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Home My WebLink AboutFriends of Nate Silcox - 2017 2nd Friday Pre-Primary 11 F,rset Form Print Form 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 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friends of Nate Silcox Street Address P.O.Box 882 City Camp Hill State PA Zip Code 17011 1 Type of Report(Place x under report type) 1-6`I'Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"tl Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/16/2017 2017 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2017 05/01/2017 A.Amount Brought Forward From Last Report $ 10,827.13 C, rV 8.Total Monetary Contributions and Receipts $ C e (From Schedule I) 7'650'00 CD jr C.Total Funds Available $ 18,477.13 rn x' (Sum of Lines A and B) l --< r— I D.Total Expenditures $ 603.75 CO (From Schedule Ill) E.Ending Cash Balance $ 17,873.38 C) (Subtract Line D from Line C) (, _ F.Value of In-Kind Contributions Received $ C a (From Schedule II) 150.00 7 C./1 ...1 G.Unpaid Debts and Obligations $ -C tO /(From Schedule IV) 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 knowledge and belief true,correct and complete. Sworn to and subscribed before me this rir_ d.yof M- 20 1 ' ^Signature of PerssoASubmi Indic r,...3 Signature ' r" Printed Name My Commission expires 120 ON ALTH NSYLVANIA ? 3 "( I%(3 0 MO. DAVotar1M. eal Area a Daytime Telephone Number Adam C. Wagner, Notary Public 0] i^ r•nu Part II-If this is a report o a e iif i YII �1�RFt : scs2 cala e shall sign here. I swear(or affirm)that to.,- +°•:m S .,..-4.,-•, l committee has not violated anyprovisions of the Act of June 3,1937 P.L.1333,NO.320 as w E.•NSYI_�nN 0... • -gal ( ) amended. ME eEz " Sworn to and subscribed before me this t- e/1.--P -Cs -Th day of/14C^120 ' ------i I • Signature of Candidate Signature Printed Name My Commission expires M/C a I --t t', 19,4 - 2.oVS- COMMONWEALTH Dag PENaYLVANIA Area Code Daytime Telephone Number Notarial Seal Adam C. Wagner, Notary nuhiie City of Harrisburg, Dauphin CouAty:- My Commission Expires Dec. 24:4017.: , MEMBER.OEVNSYIVANIA ASSOCIATION OF,NOTARISS, 0 SCHEDULE I . Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.O0 or Less per Contributor Total for the reporting period (1) $ 350.00 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 1,450.00 • AU Other Contributions(Part B) $ 2,200.00 Total for the reporting period (2) $ 3,650.00 I3.Contributions Over$250.00(From Part C and Part 0) Contributions Received from Political Committees(Part C) $ 100000 All Other Contributions(Part D) $ 2,650.00 Total for the reporting period (3) $ 3,650.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)I I Total for the reporting period (4) $ 0 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 Cover Page,Item B) 7,650.00 PART A Contributions Received From Political Committees $50.01 TO$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from$50.01 TO$250.00 in the reporting period. Filer identification Number Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Capital Associates PAC 250.00 03/25/2017 House# Street Address Date[MM/OD/YYYY] $ 200 N.3rd Street City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17106 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Eckert Seamans PA Government PAC 03/01/2017 250.00 House# Street Address Date[MM/DD/YYYY] $ 600 Grant Street,44th Floor City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15219 Full Name of Contributing Date[MM/DD/YYYY] $ Committee HRG PAC 02/07/2017 250.00 House# Street Address Date[MM/DD/YYYY] $ 369 East Park Drive City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Mike Regan for Senate 250.00 02/27/2017 House# Street Address Date[MM/DD/YYYY] $ 150 Mike Regan for Senate City State Zip Code Date[MM/DD/YYYY] $ Dillsburg PA 17019 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Voters to Elect Vance 03/01/2017 200.00 House# Street Address Date[MM/DD/YYYY] $ P.O.Box 652 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributing Date[MM/DD/YYYY] $ Committee White Rose PAC 02/08/2017 250.00 House# Street Address Date[MM/DD/YYYY] $ P.O.Box 15040 City State Zip Code Date[MM/DD/YYYY] $ York PA 17405 PART B All 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.) IFiler Identification Number. Full Name of Contributor Date[MM/DD/YYYYJ $ H.Edward Black 4/27/2017 150.00 House# Street Address Date[MM/DD/YYYY] $ 2403 N.Front Street City State Zip Code Date[MM/DD/YYYYJ $ Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ William Brown 250,00 02/27/2017 House# Street Address Date[MM/DD/YYYY] '$ 34 Derbyshire Drive City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17015 Full Name of Contributor Date[MM/DD/YY YY] $ Frank Conte 150.00 04/27/2017 House# Street Address Date[MM/DD/YYYY] $ 2009 Market Street City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Henry Coyne 03/01/2017 250.00 House# Street Address Date[MM/DD/YYYY] $ 110 E.Lauer Street City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Lisa Coyne 250.00 03/01/2017 House# Street Address Date[MM/DD/YYYY] $ 1618 W.Lisbum Road City State Zip Code Date[MM/DD/VYYY] $ Mechanicsburg PA 17055 full Name of Contributor Date[MM/DD/YYYY] $ Edward&Tonya Crimmins 100.00 03/10/2017 House# Street Address Date[MM/DD/YYYYJ $ 1421 Inverness Drive City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 • PART B All 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.) Hier Identification Number. Full Name of Contributor Date[MM/DD/YYYY] $ Edric Fetter 04/25/2017 150.00 House it Street Address Date[MM/DD/YYYY] $ 4107 Carrington Court West City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ John Hyams 03/18/2017 250.00 House it Street Address Date[MM/DD/YYYY] $ 102 N.26th Street City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ William Kokos 04/25/2017 150.00 House ft Street