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Hampden Township Republican Assoc. - 2016 2nd Friday Pre-Election
1 VIII IIIIIIIIIIIIIIIIIIII+VIII I I II Reset Form Print Form • i. Commonwealth`of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible. It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist - Number 8300058 n (Mark X) Name of Filing Committee,Candidate or Lobbyist HAMPDEN TOWNSHIP REPUBLICAN ASSOCIATION Street Address 6300 SALEM PARK CIRCLE City MECHANICSBURG State PA Zip Code 17050 N Type of Report(Place x under report type) 1-6th Tuesday 2. 2nd Friday 3-30 Day Post 4-6t"Tuesday 5_2nd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election it A Date Of Election Year Amendment Termination (MM/DD/YYYY) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 7/1/2016 9/30/2016 C o A.Amount Brought Forward From Last Report $ 692.43 "'1 m rrl B.Total Monetary Contributions and Receipts $ GO 3,250.17 73 . (From Schedule I) I W C.Total Funds Available $ 3,942.6 .127 720 • (Sum-of Lines A-and B)- - - - --- • D.Total Expenditures $ j (From Schedule III) 1,504.46 C: E.Ending Cash Balance $ 7 W , (Subtract Line D from Line C) 2,438.14 CJS F.Value of In-Kind Contributions Received $ _ .- . - (From Schedule II) G.Unpaid Debts and Obligations $ (From Schedule IV) 0 Affidavit Section Part 1-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 on paper,is to the best of my k : -.ge and belief true,correct and complete. Sworn to and subscribed before me this 3b day of--/C4-/ (,LGC. 20 / Signature of Person Submitting repo c.e. �4_ f�/1/c.""" _cam LYNE .MORRELL fna ture 1 Printed Name My Commission expires r"4 ' i< g/ 9l-- 717 802-0979 ' MO. DAY 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 1 Signature of Candidate • Signature I Printed Name . My Commission expires MO. DAY YR. Area Code Daytime Telephone Number Z .._2___N'AJ:11L I O ENNSYLVANIA Jacqueline Notarial Seal 9 me Marie Varner,Notary Public • Lower Pax,on Twp.,Dauphin County My Commission Expires 14°Pharch 2 County MEMBER,PENNSYLVANLA Assa •.7.477oN 7F NOTAR(E . • • . . . . F f . 7 • SCHEDULE! Contributions and Receipts Detailed Summary Page g Filer Identification Number - --- 8300058 i 1 • , . 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 125 1•' 2.Contributions of$50.01 to $250.00(From . . i Part A and Part B) . . . — ......., , Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ 1,275 Total for the reporting period (2) $ 2225 •; 3.Contributions Over$250.00(From Part C and Part D) . i • . Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ 1,000 • Total for the reporting period (3) ' • $ 3,250 . . I; 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) . 1 . . i . i - . Total for the reporting period (4) $ 10.17 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 3,267 Cover Page,Item B) . . . . . . . . • . k.) . . . . . . , . • • • • . . . . , . . . - . . . . -. . PART B Ail Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) I Filer Identification Number: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ Charles Hall 9/11/16 100 . House# Street Address Date[MM/DD/YYYY] $ 776 Lancaster Avenue City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Ronald Lucas 9/12/16 100 House# Street Address Date[MM/DD/YYYY] $ - 1935 Monterey Dr City State Zip Code Date[MJ]VI/DD/YYYY] $ Mechanicsburg ___... pa __-„17055 Full Name of Contributor Date[MM/DD/YYYY] $ Ken Fetrow 9/11/16 100 House# Street Address Date[MM/DD/YYYY] $, Trindle Rd City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg pa 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Albert Bienstock 9/11/16 100 House# Street Address! Date[MM/DD/YYYY] $ !PD Box 192 City State Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 - Full Name of Contributor Date[MM/DD/YYYY] $ Radle Electric 9/11/16 100 House# Street Address Date[MM/DD/YYYY] $ 452 Prowell Dr City State Zip Code - Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Matthew Hammond 100 - 9/11/16 House# Street Address Date[MM/DD/YYYY] $ 1773 Teresa Court City State . Zip Code Date[MM/DD/YYYY] $ Downingtown PA PART B AG@ Other ConrabutG©is $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ Michael Langan 75 9/11/16 House# Street Address Date[MM/DD/YYYY] $ 838 Anthony Dr City .I State Zip Code Date[MM/DD/YYYY) $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ 1 Jennifer Caron 75 9/11/16 House# Street Address Date[MM/DD/YYYY] $ 1608 Lowell Ln City State Zip Code Date[MM/DD/YYYY] $ New Cumberland pa 17070 Full Name of Contributor Date[MM/DD/YYYY] $ • John and Judy Thomas 9/11/16 75 House# Street Address Date[MM/DD/YYYY] $ 407 Pawnee Dr City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg pa 17050 Full Name of Contributor Date[MM/DD/YYYY) $ Keith Brenneman 75 9/11/16 House# Street Address Date[MM/DD/YYYY] $ 5808 Stephens Crossing City State Zip Code • Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ - I. Full Name of Contributor Date[MM/DD/YYYY] $ Richard Stewart 100 9/11/16 House# Street Address Date[MM/DD/YYYY] $ 1811 Warren St City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 PART D Ai} Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: Il 8300058 4 Full Name of Contributor Date[MM/DD/YYYY] $ Scott Wagner 1,000 9/11/16 House# Street Address Date[MM/DD/YYYY] $ PO Box 1627 • City State Zip Code Date[MM/DD/YYYY] $ York PA Employer Name Occupation. Employer Mailing Address/. Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY]. $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ . City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ _ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business . PARTE • Other Receipts REFUNDS, INTREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: 8300058 Full Name Member's 1st Federal Credit Union House# Street Address Carlisle Pike City State Zip Date[MM/DD/YYYY] $ Mechanicsburg PA Code 17050 9/30/15 0.17 Receipt Description interest on savings account Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ • Code Receipt Description. Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code • Receipt Description Full Name House# Street Address City - State Zip Date[MM/DD/YYYY] $ Code ' Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description • ^ ^ SCHEDULE Statement of Expenditures Filer Identification Number 83000 58 !~ _,=,� ._ _ „ 37oWhom Paid oateDnIN/1/oo/vvng $ Elks �3ses 9/11/16 4 House# Street Address Carlislerme Description of Expenditure City State chMechanicsburgLp.A __ cude17050 *nmn/cn/c�te�ng To Whom Paid oau,0mwVoo/YYng $ Johnsa�p/co 144.869/11/16 • ! House# Street AddresDescription of Expenditure . citv State Zip Mechanicsburg PA Code17050 ����»x���m����mmm����� i To Whom Paid oa,e[MIVI/ou/YnY] $ House# Street Address Description of Expenditure City State Zip code � -'~��_--~-- --_�,- _-.__-_~--~_-,--____'_~~~�~~__--~-_ - -. -_ - '' ' ._____`_-_-' TuVxh��pa� — "oate7M *pae# Street Address Description of Expenditure City StateZip Code To Whom Paid Date0wM/oo/Y,Yv/ $ � < House# Street Description vfExpenditure . � \ City State Zip Code To Whom Paid mate0wm/oo/Y,vv $ > ^ House# Streetx�u,�s �oe�nphnnofsxpenduv, City State Zip Code A ! ToWhom Paid oote0n $ | ' House# Street Address Description of Expenditure City State Zip Code � --_ ---_- --. ---_—_ - - _-_.~_ -_' ! To Whom Paid oateDwIVI/oo/vvYY $ ; House# Street Address Description of Expenditure � ! City State Zip ' Code ._~'-~ ` .