01/31/2019 19 : 23

Image# 201901319145371130
PAGE 1 / 20

REPORT OF RECEIPTS
FEC
FORM 3
AND DISBURSEMENTS
For An Authorized Committee Office Use Only

1. NAME OF TYPE OR PRINT  Example: If typing, type 12FE4M5

COMMITTEE (in full) over the lines.

Tim Bjorkman for South Dakota

441 W Ash St
ADDRESS (number and street)

Check if different
than previously Canistota SD 57012
reported. (ACC)
CITY STATE ZIP CODE
  

2. FEC IDENTIFICATION NUMBER 

STATE  DISTRICT
C C00650226 3. IS THIS ✘ NEW AMENDED
REPORT (N) OR (A) SD 01

4. TYPE OF REPORT (Choose One)

(b) 12-Day PRE-Election Report for the:
(a) Quarterly Reports:
Primary (12P) General (12G) Runoff (12R)
April 15 Quarterly Report (Q1)
Convention (12C) Special (12S)
July 15 Quarterly Report (Q2)
M M / D D / Y Y Y Y in the
October 15 Quarterly Report (Q3) Election on State of

✘ January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:

General (30G) Runoff (30R) Special (30S)

Termination Report (TER) M M / D D / Y Y Y Y in the

Election on State of

M M / D D / Y Y Y Y M M / D D / Y Y Y Y
5. Covering Period 11 27 2018 through 12 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.
Ortman, Tom, , Dr.,
Type or Print Name of Treasurer

M M / D D / Y Y Y Y
Ortman, Tom, , Dr.,
01 31 2019
Signature of Treasurer [Electronically Filed] Date

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 FEC FORM 3
Only (Revised 05/2016)
Image# 201901319145371131

SUMMARY PAGE
FEC Form 3 (Revised 05/2016)
of Receipts and Disbursements 2 2 / 20
PAGE
Page

Write or Type Committee Name

Tim Bjorkman for South Dakota

M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Report Covering the Period: From: 11 27 2018 To: 12 31 2018

COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e))..... ,
 ,
 .
3795.39
 ,
 ,

10501.49 .

(b) Total Contribution Refunds
(from Line 20(d))................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Net Contributions (other than loans)
(subtract Line 6(b) from Line 6(a))....... ,
 ,
 .
3795.39
 ,
 ,

10501.49
.

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17)....................................... ,
 ,
 .
8274.68
 ,
 ,

49641.52
.

(b) Total Offsets to Operating
Expenditures (from Line 14)................. ,
 ,
 .
158.31
 ,
 ,
 .
158.31

(c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a))....... ,
 ,
 .
8116.37
 ,
 ,

49483.21
.

8. Cash on Hand at Close of
Reporting Period (from Line 27).................. ,
 ,
 .
6058.83

9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D)................. ,
 ,
 .
0.00

10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D)................. ,
 ,
 .
10817.35


For further information contact:

Federal Election Commission

999 E Street, NW
Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100
Image# 201901319145371132

DETAILED SUMMARY PAGE

FEC Form 3 (Revised 05/2016) of Receipts 3 3 / 20
PAGE
Page
Write or Type Committee Name

Tim Bjorkman for South Dakota

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

Report Covering the Period: From: 11 27 2018 To: 12 31 2018

COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees
(i) Itemized (use Schedule A)............ ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(ii) Unitemized..................................... ,
 ,
 .
100.00
 ,
 ,
 .
1266.10

(iii) TOTAL of contributions
, , . , , .


from individuals ........................ 100.00 1266.10

     
(b) Political Party Committees.................. ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Other Political Committees
(such as PACs).................................... ,
 ,
 .
0.00
 ,
 ,
 .
540.00

(d) The Candidate..................................... ,
 ,
 .
3695.39
 ,
 ,
 .
8695.39

(e) TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d))... ,
 ,
 .
3795.39
 ,
 ,

10501.49 .

12. TRANSFERS FROM OTHER
AUTHORIZED COMMITTEES..................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

13. LOANS:
(a) Made or Guaranteed by the
Candidate............................................. ,
 ,
 .
961.98
 ,
 ,
 .
961.98

(b) All Other Loans.................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) TOTAL LOANS
(add Lines 13(a) and (b))..................... ,
 ,
 .
961.98
 ,
 ,
 .
961.98

14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds, Rebates, etc.)............................. ,
 ,
 .
158.31
 ,
 ,
 .
158.31

15. OTHER RECEIPTS
(Dividends, Interest, etc.)............................ ,
 ,
 .
0.00
 ,
 ,
 .
0.00

16. TOTAL RECEIPTS (add Lines
11(e), 12, 13(c), 14, and 15)


(Carry Total to Line 24, page 4)............. ,

 ,
 .
4915.68
 ,
 ,

11621.78 .

Image# 201901319145371133

DETAILED SUMMARY PAGE

FEC Form 3 (Revised 05/2016) of Disbursements 4 4 / 20
PAGE
Page

II. DISBURSEMENTS COLUMN A COLUMN B

Total This Period Election Cycle-to-Date

17. OPERATING EXPENDITURES...................... ,

 ,
 .
8274.68
 ,
 ,
 .
49641.52

18. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES...................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

19. LOAN REPAYMENTS:
(a) Of Loans Made or Guaranteed
by the Candidate.................................. ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(b) Of All Other Loans............................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b))...................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

20. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons Other
Than Political Committees................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(b) Political Party Committees................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(c) Other Political Committees
(such as PACs)..................................... ,
 ,
 .
0.00
 ,
 ,
 .
0.00

(d) TOTAL CONTRIBUTION REFUNDS
(add Lines 20(a), (b), and (c))............... ,
 ,
 .
0.00
 ,
 ,
 .
0.00


21. OTHER DISBURSEMENTS.......................... ,

 ,
 .
0.00
 ,
 ,
 .
0.00

22. TOTAL DISBURSEMENTS
, , .
8274.68
, , .
49641.52


(add Lines 17, 18, 19(c), 20(d), and 21)      

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD................................................ ,

 ,
 .
9417.83


24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3)...................................................... ,

 ,
 .
4915.68


25. SUBTOTAL (add Line 23 and Line 24)................................................................................... ,

 ,
 .
14333.51


26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22)....................................................... ,

 ,
 .
8274.68


27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25).............................................................................................. ,
 ,
 .
6058.83

Image# 201901319145371134

FOR LINE NUMBER: PAGE 5 OF 20

SCHEDULE A (FEC Form 3) Use separate schedule(s) (check only one)
for each category of the
ITEMIZED RECEIPTS Detailed Summary Page
11a 11b 11c ✘ 11d
12 13a 13b 14 15
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)

Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Bjorkman, Timothy, W, ,
A. Date of Receipt
Mailing Address PO Box 201 M M / D D / Y Y Y Y

12 19 2018
City State Zip Code
Transaction ID : 2162451
Canistota SD 57012-0201

FEC ID number of contributing

federal political committee. C H8SD01097 Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

1195.39
.

Self Candidate
Memo Item
Receipt For: 2020 Election Cycle-to-Date

✘ Primary General
Other (specify)  ,
 ,
 .
8695.39
 Repayment of Inadvertent Purchases on Campaign
Card
Full Name (Last, First, Middle Initial)
Bjorkman, Timothy, W, , Date of Receipt
B.
Mailing Address PO Box 201 M M / D D / Y Y Y Y
12 19 2018
City State Zip Code
Transaction ID : 2162934
Canistota SD 57012-0201

FEC ID number of contributing

federal political committee. C H8SD01097 Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

2500.00
.

Self Candidate
Memo Item
Receipt For: 2020 Election Cycle-to-Date

✘ Primary General
Other (specify)  ,
 ,
 .
8695.39
 Purchase of Cmte Property:Camera-$800, Printer-$700,
Air Pump-$200, Office Supplies-$600, AV Eq-$200
Full Name (Last, First, Middle Initial)
Date of Receipt
C.
Mailing Address M M / D D / Y Y Y Y

City State Zip Code

FEC ID number of contributing

federal political committee. C Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,
 .

Receipt For: Election Cycle-to-Date Memo Item

Primary General
Other (specify) 
,
 ,
 .


SUBTOTAL of Receipts This Page (optional)............................................................................. ,

 ,

3695.39
.



TOTAL This Period (last page this line number only)................................................................ ,

 ,

3695.39
.



FEC Schedule A (Form 3) (Revised 05/2016)

Image# 201901319145371135

FOR LINE NUMBER: PAGE 6 OF 20

SCHEDULE A (FEC Form 3) Use separate schedule(s) (check only one)
for each category of the
ITEMIZED RECEIPTS Detailed Summary Page
11a 11b 11c 11d
12 ✘ 13a 13b 14 15
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)

Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Bjorkman, Timothy, W, ,
A. Date of Receipt
Mailing Address PO Box 201 M M / D D / Y Y Y Y

12 28 2018
City State Zip Code
Transaction ID : 2162452
Canistota SD 57012-0201

FEC ID number of contributing

federal political committee. C H8SD01097 Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

572.73
.

Self Candidate
Memo Item
Receipt For: 2020 Election Cycle-to-Date

✘ Primary General
Other (specify)  ,
 ,
 .
572.73
 Loan from Candidate to Committee

Full Name (Last, First, Middle Initial)

Bjorkman, Timothy, W, , Date of Receipt
B.
Mailing Address PO Box 201 M M / D D / Y Y Y Y
12 31 2018
City State Zip Code
Transaction ID : 2162454
Canistota SD 57012-0201

FEC ID number of contributing

federal political committee. C H8SD01097 Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,

389.25
.

Self Candidate
Memo Item
Receipt For: 2020 Election Cycle-to-Date

✘ Primary General
Other (specify)  ,
 ,
 .
961.98
 Loan from Candidate to Committee

Full Name (Last, First, Middle Initial)

Date of Receipt
C.
Mailing Address M M / D D / Y Y Y Y

City State Zip Code

FEC ID number of contributing

federal political committee. C Amount of Each Receipt this Period

Name of Employer Occupation ,

 ,
 .

Receipt For: Election Cycle-to-Date Memo Item

Primary General
Other (specify) 
,
 ,
 .


SUBTOTAL of Receipts This Page (optional)............................................................................. ,

 ,

961.98
.



TOTAL This Period (last page this line number only)................................................................ ,

 ,

961.98
.



FEC Schedule A (Form 3) (Revised 05/2016)

Image# 201901319145371136

FOR LINE NUMBER: PAGE 7 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
First Bank and Trust Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 520 6th St 12 21 2018

City State Zip Code

FEC Identification Number
Brookings SD 57006-2028
Purpose of Disbursement
Campaign Credit Card Expense C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 3876.38
▲
Senate ✘ Primary General Transaction ID : 500069146
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Facebook Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 1 Hacker Way 12 21 2018

City State Zip Code

FEC Identification Number
Menlo Park CA 94025-1456
Purpose of Disbursement
Online Advertising Expense C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 47.89
▲
Senate ✘ Primary General Transaction ID : 500069162
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
First Bank and Trust Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 520 6th St 12 21 2018

City State Zip Code

FEC Identification Number
Brookings SD 57006-2028
Purpose of Disbursement
Credit Card Rewards Credit C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ – 200.00
▲
Senate ✘ Primary General Transaction ID : 500069193
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


3876.38
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371137

FOR LINE NUMBER: PAGE 8 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Google Inc Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 1600 Amphitheatre Pkwy 12 21 2018

City State Zip Code

FEC Identification Number
Mountain View CA 94043-1351
Purpose of Disbursement
Software Subscription C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 94.05
▲
Senate ✘ Primary General Transaction ID : 500069166
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. NGPVAN or EveryAction Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 1445 New York Ave NW 12 21 2018
Ste 200
City State Zip Code
FEC Identification Number
Washington DC 20005-2158
Purpose of Disbursement
Software Subscription C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 775.00
▲
Senate ✘ Primary General Transaction ID : 500069176
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
Preferred Printing Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 1515 N C Ave 12 21 2018

City State Zip Code

FEC Identification Number
Sioux Falls SD 57104-0334
Purpose of Disbursement
Fundraising Expense C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 1287.90
▲
Senate ✘ Primary General Transaction ID : 500069164
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


0.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371138

FOR LINE NUMBER: PAGE 9 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Preferred Printing Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 1515 N C Ave 12 21 2018

City State Zip Code

FEC Identification Number
Sioux Falls SD 57104-0334
Purpose of Disbursement
Fundraising Expense C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 759.49
▲
Senate ✘ Primary General Transaction ID : 500069165
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Straight Talk Wireless Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 9700 NW 112th Ave 12 21 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 33.00
▲
Senate ✘ Primary General Transaction ID : 500069169
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
Straight Talk Wireless Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 9700 NW 112th Ave 12 21 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 33.00
▲
Senate ✘ Primary General Transaction ID : 500069170
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


0.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371139

FOR LINE NUMBER: PAGE 10 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Straight Talk Wireless Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 9700 NW 112th Ave 12 21 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 33.00
▲
Senate ✘ Primary General Transaction ID : 500069180
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Straight Talk Wireless Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 9700 NW 112th Ave 12 21 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 37.40
▲
Senate ✘ Primary General Transaction ID : 500069181
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
The Rocket Science Group LLC Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 675 Ponce De Leon Ave NE 12 21 2018
Ste 5000
City State Zip Code
FEC Identification Number
Atlanta GA 30308-1884
Purpose of Disbursement
Software Subscription C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 104.50
▲
Senate ✘ Primary General Transaction ID : 500069161
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


0.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371140

FOR LINE NUMBER: PAGE 11 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
USPS Office Canistota Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 222 W Main St 12 21 2018

City State Zip Code

FEC Identification Number
Canistota SD 57012-9998
Purpose of Disbursement
Postage C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 200.00
▲
Senate ✘ Primary General Transaction ID : 500069160
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. First Bank and Trust Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 520 6th St 12 28 2018

City State Zip Code

FEC Identification Number
Brookings SD 57006-2028
Purpose of Disbursement
Campaign Credit Card Expense C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 1798.73
▲
Senate ✘ Primary General Transaction ID : 500069147
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Amazon Inc Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address PO Box 81226 12 28 2018

City State Zip Code

FEC Identification Number
Seattle WA 98108-1300
Purpose of Disbursement
Purchases made with campaign credit card in error and immediately C
reimbursed to campaign.
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 27.63
▲
Senate ✘ Primary General Transaction ID : 500069194
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


1798.73
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371141

FOR LINE NUMBER: PAGE 12 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Amazon Inc Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address PO Box 81226 12 28 2018

City State Zip Code

FEC Identification Number
Seattle WA 98108-1300
Purpose of Disbursement
Purchases made with campaign credit card in error and immediately C
reimbursed to campaign.
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 795.54
▲
Senate ✘ Primary General Transaction ID : 500069195
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Amazon Inc Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address PO Box 81226 12 28 2018

City State Zip Code

FEC Identification Number
Seattle WA 98108-1300
Purpose of Disbursement
Purchases made with campaign credit card in error and immediately C
reimbursed to campaign.
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 42.22
▲
Senate ✘ Primary General Transaction ID : 500069201
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
Google Inc Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 1600 Amphitheatre Pkwy 12 28 2018

City State Zip Code

FEC Identification Number
Mountain View CA 94043-1351
Purpose of Disbursement
Software Subscription C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 62.34
▲
Senate ✘ Primary General Transaction ID : 500069196
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


0.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371142

FOR LINE NUMBER: PAGE 13 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
NGPVAN or EveryAction Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 1445 New York Ave NW 12 28 2018

Ste 200
City State Zip Code
FEC Identification Number
Washington DC 20005-2158
Purpose of Disbursement
Software Subscription C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 775.00
▲
Senate ✘ Primary General Transaction ID : 500069198
President Other (specify)  *
✘ Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Straight Talk Wireless Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 9700 NW 112th Ave 12 28 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 33.00
▲
Senate ✘ Primary General Transaction ID : 500069197
President Other (specify) 
✘ Memo Item *
State: District:
Full Name (Last, First, Middle Initial)
Straight Talk Wireless Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 9700 NW 112th Ave 12 28 2018

City State Zip Code

FEC Identification Number
Medley FL 33178-1353
Purpose of Disbursement
Phone Service C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 33.00
▲
Senate ✘ Primary General Transaction ID : 500069200
President Other (specify) *
 ✘ Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


0.00
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371143

FOR LINE NUMBER: PAGE 14 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Internal Revenue Service Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 500 N Capitol St NW 12 31 2018

City State Zip Code

FEC Identification Number
Washington DC 20221-0003
Purpose of Disbursement
Payroll Taxes C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 36.82
▲
Senate ✘ Primary General Transaction ID : 500069145
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. Kouri Insurance Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 6809 S Minnesota Ave 12 20 2018
Ste 201
City State Zip Code
FEC Identification Number
Sioux Falls SD 57108-2570
Purpose of Disbursement
Insurance C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 436.36
▲
Senate ✘ Primary General Transaction ID : 500069144
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Sage North America Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 12120 Sunset Hills Rd 12 03 2018
Ste 500
City State Zip Code
FEC Identification Number
Reston VA 20190-5858
Purpose of Disbursement
Credit Card Processing Fee C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 308.18
▲
Senate ✘ Primary General Transaction ID : 500069202
President Other (specify)
 Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


781.36
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371144

FOR LINE NUMBER: PAGE 15 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
South Dakota Democratic Party Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 2121 W 63rd Pl 12 06 2018

Ste 20
City State Zip Code
FEC Identification Number
Sioux Falls SD 57108-5060
Purpose of Disbursement
Rental Fee C C00160937

Candidate Name Category/ Amount of Each Disbursement this Period

Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 750.00
▲
Senate ✘ Primary General Transaction ID : 500069292
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)

B. South Dakota Department of Labor and Regulation Date of Disbursement

M M / D D / Y Y Y Y
Mailing Address 420 S Roosevelt St 12 29 2018

City State Zip Code

FEC Identification Number
Aberdeen SD 57401-5131
Purpose of Disbursement
Unemployment Tax C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 422.26
▲
Senate ✘ Primary General Transaction ID : 500069296
President Other (specify) 
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Spectrum Holdings, LLC Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address 2901 S Bahnson Ave 11 30 2018

City State Zip Code

FEC Identification Number
Sioux Falls SD 57103-4805
Purpose of Disbursement
Office Rent C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 250.00
▲
Senate ✘ Primary General Transaction ID : 500066902
President Other (specify)
 Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


1422.26
  
TOTAL This Period (last page this line number only).....................................................................
, , .


  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371145

FOR LINE NUMBER: PAGE 16 OF 20

SCHEDULE B (FEC Form 3) Use separate schedule(s) (check only one)
ITEMIZED DISBURSEMENTS for each category of the
Detailed Summary Page
✘ 17 18 19a 19b
20a 20b 20c 21
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)
Tim Bjorkman for South Dakota
Full Name (Last, First, Middle Initial)
Wasilik, Stan, , , Date of Disbursement
A.
M M / D D / Y Y Y Y

Mailing Address 104 N Birch Ave 12 06 2018

City State Zip Code

FEC Identification Number
Presho SD 57568-5313
Purpose of Disbursement
Mileage Reimbursement C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For: 2020
, , .
▲ ▲ 179.09
▲
Senate ✘ Primary General Transaction ID : 500069204
President Other (specify) 
Memo Item
State: District:
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

Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify) 
Memo Item
State: District:
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

Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
 Memo Item
State: District:

SUBTOTAL of Disbursements This Page (optional)........................................................................

, , .


179.09
  
TOTAL This Period (last page this line number only).....................................................................
, , .


8057.82
  

FEC Schedule B (Form 3) (Revised 05/2016)

Image# 201901319145371146
PAGE 17 OF 20
SCHEDULE C (FEC Form 3) Use separate schedule(s) FOR LINE NUMBER:
for each category of the
LOANS Detailed Summary Page
(check only one) ✘ 13a
13b

NAME OF COMMITTEE (In Full) Transaction ID : 2136331L

Tim Bjorkman for South Dakota
LOAN SOURCE Full Name (Last, First, Middle Initial) Memo Item Election: 2018
Primary
Bjorkman, Timothy, W, ,
✘ General
Mailing Address Other (specify) 
PO Box 201

City State ZIP Code

✘ Personal Funds of the Candidate
Canistota SD 57012-0201

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

,
 ,
 .
5000.00
 ,
 ,
 .
0.00
 ,
 ,
 .
5000.00

TERMS Date Incurred Date Due Interest Rate Secured:
(If none, enter 0)

.
M M M / D D / Y Y Y Y
10M / D
29 D / Y Y Y
2018 Y
none 0.00
% (apr) Yes ✘ No


List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

2. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

3. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .

4. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .


SUBTOTALS This Period This Page (optional).....................................................................

, , .


5000.00
  
TOTALS This Period (last page in this line only).................................................................
, , .


  
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

FEC Schedule C (Form 3) (Revised 05/2016)

Image# 201901319145371147
PAGE 18 OF 20
SCHEDULE C (FEC Form 3) Use separate schedule(s) FOR LINE NUMBER:
for each category of the
LOANS Detailed Summary Page
(check only one) ✘ 13a
13b

NAME OF COMMITTEE (In Full) Transaction ID : 2162452L

Tim Bjorkman for South Dakota
LOAN SOURCE Full Name (Last, First, Middle Initial) Memo Item Election: 2020

Bjorkman, Timothy, W, , ✘ Primary

General
Mailing Address Other (specify) 
PO Box 201

City State ZIP Code

✘ Personal Funds of the Candidate
Canistota SD 57012-0201

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

,
 ,
 .
572.73
 ,
 ,
 .
0.00
 ,
 ,
 .
572.73

TERMS Date Incurred Date Due Interest Rate Secured:
(If none, enter 0)

.
M M M / D D / Y Y Y Y
12M / D
28 D / Y Y Y
2018 Y
none 0.00
% (apr) Yes ✘ No


List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

2. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

3. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .

4. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .


SUBTOTALS This Period This Page (optional).....................................................................

, , .


572.73
  
TOTALS This Period (last page in this line only).................................................................
, , .


  
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

FEC Schedule C (Form 3) (Revised 05/2016)

Image# 201901319145371148
PAGE 19 OF 20
SCHEDULE C (FEC Form 3) Use separate schedule(s) FOR LINE NUMBER:
for each category of the
LOANS Detailed Summary Page
(check only one) ✘ 13a
13b

NAME OF COMMITTEE (In Full) Transaction ID : 2162454L

Tim Bjorkman for South Dakota
LOAN SOURCE Full Name (Last, First, Middle Initial) Memo Item Election: 2020

Bjorkman, Timothy, W, , ✘ Primary

General
Mailing Address Other (specify) 
PO Box 201

City State ZIP Code

✘ Personal Funds of the Candidate
Canistota SD 57012-0201

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

,
 ,
 .
389.25
 ,
 ,
 .
0.00
 ,
 ,
 .
389.25

TERMS Date Incurred Date Due Interest Rate Secured:
(If none, enter 0)

.
M M M / D D / Y Y Y Y
12M / D
31 D / Y Y Y
2018 Y
none 0.00
% (apr) Yes ✘ No


List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

2. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding: ,
 ,
 .

3. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .

4. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

Amount
City State ZIP Code Guaranteed
Outstanding:
,
 ,
 .


SUBTOTALS This Period This Page (optional).....................................................................

, , .


389.25
  
TOTALS This Period (last page in this line only).................................................................
, , .


5961.98
  
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

FEC Schedule C (Form 3) (Revised 05/2016)

Image# 201901319145371149

SCHEDULE D (FEC Form 3) (Use separate

PAGE 20 OF 20
schedule(s) FOR LINE NUMBER:
DEBTS AND OBLIGATIONS for each (check only one) 9
Excluding Loans numbered line) ✘ 10
NAME OF COMMITTEE (In Full)

Tim Bjorkman for South Dakota

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):
Bjorkman, Timothy, W, , Advance from Purchase of Campaign Truck

Mailing Address PO Box 201

City State Zip Code

Canistota SD 57012-0201

Outstanding Balance Beginning This Period Transaction ID : 1250000806

,
 ,
 .
3700.00

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

,
 ,
 .
0.00
 ,
 ,
 .
0.00
 ,
 ,
 .
3700.00

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):
Bjorkman, Timothy, W, , Campaign Truck Repairs

Mailing Address PO Box 201

City State Zip Code

Canistota SD 57012-0201

Outstanding Balance Beginning This Period Transaction ID : 1250000807

,
 ,
 .
1155.37

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

,
 ,
 .
0.00
 ,
 ,
 .
0.00
 ,
 ,
 .
1155.37

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):

Mailing Address

City State Zip Code

Outstanding Balance Beginning This Period

,
 ,
 .

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

,
 ,
 .
 ,
 ,
 .
 ,
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1) SUBTOTALS This Period This Page (optional)....................................................................

, , .


4855.37
  
2) TOTALS This Period (last page this line number only).......................................................
, , .


4855.37
  
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only)...................................
, , .
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5961.98
  
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
, , .
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10817.35
  
FEC Schedule D (Form 3) (Revised 05/2016)