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Home My WebLink AboutCumberland Co. Dem. Committee - 2017 30-Day Post-Primary PAGE 1 Commonwealth of Pennsylvania 11101111111111110111111M1111110 Campaign Finance Report 263955 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification 8000648 Report CANDIDATE COMMITTEE V LOBBYIST Number: Filed By: Name of Filing Committee,Candidate or Lobbyist: CUMBERLAND CO DEM COM Street Address: PO BOX 1121 City: CARLISLE State: PA Zip Code: 17013 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3.X AMENDMENT Yes No .s j REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? �l 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No 1 (place X to PRE-ELECTION ELECTION ELECTION REPORT? the right of report type) ANNUAL REPORT 7. Year 2017 FILING METHOD PAPER Ill DISKETTE ( )CHECK ONE DistrictCou Name of Office Sought by Candidate: DATE OF ELECTION Number Codee PartyCode Code MO DAY YEAR DEM 21 11 7 2017 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY Expenditures from: -. .5 1 2017 TO 6 5 2017 -- .J A.Amount Brought Forward From Last Report $ 4,275.08 p C_ m c B.Total Monetary Contributions And Receipts(From Schedule I) $ 6,465.54 f— �' IV C.Total Funds Available(Sum Of Lines A and B) $ 10,740.62 CD -D D.Total Expenditures(From Schedule III) 2,186.75 j C W E.Ending Cash Balance(Subtract Line D From Line C) $ 8,553.87 C.J F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00 G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 AFFIDAVIT SECTION PART 1-If this is a Committee report,treasurer sign he '. 4his is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached s •ules fi ,•r•j paper or by electronic medium,are to the best of my knowledge and belief,true, correct and complete. 'Pd.L` Se74i nA 9 Sworn toandsubscribed before me this '('4 et r �4� V ) Signature of Person Submitting Report 1N- day of 20 \ eF't 0 0,2,�'f0..e'r/Q,O - j�,• �!'Y t �- ki i—t% ' (es! *C QB' ++ Printed Name Signature f� C/ % dG?'oi r JO i bark( a. y,,14.. 6c" My Commission Expires \ O \ 7K 4SSO �4i�(I�C 70 Email y rye.,]Yg'� 111 VV ,,,))) C MO DAY YR 41,0 ?, A Code Daytime Telephone Number Part II-If this is a report of a candidate's authorized Committee,Candidate II si here. 44 I swear(or affirm)that to the best of my knowledge and belief this political committee haslibt violated any provisions of the act of June 3,1937(P.L.1333, No 320)as amended. Sworn to and subscribed before me this Signature of Candidate day of 20 Printed Name Signature My Commission Expires Email MO DAY YR Area Code Daytime Telephone Number 6/10/2017 4:52:00 PM J PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From: 5/1/2017 To: 6/5/2017 1.Unitemized Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 72.54 2.Contributions Received- $50.01 To$250.00(From Part A and Part B) Contributions Received From Political Committees(Part A) $ 275.00 All Other Contributions (Part B) $ 4,118.00 TOTAL for the Reporting Period (2) $ 4,393.00 3.Contributions Received Over$250.00(From Part C and Part D) Contributions Received From Political Committees(Part C) $ 0.00 All Other Contributions (Part D) $ 400.00 TOTAL for the Reporting Period (3) $ 400.00 4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E) TOTAL for the Reporting Period (4) $ 1,600.00 Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount 6,465.54 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 6/10/2017 4:52:00 PM PAGE 3 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. Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From: 5/1/2017 To: 6/5/2017 DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR Friends of Fedor Mailing Address P.O. BOX 28 200.00 City State Zip Code(Plus 4) 6 4 2017 Enola PA 17025 Full Name of Contributing Committee MO DAY YEAR MOULTON 2017 - Mailing Address PO BOX 151 $ 75.00 State Zip Code(Plus 4) 6 4 2017 City ORELAND PA 19075-0151 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 275.00 6/10/2017 4:52:00 PM PAGE 4 PART B ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A) Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From: 5/1/2017 To: 6/5/2017 DATE AMOUNT Full Name of Contributor John Alosi MO DAY YEAR Mailing Address 108 S. Prince St. $ 75.00 City State Zip Code(Plus 4) 6 4 2017 Shippensburg PA 17257 Full Name of Contributor MO DAY YEAR Margaret Baumgardner Mailing Address 608 S. Market St. $ 75.00 C State Zip Code(Plus 4) 6 4 2017 'tY Mechanicsburg PA 17055 Full Name of Contributor John Bosha MO DAY YEAR Mailing Address 114 Tory Circle 75.00 State Zip Code(Plus 4) City Enola 5 21 2017 PA 17025 Full Name of Contributor Muriel Bronakoski MO DAY YEAR Mailing Address 268 N. Locust Point Rd. $ 130.00 State Zip Code(Plus 4) 6 4 2017 City New Kingstown PA 17072 Full Name of Contributor MO DAY YEAR J. L. Bruner Mailing Address 225 Woods Dr. $ 75.00 State Zip Code(Plus 4) 6 4 2017 City Mechanicsburg PA 17050 6/10/2017 4:52:00 PM PAGE 5 Full Name of Contributor MO DAY YEAR Melinda Campbell Mailing Address 6 Cedar Court W S 130.00 City State Zip Code(Plus 4) 5 26 2017 Carlisle PA 17015 Full Name of Contributor MO DAY YEAR Stephanie Christ Mailing Address 1701 Creek Vista Dr. 75.00 State Zip Code(Plus 4) 6 3 2017 C"tY New Cumberland PA 17070 Full Name of Contributor MO DAY YEAR Thomas Dewall Mailing Address 330 Acre Dr. 130.00 State Zip Code(Plus 4) C'ty Carlisle 5 29 2017 PA 17013 Full Name of Contributor MO DAY YEAR Michael Fedor Mailing Address 2340 Dewey Lane 60.00 State Zip Code(Plus 4) 6 2 2017 City Enda PA 17025 Full Name of Contributor MO DAY YEAR Ella Forsyth Mailing Address 219 Graham St. 130.00 State Zip Code(Plus 4) 5 26 2017 City Carlisle PA 17013 Full Name of Contributor Mo DAY YEAR William Freeman Mailing Address P.O. Box 128 # 60.00 City State Zip Code(Plus 4) 6 2 2017 Shippensburg PA 17257 6/10/2017 4:52:00 PM PAGE 6 Full Name of Contributor MO DAY YEAR William Freeman Mailing Address P.O. Box 128 $ 125.00 State Zip Code(Plus 4) 6 4 2017 City Shippensburg PA 17257 Full Name of Contributor MO DAY YEAR Natalie Gehosky Mailing Address 516 Park Ave. 63.00 City New Cumberland State Zip Code(Plus 4) 6 2 2017 PA 17070 Full Name of Contributor MO DAY YEAR Dan Green Mailing Address 126 Woodside Rd. 130.00 Cdy Lemoyne State Zip Code(Plus 4) 5 26 2017 PA 17043 Full Name of Contributor MO DAY YEAR Peggy Grove Mailing Address 510 N. 3rd St. $ 75.00 City State Zip Code(Plus 4) 6 4 2017 Harrisburg PA 17101 Full Name of Contributor MO DAY YEAR Ann Heermans-Booth Mailing Address 231 Ridge Dr. S 126.00 State Zip Code(Plus 4) City Carlisle 6 2 2017 PA 17015 Full Name of Contributor MO DAY YEAR James Hertzler Mailing Address 920 S. Humer St. $ 200.00 State Zip Code(Plus 4) City Enola 6 4 2017 PA 17025 6/10/2017 4:52:00 PM PAGE 7 Full Name of Contributor MO PAY YEAR Alan Howe Mailing Address 528 N. Bedford St. $ 75.00 State Zip Code(Plus 4) 5 28 2017 City Carlisle PA 17013 Full Name of Contributor MO DAY YEAR Willis Kocher