Address Date[MM/DD/YYYY] $ 2 Bittersweet Lane City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Tiffany Mutzabaugh 100.00 03/06/2017 House it Street Address Date[MM/DD/YYYY] $ 934 Hummel Avenue City State Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ Dale Sabadish 150.00 02/27/2017 House it Street Address Date[MM/DD/YYYY] $ 5 Surrey Lane City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 - Full Name of Contributor Date[MM/DD/YYYY] $ Paul Toburen 250.00 02/27/2017 House it Street Address Date[MM/DD/YYYY] $ 3428 Lisburn Road City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA r 17055 • PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. Filer Identification Number. Full Name of Date[MM/DD/YYYY] $ Contributing Committee Dawood Engineering PAC 02/08/2017 50000 House# Street Address Date[MM/DD/YYYYj $ 1828 Good Hope Road City State Zip Code Date[MM/DD/YYYY1 $ Mechanicsburg PA 17050 Full Name of Date[MM/DD/YYYYJ $ Contributing Committee McNees PAC 02/06/2017 500.00 House# Street Address Date[MM/DD/YYYY] $ P.O.Box 1166 City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYj $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY) $ City State Zip Code Date[MM/DD/YYYY] $ • PART D All 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 Identffication Number. Full Name of Contributor Date[MM/DD/YYYYJ $ Matthew Hammond 500.00 02/06/2017 House# Street Address Date[MM/DD/YYYY] $ 1773 Teresa Court City State Zip Code Date[MM/DD/YYYY] $ Downingtown PA 19335 Employer Name Traffic Planning&Design Occupation Executive Vice President Employer Mailing Address/ Principal Place of Business 253.W.State Street,Doylestown,PA 18901 Full Name of Contributor Date[MM/DD/YYYYI $ Michael Kennedy 03/03/2017 500.00 House# Street Address Date[MM/DD/YYYYJ $ 160 Rich Valley Road City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Employer Name The Railroad Associates Corporation Occupation CEO Employer Mailing Address/. Principal Place of Business 4444 Carlisle Pike,Camp Hill,PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Michael&Amy Long 03/01/2017 500.00 House# Street Address Date[MM/DD/YYYYJ $ 3659 Kings Drive City State Zip Code Date[MM/DD/YYYYj $ Lebanon PA 17046 Employer Name Long Nyquist Occupation Partner(Mike) Employer Mailing Address/ Principal Place of Business 121 State Street,Harrisburg,PA 17101 Full Name of Contributor Date[MM/DD/YYYYj $ John Murphy 500.00 02/14/2017 House# Street Address Date[MM/DD/YYYY] $ 565 Brentwater Road City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Occupation Alpha Consulting Engineers,Inc. President • Employer Mailing Address/ 115 Limekiln Road,New Cumberland,PA 17070 Principal Place of Business PART D All 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. Full Name of Contributor Date[MM/DD/YYYYj $ Wayne&Carrie Pecht 500.00 02/13/2017 House# Street Address Date[MM/DD/YYYYI $ 35 High Ridge Trail 4/14/2017 150.00 City State Zip Code Date[MM/DD/YYYYJ $ Mechanicsburg PA 17055 Employer Name Pecht&Associates(Wayne) Occupation Member(Wayne) Employer Mailing Address/ Principal Place of Business 650 N.Twelfth Street,Lemoyne,PA 17043 Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYj $ 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/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE IFiler Identification Number: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 11 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) . TOTAL for the reporting period (2) $ 150.00 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I TOTAL for the reporting period (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,Report Cover Page,Item F) 150.00 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number. Full Name of Contributor Date[MM/DD/YYYY] $ Kelly Lewis 02/27/2017 150.00 House# Street Address Date[MM/DD/YYYY] $ 311 Skyport Road City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17959 Description of Contribution Hosted event/provided refreshments Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date]MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number. To Whom Paid Date[MM/DD/YYYY] $ Karen Hume 150.00 02/19/2017 House# 473 Street Address Adam Lane Description of Expenditure City Mechanicsburg State PA Zip 17050 Photography To Whom Paid Date[MM/DD/YYYY] $ Boy Scout Troop 276 50.00 03/04/2017 House# Street Address Description of Expenditure 1425 On's Bridge Road City Mechanicsburg State PA Zip 17050 Pancake Breakfast To Whom Paid Date[MM/DD/YYYY] $ Hampden Township Republican Association 100.00 03/15/2017 House# Street Address Description of Expenditure P.O.Box 283 City Camp Hill State PA Zip 17011 Scholarship Dinner To Whom Paid Date[MM/DD/YYYY] $ Hampden Township 100.00 04/05/2017 House# Street Address Description of Expenditure 230 S.Sporting Hill Road City Mechanicsburg State PA Cine 17050 Room Rental To Whom Paid Date[MM/DD/YYYY) $ U.S.Post Office 38.00 04/14/2017 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City Camp Hill State PA Code 17011 P.O.Box Renewal To Whom Paid Date[MM/DD/YYYY] $ Pennsylvania Bakery 165.75 04/20/2017 House# Street Address Description of Expenditure 1713 Market Street City State Zip Food for Event Camp Hill PA Code 17011 To Whom Paid Date[MM/DD/YYYY) $ House it Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code 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. Filer Identification Number: Name of Creditor Quantum Communications Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED , $ 123 State Street [MM/DD/YYYY] 03/24/2017 City Harrisburg State PA Cop de 17101 ' Description of Debt Campaign lit Piece Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House it Street Address DATE DEBT INCURRED $ [MM/DD/YYYYj City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House It Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt