Campaign Finance Report

Transcription

1 PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number : Report Filed By : CANDI COMMITTEE LOBBYIST Name of Filing Committee, Candidate or Lobbyist: Street Address: 174 NORTH LINDEN STREET : MANHEIM State: PA Zip Code: TYPE OF REPORT 6TH TUES PRE-PRIMARY 1. 2ND FRI PRE-PRIMARY POST-PRIMARY 3. AMENDMENT REPORT? Yes No (place X to the right of report type) 6TH TUES PRE-ELECTION 4. 2ND FRI PRE-ELECTION 5.X 30 POST-ELECTION ANNUAL REPORT 7. Year 2014 FILING METHOD ( ) CHECK ONE 6. TERMINATION REPORT? PAPER Yes No DISKETTE Name of Office Sought by Candidate: OF ELECTION District Number Office Code Party Code County Code REP (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and Expenditures from: TO FOR OFFICE USE ONLY A. Amount Brought Forward From Last Report B. Total Monetary Contributions And Receipts (From Schedule I) C. Total Funds Available (Sum Of Lines A and B) D. Total Expenditures (From Schedule III) E. Ending Cash Balance (Subtract Line D From Line C) F. Value Of In-Kind Contributions Received (From Schedule II) G. Unpaid Debts And Obligations (From Schedule IV) 17, , , , , , , AFFIDAVIT SECTION PART I - If this is a Committee report, treasurer sign here. If this is a Candidate report, candidate sign here. I swear (or affirm) that this report, including the attached schedules filed on paper or by electronic medium, are to the best of my knowledge and belief, true correct and complete. Sworn to and subscribed before me this day of 20 Signature of Person Submitting Report My Commission Expires Signature Printed Name YR Area Code Daytime Telephone Number Part II- If this is a report of a candidate's authorized Committee, Candidate shall sign here. I swear (or affirm) that to the best of my knowledge and belief this political committee has not violated any provisions of the act of June 3,1937 (P.L. 1333, No 320) as amended. Sworn to and subscribed before me this day of 20 Signature of Candidate Printed Name My Commission Expires Signature YR Area Code Daytime Telephone Number

2 PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page 1. Unitemized Contributions Received or Less Per Contributor TOTAL for the (1) Contributions Received To (From Part A and Part B) Contributions Received From Political Committees (Part A) All Other Contributions (Part B) TOTAL for the (2) Contributions Received Over (From Part C and Part D) Contributions Received From Political Committees (Part C) All Other Contributions (Part D) 1, , TOTAL for the (3) 4, Other Receipts, Refunds, Interest Earned, Returned Checks, Etc. (From Part E) TOTAL for the (4) 0.00 Total Monetary Contributions and Receipts During this (Add and enter amount totals from Boxes 1,2,3 and 4; also enter this amount on Page1, Report Cover Page, Item B.) 4,925.00

3 PAGE 3 PART A CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES TO Use this Part to itemize only contributions received from political committees with an aggregate value from to in the reporting period. Full Name of Contributing Committee LANCASTER GENERAL HEALTH PAC 50 PROVIDENCE ROAD MEDIA State Zip Code (Plus 4) PA Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section

4 PAGE 4 PART B ALL OTHER CONTRIBUTIONS TO Use this Part to itemize all other contributions with an aggregate value from to in the reporting period. (Exclude contributions from political committees reported in Part A) Full Name of Contributor KENNETH & LEE KAUFFMAN 5920 MAIN STREET EAST PETERSBURG State Zip Code (Plus 4) PA Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section

5 PAGE 5 PART C Contributions Received From Political Committees OVER Use this Part to itemize only contributions received from Political committees with an aggregate value from Over in the reporting period. Full Name of Contributing Committee NRA - PAC WAPLES MILL ROAD FAIRFAX State Zip Code (Plus 4) VA Full Name of Contributing Committee FRIENDS OF JOSH PARSONS 830 MILLERS RUN LANE LANCASTER State Zip Code (Plus 4) PA Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. 1,200.00