Mailing Address 922 Charles St. 75.00 State Zip Code(Plus 4) 6 4 2017 City Mechanicsburg PA 17055 Full Name of Contributor MO DAY YEAR Law Offices of Debra K. Wallet Mailing Address 24 N. 32nd St. > 65.00 State Zip Code(Plus 4) 6 4 2017 City Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Gayle Leader Mailing Address 5 Sunfire Ave. 63.00 City State Zip Code(Plus 4) 6 2 2017 Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Gayle Leader Mailing Address 5 Sunfire Ave. 40.00 City State Zip Code(Plus 4) 6 2 2017 Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Craig Lehman Mailing Address 271 Browning Rd. # 75.00 State Zip Code(Plus 4) 5 26 2017 City Lancaster PA 17602 6/10/2017 4:52:00 PM PAGE 8 Full Name of Contributor MO DAY YEAR Geir Magnusson Mailing Address 4052 Lisbum Rd. S 195.00 State Zip Code(Plus 4) 6 2 2017 City Mechanicsburg PA 17055 Full Name of Contributor MO DAY YEAR Asha Makam Mailing Address 3 Bull Run Ct. 75.00 State Zip Code(Plus 4) 6 2 2017 City Mechanicsburg PA 17050 Full Name of Contributor MO DAY YEAR Michael McClurkin Mailing Address 22 Circle Drive $ 75.00 City Mechanicsburg State Zip Code(Plus 4) 6 4 2017 PA 17055 Full Name of Contributor MO DAY YEAR Michael Nguyen Mailing Address 1750 Yorkshire PI. 130.00 C State Zip Code(Plus 4) 6 2 2017 City Enola PA 17025 Full Name of Contributor MO DAY YEAR Donald Raley Mailing Address 416 Walnut St. S 75.00 state Zip Code(Plus 4) 6 4 2017 City Carlisle PA 17015 Full Name of Contributor MO DAY YEAR Elizabeth Reilly Mailing Address 117 S. 17th St. S 100.00 State Zip Code(Plus 4) 5 4 2017 City Camp Hill PA 17011 6/10/2017 4:52:00 PM PAGE 9 Full Name of Contributor MO DAY YEAR Elizabeth Reilly Mailing Address 117 S. 17th St. 63.00 State Zip Code(Plus 4) 6 2 2017 City Camp Hill • PA 17011 Full Name of Contributor MO DAY YEAR Elizabeth Reilly Mailing Address 117 S. 17th St. 75.00 State Zip Code(Plus 4) 6 2 2017 City Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Linda Roberts Mailing Address 215 N. 23rd St. 63.00 State Zip Code(Plus 4) 6 4 2017 City Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Rick Rovegno Mailing Address 112 Spring Farm Circle 75.00 State Zip Code(Plus 4) 6 2 2017 City Carlisle PA 17015 Full Name of Contributor MO DAY YEAR Timothy Scott Mailing Address 8 S. Hanover St.,Apt. 304 S 130.00 State Zip Code(Plus 4) 5 26 2017 City Carlisle PA 17013 Full Name of Contributor MO DAY YEAR Robert Shaffer Mailing Address 904 Peachtree Drive 125.00 State Zip Code(Plus 4) 6 4 2017 City Mechanicsburg PA 17055 6/10/2017 4:52:00 PM PAGE 10 Full Name of Contributor MO DAY YEAR Deanne Shirey Mailing Address 1107 Cherrington Dr. # 130.00 City Harrisburg State Zip Code(Plus 4) 6 4 2017 PA 17110 Full Name of Contributor Blair Smith MO DAY YEAR Mailing Address 1009 Oak Lane b 130.00 City New Cumberland State Zip Code(Plus 4) 6 4 2017 PA 17070 Full Name of Contributor MO DAY YEAR Smith Custom Framing Mailing Address 190 Reno Ave. $ 150.00 Ci State Zip Code(Plus 4) 6 4 2017 ty New Cumberland PA 17070 Full Name of Contributor Donald Steinmeier MO DAY YEAR Mailing Address 309 Fireside Dr. $ 75.00 City State Zip Code(Plus 4) 5 26 2017 Camp Hill PA 17011 Full Name of Contributor MO DAY YEAR Elaine Strokoff Mailing Address 2844 Skyview Drive 100.00 City Camp Hill State Zip Code(Plus 4) 5 12 2017 PA 17011 Full Name of Contributor MO DAY YEAR Wendi Taylor Mailing Address 435 Parkview Ct. 75.00 City Camp Hill State Zip Code(Plus 4) 5 26 2017 PA 17011 6/10/2017 