</Amount>
      <TotalToDate>150.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>John</FirstName>
        <LastName>Bestwick</LastName>
        <Address>
          <Line1>11691 Dutchmans Creek Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>self-employed</NameOfEmployer>
        <OccupationOrTypeOfBusiness>self-employed</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>self-employed</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-08</TransactionDate>
      <Amount>195.00</Amount>
      <TotalToDate>195.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Bonnie</FirstName>
        <LastName>Branding</LastName>
        <Address>
          <Line1>38454 John Wolford Rd</Line1>
          <City>Waterford</City>
          <State>VA</State>
          <ZipCode>20197</ZipCode>
        </Address>
        <NameOfEmployer>Wheatland Spring Farm and Brewery</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Brewery owner</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Waterford, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-08</TransactionDate>
      <Amount>200.00</Amount>
      <TotalToDate>300.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Regina</FirstName>
        <LastName>Casteneda</LastName>
        <Address>
          <Line1>11119 Georges Mill Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>retired</NameOfEmployer>
        <OccupationOrTypeOfBusiness>retired</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>retired</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-07</TransactionDate>
      <Amount>500.00</Amount>
      <TotalToDate>500.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Hackett Woodworking</LastName>
        <Address>
          <Line1>38040 Stevens Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Woodworking</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Lovettsville</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-08</TransactionDate>
      <Amount>150.00</Amount>
      <TotalToDate>150.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Karen</FirstName>
        <LastName>Jimmerson</LastName>
        <Address>
          <Line1>41186 Turkey Oak</Line1>
          <City>Aldie</City>
          <State>VA</State>
          <ZipCode>20105</ZipCode>
        </Address>
        <NameOfEmployer>none</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Homemaker</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Aldie, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-10</TransactionDate>
      <Amount>125.00</Amount>
      <TotalToDate>125.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Bruce</FirstName>
        <LastName>Kelly</LastName>
        <Address>
          <Line1>39350 Rodeffer Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>Retired</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Retired</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Retired</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-29</TransactionDate>
      <Amount>100.00</Amount>
      <TotalToDate>200.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Laura</FirstName>
        <LastName>Lieberman</LastName>
        <Address>
          <Line1>PO Box 313</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>Self-employed</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Advertising</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Lovettsville, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-17</TransactionDate>
      <Amount>150.00</Amount>
      <TotalToDate>300.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Beth</FirstName>
        <LastName>Metzger</LastName>
        <Address>
          <Line1>11873 Georges Mill Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
        <NameOfEmployer>Loudoun Parks and Rec</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Programmer</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Lovettsville, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2019-09-08</TransactionDate>
      <Amount>60.00</Amount>
      <TotalToDate>160.00</TotalToDate>
    </LiA>
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  <ScheduleC />
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    <LiD>
      <Payee IsIndividual="true">
        <FirstName>Samuel</FirstName>
        <LastName>Kroiz</LastName>
        <Address>
          <Line1>11861 Georges Mill Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2019-09-15</TransactionDate>
      <Amount>1122.40</Amount>
      <AuthorizingName>Sam Kroiz</AuthorizingName>
      <ItemOrService>Reimbursement for printed materials</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="true">
        <FirstName>Samuel</FirstName>
        <LastName>Kroiz</LastName>
        <Address>
          <Line1>11861 Georges Mill Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2019-09-30</TransactionDate>
      <Amount>40.78</Amount>
      <AuthorizingName>Sam Kroiz</AuthorizingName>
      <ItemOrService>Reimbursement for Facebook advertising</ItemOrService>
    </LiD>
  </ScheduleD>
  <ScheduleE />
  <ScheduleF>
    <LiF>
      <Creditor IsIndividual="true">
        <FirstName>Samuel</FirstName>
        <LastName>Kroiz</LastName>
        <Address>
          <Line1>11861 Georges Mill Rd</Line1>
          <City>Lovettsville</City>
          <State>VA</State>
          <ZipCode>20180</ZipCode>
        </Address>
      </Creditor>
      <TransactionDate>2019-03-20</TransactionDate>
      <Amount>2000.00</Amount>
      <PurposeOfObligation>Left Empty</PurposeOfObligation>
    </LiF>
  </ScheduleF>
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    <ScheduleBCount>0</ScheduleBCount>
    <ScheduleBTotal>0.00</ScheduleBTotal>
    <UnItemizedCount>9</UnItemizedCount>
    <UnItemizedTotal>524.00</UnItemizedTotal>
    <UnItemizedInKindCount>0</UnItemizedInKindCount>
    <UnItemizedInKindTotal>0.00</UnItemizedInKindTotal>
    <AllContributionsCount>18</AllContributionsCount>
    <AllContributionsTotal>2104.00</AllContributionsTotal>
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    <UnItemizedInKindTotalRepeated>0.00</UnItemizedInKindTotalRepeated>
    <ScheduleDTotal>1163.18</ScheduleDTotal>
    <TotalInKindAndExpenditures>1163.18</TotalInKindAndExpenditures>
    <BeginningLoanBalance>2000.00</BeginningLoanBalance>
    <LoansReceivedTotal>0.00</LoansReceivedTotal>
    <LoansReceivedAndExistingTotal>2000.00</LoansReceivedAndExistingTotal>
    <LoansPaidTotal>0.00</LoansPaidTotal>
    <NewLoanBalance>2000.00</NewLoanBalance>
  </ScheduleG>
  <ScheduleH>
    <BeginningBalance>4754.87</BeginningBalance>
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    <ContributionsAndReceiptsReceived>2104.00</ContributionsAndReceiptsReceived>
    <TotalExpendableFunds>6858.87</TotalExpendableFunds>
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    <ScheduleITotal>0.00</ScheduleITotal>
    <TotalPaymentsMade>1163.18</TotalPaymentsMade>
    <ExpendableFundsBalance>5695.69</ExpendableFundsBalance>
    <TotalUnPaidDebts>2000.00</TotalUnPaidDebts>
    <BalanceAtStartOfElectionCycle>0.00</BalanceAtStartOfElectionCycle>
    <PreviousReceipts>15974.28</PreviousReceipts>
    <CurrentReceipts>2104.00</CurrentReceipts>
    <TotalReceiptsThisElectionCycle>18078.28</TotalReceiptsThisElectionCycle>
    <TotalFundsAvailable>18078.28</TotalFundsAvailable>
    <PreviousDisbursements>11219.41</PreviousDisbursements>
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    <TotalDisbursements>12382.59</TotalDisbursements>
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