| No. | Donor | Best Name | City | State | Zip | Recipient | Group | Interest | Date | Amount |
| 1. | Katz, Allan | Katz, Allan & Doris | Copiague | NY | 11726 | Robert White At-Large 2016 | VTS Medical | | 12/12/2015 | $1,000 |
| 2. | Katz, Allan | Katz, Allan & Doris | Copiague | NY | 11726 | Robert White At-Large | VTS Medical | Health | 10/01/2013 | $1,000 |
| 3. | Katz, Doris | Katz, Allan & Doris | Copiague | NY | 11726 | Robert White At-Large | VTS Medical | | 10/03/2013 | $1,000 |
| 4. | Katz, Doris | Katz, Allan & Doris | Copiague | NY | 11726 | Robert White At-Large 2016 | VTS Medical | | 12/12/2015 | $1,000 |
| | | | | | | | | | Page Total
Total | $4,000
$4,000 |