6 PAGE 6 PART D ALL OTHER CONTRIBUTIONS OVER Use this Part to itemize all other contributions with an aggregate value of over in the reporting period. (Exclude contributions from political committees reported in Part C.) Full Name of Contributor JOHN & FRANCES KRECEK Mailing Address 618 RANDOLPH DRIVE 2, State Zip Code (Plus 4) LITITZ PA Employer Name FENNER DRIVES Occupation PRESIDENT Employer /Principal Place of Business State Zip Code (Plus 4) 311 W STIEGEL ST MANHEIM PA Full Name of Contributor BERNARD & NORMA RRISSEY Mailing Address 254 CHURCH STREET State Zip Code (Plus 4) STEVENS PA Employer Name RRISSEY INSURANCE Occupation OWNER / RETIRED Employer /Principal Place of Business State Zip Code (Plus 4) 890 N. READING RD. EPHRATA PA Full Name of Contributor DAVID & DEBORAH HOLLINGER Mailing Address 755 WHITE OAK ROAD State Zip Code (Plus 4) DENVER PA Employer Name FOUR SEASONS PRODUCE Occupation CEO Employer /Principal Place of Business State Zip Code (Plus 4) 400 WABASH RD EPHRATA PA 17522

7 Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. PAGE 7 3,225.00

8 PAGE 8 PART E OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. To: Full Name 0.00 State Zip Code (Plus 4) Receipt Description Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section

9 PAGE 9 SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF OR LESS PER CONTRIBUTOR TOTAL for the (1) IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF TO (FROM PART F) TOTAL for the (2) IN-KIND CONTRIBUTION RECIEVED - VALUE OVER (FROM PART G) TOTAL for the (3) 3, TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1,2, and 3; also enter on Page 1, Reports Cover Page, Item F.) 3,428.45

10 PAGE 10 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF TO Full Name of Contributor CLEMENS FOOD GROUP 2700 CLEMENS ROAD State Zip Code (Plus 4) HATFIELD PA Description of Contribution: GRILLED MEAT FOR CLAY SHOOT FUND RAISER Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, Section

11 PAGE 11 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER /16/2014 To: 10/20/2014 Full Name of Contributor DAVID DUNN 910 N. HANOVER ST 3, ELIZABETHTOWN State Zip Code(Plus 4) PA Employer of Contributor TROP GUN SHOP Occupation CEO Employer /Principal Place of Business 910 N. HANOVER ST State Zip Code(Plus 4) ELIZABETHTOW N PA Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed Summary Page, Section 3. Description of Contribution MERCHANDISE & SERVICES / CLAY SHOOT 3,266.81

12 PAGE 12 SCHEDULE III STATEMENT OF EXPENDITURES From To Whom Paid CABELA'S 100 CABELA DRIVE State Zip Code (Plus 4) HAMBURG PA Description of Expenditure CLAY SHOOT SUPPLIES To Whom Paid EPHRATA AREA REPUBLICAN COMM. 800 DURLACH ROAD State Zip Code (Plus 4) STEVENS PA Description of Expenditure EDUCATIONAL SCHOLARSHIP AUCTION To Whom Paid THE TROPHY HOUSE 237 NORTH PRINCE ST State Zip Code (Plus 4) LANCASTER PA Description of Expenditure CLAY SHOOT TROPHY To Whom Paid ACTION OF PA - LANCASTER CHAPTER 5845 CLARKSON DRIVE State Zip Code (Plus 4) EAST PETERSBURG PA Description of Expenditure BREAKFAST TABLE - TOM CORBETT To Whom Paid SUPPORTERS OF DAVE ZIMMERMAN P.O. BOX State Zip Code (Plus 4) EAST EARL PA Description of Expenditure DONATION

13 PAGE 13 To Whom Paid MILLER VICTORY COMMITTEE 959 WOOLRIDGE BLVD State Zip Code (Plus 4) LANCASTER PA Description of Expenditure To Whom Paid SIGN ME UP 142 S. PITT ST State Zip Code (Plus 4) MANHEIM PA Description of Expenditure Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. 2,184.58

14 SCHEDULE IV STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period Outstanding Balance of Debt Name of Creditor MELINDA S. FEE 174 N. LINDEN ST , State Zip Code (Plus 4) MANHEIM PA Description of Debt CAMPAIGN EXPENSES Outstanding Balance of Debt Name of Creditor MELINDA S. FEE 174 N. LINDEN ST , State Zip Code (Plus 4) MANHEIM PA Description of Debt CAMPAIGN EXPENSES Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. 5,625.00