4:52:00 PM PAGE 11 Full Name of Contributor MO DAY YEAR Debra Wallet Mailing Address 450 Allenview Dr. $ 75.00 City State Zip Code(Plus 4) 6 4 2017 Mechanicsburg PA 17055 Full Name of Contributor Evelyn Warfield MO DAY YEAR Mailing Address 436 Bethany Drive $ 75.00 City Mechanicsburg State Zip Code(Plus 4) 5 26 2017 PA 17055 PAGE TOTAL Enter Grand Total of Part A on Schedule I,Detailed Summary Page,Section 2. $ 4,118.00 6/10/2017 4:52:00 PM PAGE 12 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 from Over $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR Mailing Address 0.00 City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Part C on Schedule I,Detailed Summary Page,Section 3. $ 0.00 6/10/2017 4:52:00 PM PAGE 13 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 CUMBERLAND CO DEM COM From: 5/1/2017 To: 6/5/2017 DATE AMOUNT Full Name of Contributor MO DAY YEAR Cecilia Viti Mailing 133 W. Locust St.,Apt 203 Address $ 400.00 City State Zip Code(Plus 4) 6 4 2017 Mechanicsburg PA 17055 Employer Name Cecilia Viti Occupation retired Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 133 W.Locust St.,Apt 203 Mechanicsburg PA 17055 PAGE TOTAL Enter Grand Total of Part C on Schedule I,Detailed Summary Page,Section 3. • 400.00 6/10/2017 4:52:00 PM PAGE 14 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. Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From: 5/1/2017 To: 6/5/2017 DATE AMOUNT Full Name Min Karate MO DAY YEAR Mailing Address46 W. Louther St., 2nd Floor $ 800.00. State Zip Code(Plus 4) City Carlisle 5 19 2017 PA 17013 Receipt Description rent Full Name Min Karate MO DAY YEAR Mailing Address 46 W. Louther St, 2nd Floor 800.00 State Zip Code(Plus 4) City Carlisle 6 5 2017 PA 17013 Receipt Description rent PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. 1,600.00 6/10/2017 4:52:00 PM PAGE 15 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 Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From: 5/1/2.017 To: 6/5/2017 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 0.00 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the Reporting Period (2) $ 0.00 3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reporting Period (3) $ 0.00 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.) 0.00 6/10/2017 4:52:00 PM PAGE 16 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. 0.00 6/10/2017 4:52:00 PM PAGE 17 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address 0.00 City State Zip Code(Plus 4) Employer of Contributor Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution Business 4) PAGE TOTAL Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed Summary Page,Section 3. 0.00 6/10/2017 4:52:00 PM PAGE 18 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period CUMBERLAND CO DEM COM From 5/1/2017 To: 6/5/2017 DATE AMOUNT To Whom Paid MO DAY YEAR Google Mailing Address 1600 Amphitheatre Parkway 5 3 2017 $ 20.83 City State Zip Code(Plus 4) Description of Expenditure Mountain View pt Pe CA 94043 Google docs To Whom Paid MO DAY YEAR Google Mailing Address 1600 Amphitheatre Parkway 6 2 2017 $ 20.83 City Mountain View State Zip Code(Plus 4) Description of Expenditure CA 94043 Google docs To Whom Paid MO DAY -YEAR Nationwide Insurance Mailing Address p O. Box 10479 5 3 2017 S 261.21 City Des Moines State Zip Code(Plus 4) Description of Expenditure IA 50306 insurance premium To Whom Paid MO DAY YEAR Nationwide Insurance Mailing Address P.O. Box 10479 6 2 2017 $ 261.21 