Loading...
HomeMy WebLinkAboutFriends of Lisa Grayson - 2016 Annual Report Commonwealth of Pennsylvania Campaign Finance Report PAGE 1OF (COVER PAGE (NOTE: This report must be clear and legible. It may be t ped or printed in blue or black ink.) Filer Identification Report 1. 2. 3. Number: Filed by: CANDIDATE COMMITTEE i LOBBYIST Friends of Lisa Grayson Street Address: 161 SHATTO DRIVE City: State: Zip Code: CARLISLE PA 17013 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3. AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY 5, 30-DAY 6. TERMINATION YES NO (place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? the right of ANNUAL 7, YEAR FILING METHOD report type) REPORT ✓ 10, zols ( v )CHECK ONE10. PAPER ✓ DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County MO. DAY YEAR Number Code Code Code REGISTER OF WILLS 0TH REP 21 11 5 2013 (SEE INSTRUCTIONS FOR CODES) MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY Summary of ReceiptsC_, N and Expenditures from: 1 1 2016 To 12 31 2016 C O CO - 171 r*, A.Amount Brought Forward From Last Report $ 1,270.52 XI CC/ B.Total Monetary Contributions and Receipts(From Schedule I) $ 394.43 ro Co C.Total Funds Available(Sum of Lines A and B) $ 1,664.95 CI C) nr D.Total Expenditures(From Schedule Ill) $ 475.00 Q .L-- E.Ending Cash Balance(Subtract Line D from Line C) $ 1,189.95 Zr. -f t• F.Value of In-Kind Contributions Received(From Schedule II) $ "C G.Unpaid Debts and Obligations(From Schedule IV) $ 20,000.00 AFFADAVIT 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.schedd�►ulees. s,on paper ror�computer diskette,are to IN best of my knowledge and belief true,correct and complete. Sworn to and suhscribed before `this NOTARIAL SEAL � it71/ / ` 23m f I 511AIf$; iRY Male -�-`-- _day of _` r`1'tIL.. i_ Signature of Person Submitti eport '1/41G . 'n r : r ro, ibeerland CouniV 9 ?' `7 Katharine McDowell Lively „r , April 4, 2017 „rill.' Printed Name I, 1 c l t4 ... 2©1--4- (717)226-5585 My commission expires `1 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 thi- NOTARIAL SEAL . 2-2Mday of • - • -u, t" ' SMIl NOTARY PUBLIC t Carli Bora, Cumberland County Signature of Candidate DO ' S►L ..1 , i:+ 'ir pines April 4, 201 Lisa Grayson Printed Name My commission expires Lk Ot 1 (717) 580-1254 MO. DAY YR, Area Code Daytime Telephone Number Page 2 of SCHEDULE I Contributions and Receipts Detailed Summary Page Name of Fling Committee or Candidate Reporting Period Friends of Lisa Grayson From 1/1/2016 To 12/31/2016 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS-$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 2. CONTRIBUTIONS$50.01 TO$250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ TOTAL for the Reporting Period (2) $ 3. CONTRIBUTIONS OVER$250.00 (FROM PART C AND PART D) Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ 394.43 TOTAL for the Reporting Period (3) $ 4. OTHER RECEIPTS—REFUNDS,INTEREST EARNED,RETURNED CHECKS,ETC. (FROM PART E) TOTAL for the Reporting Period (4) $ TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $394.43 Boxes 1, 2, 3 and 4; also enter this amount on Page 1, Report Cover Page, Item B.) DSEB-502(7-99) PART D All Other Contributions OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Lisa Grayson 1/1/2016 12/31/2016 From To DATE AMOUNT Full Name of Contributing Committee MO. • DAY YEAR Lisa Grayson 12 31 2016 $394.43 Mailing Address MO. DAY YEAR 161 Shatto Dr $ City State Zip Code(Plus 4) MO. •DAY_._ YEAR Carlisle PA 17013-0000 _ ..... $ Employer Name Occupation Cumberland County Register of Wills Employer Mailing Address/Principal Place of Business 1 Courthouse Sq,Carlisle PA 17013 Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address _MO. DAY.. YEAR $ City State Zip Code(Plus 4) MO. .DAY YEAR $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code(Plus 4) MO. , DAY YEAR $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address MO. DAY. YEAR City State Zip Code(Plus 4) MO. DAY --YEAR $ Employer Name Occupation Employer Mailing Address/Principal Place of Business PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 394.43 Page of SCHEDULE III STATEMENT OF EXPENDITURES Name of filing committee or Candidate Reporting Period FRIENDS OF LISA GRAYSON From 1"'2016 To 12/31/2016 To Whom Paid MO. DAY YEAR Amount Regan for Senate 6 13 2016 $ 150 Mailing Address Description of Contribution event ticket City State Zip Code(Plus 4) To Whom Paid MO, DAY YEAR Amount Cumberland County Republican Women 2 1 2016 $ 75 Mailing Address Description of Contribution 15 Meadowood Place annual fee&event advertising City State Zip Code(Plus 4) Boiling Springs PA 17007-0000 _ To Whom Paid MO. ''DAY YEAR..I Amount Cumberland County Republican Party 9 15 2016 $ 250 Mailing Address Description of Contribution PO Box 1495 Event tickets&advertising City State Zip Code(Plus 4) Camp Hill PA 17001-0000 _ To Whom Paid NO: DAY YEAR I Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO. • DAY,_, • YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO. DAY `:YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO: , DAY 7 YEAR ,I Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO. DAY • YEAR Amount $ Mailing Address Description of Contribution City State ) Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $475 DSEB-502(7-99) Page of 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. Name of filing committee or Candidate Reporting Period Friends of Lisa Grayson From• To 12/310016 Name of Creditor Outstanding Balance of Debt LISA GRAYSON $20,000.00 Mailing Address MO. DAY YEAR 161 SHATTO DR City State Zip Code(Plus 4) CARLISLE PA 17013-0000 - Description of Debt Partial forgiveness of$3,469.83,remaining outstanding debt$20,000 Name of Creditor Outstanding Balance of Debt Mailing Address •• MO. DAY YEAR $ -� City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY YEAR City State Zip Code(Plus 4) • Description of Debt Name of Creditor `Outstanding Balance of Debt $ _ Mailing Address MO. DAY• YEAR • City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt Mailing Address MO. _ DAY YEAR City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY • YEAR City State Zip Code(Plus 4) Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 20,000.00 DSEB-502(7-99)