2012 Contributions & Expenses Report #3 (Amended)

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HMS Holdings Corp. Political Action Committee (HMS PAC)
Name	Office (if applicable)	District (if applicable)

401 Park Ave S, Floor 9, NEW YORK, NY, 10016	2128575940
Mailing Address	Telephone No.

E-Mail Address

	Annual Filing - Due January 15, 2012 Period: Jan 01, 2011 - Dec 31, 2011
	Report #1 - Due May 22, 2012 Period: Jan 01, 2012 - May 18, 2012
	Report #2 - Due June 08, 2012 Period: May 19, 2012 - Jun 07, 2012
	Report #3 - Due October 16, 2012 Period: Jun 08, 2012 - Oct 12, 2012
	Report #4 - Due November 02, 2012 Period: Oct 13, 2012 - Nov 01, 2012
	Report #5 - Due January 15, 2013* Period: Nov 02, 2012 - Dec 31, 2012
	Annual Filing - Due January 15, 2013 Period: Jan 01, 2012 - Dec 31, 2012

FILED

Jan 15 2013

ROSS MILLER
SECRETARY OF STATE

FOR OFFICE USE ONLY

* Report #5 suffices for the 2013 Annual Filing only if Report #'s 1, 2, 3 and 4 are previously filed

1. Total Monetary Contributions Received in Excess of $100
(See page 1 of instruction sheet)

$ 17,026.43

$ 50,770.22

2. Total Monetary Contributions in the Form of Loans Guaranteed by a 3rd-Party in Excess of $100
(See page 1 of instruction sheet)

$ 0.00

$0.00

3. Total Monetary Contributions in the Form of Loans that were Forgiven in Excess of $100
(See page 2 of instruction sheet)

$ 0.00

$0.00

4. Total Amount of Written Commitments for Contributions in Excess of $100
(See page 2 of instruction sheet)

$ 0.00

$0.00

5. Total Value of In Kind Contributions in Excess of $100
(See page 2 of instruction sheet)

$ 0.00

$0.00

6. Total Value of Written Commitments for In Kind Contributions in Excess of $100
(See page 2 of instruction sheet)

$ 0.00

$0.00

7. Total Amount of all Contributions of $100 or less
(See page 2 of instruction sheet)

$ 0.00

$0.00

8. Total Amount of All Contributions (Add Lines 1 through 7)
(See page 2 of instruction sheet)

$ 17,026.43

$50,770.22

9. Total Monetary Expenses Paid in Excess of $100
(See page 2 of instruction sheet)

$ 89,050.00

$104,850.00

10. Total Value In Kind Expenses in Excess of $100
(See page 3 of instruction sheet)

$ 0.00

$0.00

11. Total Amount of all Expenses of $100 or less
(See page 3 of instruction sheet)

$ 0.00

$0.00

12. Total Amount of All Expenses (Add Lines 9 through 11)
(See page 3 of instruction sheet)

$ 89,050.00

$104,850.00

MUST SELECT AT LEAST ONE:
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.

I Declare Under an Oath to God that the Forgoing is True and Correct*
* A declaration under an oath to God is subject to the same penalties as declaration under penalty of perjury

Walter Hosp	01/15/2013
Signature	Date

MONETARY
CONTRIBUTIONS

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

MONETARY CONTRIBUTIONS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE CONTRIBUTION	DATE OF CONTRIBUTION	AMOUNT OF CONTRIBUTION	CHECK HERE IF LOAN	NAME AND ADDRESS OF 3rd PARTY IF LOAN GUARANTEED BY 3rd PARTY	NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO FORGAVE THE LOAN, IF DIFFERENT THAN CONTRIBUTOR
Non NV Transactions 401 Park Ave S Fl 9 NEW YORK, NY 10016-8808	10/12/2012	$17,026.43

WRITTEN COMMITMENTS

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

WRITTEN COMMITMENTS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE COMMITMENT	DATE OF COMMITMENT	AMOUNT OF COMMITMENT

IN KIND CONTRIBUTIONS

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

IN KIND CONTRIBUTIONS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE IN KIND CONTRIBUTION	DATE OF IN KIND CONTRIBUTION	DESCRIPTION OF IN KIND CONTRIBUTION	VALUE OR COST OF IN KIND CONTRIBUTION	CHECK HERE IF LOAN	NAME AND ADDRESS OF 3rd PARTY IF LOAN GUARANTEED BY 3rd PARTY	NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO FORGAVE THE LOAN, IF DIFFERENT THAN CONTRIBUTOR

WRITTEN COMMITMENTS FOR IN KIND
CONTRIBUTIONS

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

WRITTEN COMMITMENTS FOR IN KIND CONTRIBUTIONS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE IN KIND WRITTEN COMMITMENT	DATE OF IN KIND WRITTEN COMMITMENT	VALUE OF IN KIND WRITTEN COMMITMENT

EXPENSE CATEGORIES

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

Expense Categories (NRS 294A.365)

CATEGORIES

CODE

Office expenses

Expenses related to volunteers

Expenses related to travel

Expenses related to advertising

Expenses related to paid staff

Expenses related to consultants

Expenses related to polling

Expenses related to special events

Expenses related to legal defense fund

Goods and services provided in kind for which money would otherwise have been paid

Contributions made to: (i) another candidate; (ii) a nonprofit corporation that is registered or required to be registered pursuant to NRS 294A.225; (iii) a PAC that is registered or required to be registered pursuant to NRS 294A.230; or (iv) a Recall Committee that is registered or required to be registered pursuant to NRS 294A.250

Other miscellaneous expenses

NRS 294A.362 requires “In Kind” contributions and expenses to be reported separately.

MONETARY EXPENSES

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

MONETARY EXPENSES

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE PAYMENT FOR THE EXPENSE	CATEGORY (NRS 294A.365)	DATE OF EXPENSE	AMOUNT OF EXPENSE
Brower for Nevada 4790 Caughlin Pkwy., 170 RENO, NV 89519	K	06/12/2012	$600.00
Jason Frierson P.O. Box 31623 LAS VEGAS, NV 89173	K	06/12/2012	$600.00
April Mastroluca 265 Copper Glow Court Henderson, NV 89074	K	06/12/2012	$600.00
Joe Hardy PO Box 60306 Boulder City, NV 89006	K	06/12/2012	$600.00
Marcus Conklin Committee to elect 2251 N. Rampart, #305 LAS VEGAS, NV 89128	K	06/12/2012	$1,000.00
Debbie Smith 3270 Wilma Drive Sparks, NV 89431	K	06/12/2012	$600.00
Michael Roberson P.O. Box 97251 Las Vegas, NV 89193	K	06/12/2012	$1,000.00
Non NV Transactions 401 Park Ave S Fl 9 NEW YORK, NY 10016-8808	K	10/12/2012	$84,050.00

IN KIND EXPENSES

Report Period

# 3


HMS Holdings Corp. Political Action Committee (HMS PAC)
Name (print)	Office (if applicable)	District (if applicable)

IN KIND EXPENSES

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE IN KIND GOOD OR SERVICE	DESCRIPTION OF IN KIND EXPENSE	DATE OF IN KIND EXPENSE	VALUE OR COST OF IN KIND EXPENSE

Prescribed by Secretary of State
NRS 294A.120, 294A.125,
294A.140, 294A.150, 294A.160
294A.200, 294A.210, 294A.220, 294A.362