City Des Moines State Zip Code(Plus 4) Description of Expenditure IA 50306 insurance premium To Whom Paid MO DAY YEAR Vonage Mailing Address 23 Main St. 5 3 2017 141.46 City Holmdel State Zip Code(Plus 4) Description of Expenditure NJ 07733 telephone 6/10/2017 4:52:00 PM PAGE 19 To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 5 3 2017 $ 9.36 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee To Whom Paid MO DAY YEAR USPS Mailing Address 66 W. Lowther St. 5 4 2017 $ 76.00 C'tY Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17013 P.O. box renewal To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 5 8 2017 1.62 Zip Code(Plus 4) Description of Expenditure C'� Somerville State MA 02144 service fee To Whom Paid MO DAY YEAR Square,Inc. Mailing Address 1455 Market St. 5 8 2017 $ 3.65 City San Francisco State Zip Code(Plus 4) Description of Expenditure CA 94103 service fee To Whom Paid MO DAY YEAR Staples Mailing Address 128 S. 32nd St. 5 8 2017 $ 246.70 Zip Code(Plus 4) Description of Expenditure C'� Camp Hill State PA 17011 supplies To Whom Paid MO DAY YEAR Staples Mailing Address 128 S. 32nd St. 5 10 2017 $ 48.63 City Camp Hill State Zip Code(Plus 4) Description of Expenditure PA 17011 supplies 6/10/2017 4:52:00 PM PAGE 20 To Whom Paid MO DAY YEAR Borough of Carlisle Mailing Address 53 W.South St. 5 9 2017 $ 84.09 City CarlisleState Zip Code(Plus 4) Description of Expenditure PA 17013 taxes To Whom Paid MO DAY YEAR Mechanicsburg Chamber of Commerce Mailing Address 6 W.Strawberry Alley 5 1 2017 $ 260.00 State Zip Code(Plus 4) Description of Expenditure City Mechanicsburg PA 17055 Jubilee Day registration To Whom Paid MO DAY YEAR Toshiba Financial Service Mailing Address P.O.Box 642111 5 11 2017 $ 331.25 City Pittsburgh State Zip Code(Plus 4) Description of Expenditure PA 15264 copier service To Whom Paid MO DAY YEAR USPS Mailing Address 66 W. Louther St. 5 16 2017 $ 170.40 CitY Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17013 postage for mailing To Whom Paid MO DAY YEAR PPL Mailing Address 827 Hausman Rd. 5 22 2017 $ 59.85 City Allentown State Zip Code(Plus 4) Description of Expenditure PA 18104 electric To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 5 30 2017 $ • 3.91 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee 6/10/2017 4:52:00 PM PAGE 21 i To Whom Paid MO DAY YEAR Comcast Cable Mailing Address 399 Baltimore St. 5 30 2017 $ 105.85 City Shippensburg State Zip Code(Plus 4) Description of Expenditure PA 17257 cable/internet To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 5 31 2017 $ 17.33 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 6 1 2017 $ 5.76 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee To Whom Paid MO DAY YEAR Square, Inc. Mailing Address 1455 Market St. 6 5 2017 $ 25.93 City San Francisco State Zip Code(Plus 4) Description of Expenditure CA 94103 service fee To Whom Paid MO DAY YEAR Square,Inc. Mailing Address 1455 Market St. 6 5 2017 $ 11.58 City San Francisco State Zip Code(Plus 4) Description of Expenditure CA 94103 service fee To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 6 5 2017 3.32 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee 6/10/2017 4:52:00 PM PAGE 22 s " To Whom Paid MO DAY YEAR ActBlue Mailing Address 366 Summer St. 6 5 2017 S 15.98 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service fee PAGE TOTAL Enter Grand Total of Expenditures on Page 1,Report Cover Page,Item D. 2,186.75 6/10/2017 4:52:00 PM