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HomeMy WebLinkAboutShaffner, Bud - 2017 30-Day Post-Primary II II Reset Form y 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 X Committee ri Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Bud Shaffner Street Address 9 Jamestown Square City Mechanicsburg State PA Zip Code 17050 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d 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 X Date Of Election Year Amendment Termination (MM/DD/MY) 5/16/2017 2017 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 5/1/2017 6/5/2017 A.Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ 0 C) 0 (From Schedule I) C.Total Funds Available $ w `' (Sum of Lines A and B) 0 r c D.Total Expenditures $ r--- (From Schedule III) 0 C.J E.Ending Cash Balance $ 0 p ann (Subtract Line D from Line C) C-} jr F.Value of In-Kind Contributions Received $ q �-� (From Schedule II) tg 1 $A(/� a C- - 50 G.Unpaid Debts and Obligations $ "i (From Schedule IV) 0 Affidavit Section - Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sig here. I swear(or affirm)t at this report,including the attached schedules on paper,is to the best of my kn.wledge and iefA ue, 0 ect and complete. Sworn to and subscri.-d before m: his • J / • day of 20 ; --xx�� '''',� ei - K4�Cn&re•.ii7xasr�n•re . — Signatur• Ale Name�. r /� -:%----------- My Commission expire _� ji‘ (J MO. lAY YR. •rea ode ' ime 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. Comrelor>1Wealh 0FPertr) {lvayua_: CLe—PA b•erlaid coa,i Sworn to subscribed before me this t. i 1 Vday of U4.k LL_ 20 l7P 1 ' / V. YUk- Si: ' ofv J•a ff aath tuAt_, YVIc f Signature � f�j Printed Name My Commission expires .c - (1 - a ob V ?I? a/57--.961 - MO. DAY YR. Area Code Daytime Telephone Number •MMONW ALTH OF P PIN YLVANIA • NOTARIAL SEAL • Kathleen T.Milone,Notary Public Silver Spring Tsrp.,Cumberland County My Commission Expires Feb.21.201$ • ' •ENN-R.PENNSYLVANIA ASSOCIATION OF NOTARIES 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: I I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) 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) SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Hampden Township Republican Association 5/12/2017 g House# 'Street Address Date[MM/DD/YYYY] $ P.O.283 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA Employer Name Occupation Employer Mailing Address/Principal Description nA Place of Business of 0 V`�'�i t Cr. Contribution 15-.1y Cf 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 Description • Place of Business 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] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business 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] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution