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