The URL can be used to link to this page

Home My WebLink AboutFriends of Nate Silcox - 2017 30-Day Post-Primary 1 p Flvset Form Print Form 1UIll Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification ( I Report Filed By I Candidate 1Committee I `-c/ Lobbyist ' Number I (Mark X) I I — I/ I I Name of Filing Committee,Candidate or Lobbyist Friends of Nate Silcox Street Address P.O.Box 882 City I Camp Hill State I PA l I Zip Code 117011 Type of Report(Place x under report type) 1-6t Tuesday 12- 2nd Friday 13-30 Day Postl4-6'h Tuesday s-2"d Friday 16-30 Day Post 17-Annual I Special 2nd Friday I Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Pon-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/16/20172017 Report Report I I 1 Summary of Receipts and From Date To Date For Office Use Only Expenditures 5/1/2017 6/5/2017 C) Q A.Amount Brought Forward From Last Report $ 17,873.38 C B.Total Monetary Contributions and Receipts $ W C_ (From Schedule I) 1'850'00 = C.Total Funds Available $ 19,723.38 r' n, (Sum of Unes A and B) D.Total Expenditures $ CD —d 2,206.90 (From Schedule III) E.Ending Cash Balance $ `, 17,516.48 C N (Subtract Line D from Line C) �'�. F.Value of In-Kind Contributions Received $ .� N (From Schedule II) 559.90 G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here.if this is a Candidate report,candidate sign ,ere. 1 swear(or affirm)that this report,including the attached schedules on paper,is to the best of m no edge and belief true,correct and complete. Sworn to and subscribed before me this A '7 d yof L.)...kik-e- 20 • I �� . nature of Pey�n Sugqmmi I report (q NIG//� Signature ....) rioted Namem. 1- t My co ....,!-x;.!r.:., IT•.,�.,F P , SYLV• r 717 4)SY —/`(3J NoMtiai SealDAY YR. Area Code Daytime Telephone Number Adam C. Wagner, Notary Public Part 11-;f of Me..f a ::•ifF ' .•.Vcsiii7C,mmittee,candidateshallsignhere. 1 swea •• -•• ,•belief this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as • •-1-A. .. .:ATI•N OF NOT£RIES - amended. - Sworn to and subscribed before me this t,.--•--- day of Q 0A1.-- 20 11 Signature of Candidate Signature I • Printed Name • My Commission expires / £ ' i -1,-7 ()LIQ- ZO g-s- MO. DAY YR. Area Code Daytime Telephone Number COMMONWEALTH OF PENNSYLVANIA Notarial Seal Adam C. Wagner, Notary Public City of Harrisburg, Dauphin County My Commission Expires Dec. 2, 2017 MEMBER.PENNSYLVANIA ASSOCIATION OF NOTARIES 411$1 SCHEDULE I Contributions and Receipts Detailed Summary Page - Filer Identification Number I I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor !I Total for the reporting period (1) I $ 575.00 I 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 150.00 All Other Contributions(Part B) $ 1,125.00 Total for the reporting period (2) $ 1,275.00 3.Contributions Over$250.00(From Part C and Part D) 1 . 1 Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Totai for the reporting period (4) ' $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,Z 3 and 4;also enter this amount on Page 1,Report 1,850.00 Cover Page,Item B) 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. Fifer Identification Number Amount I Full Name of Contributing I I Date[MM/DD/YYYY] I $ I Committee Glen Grell for House Committee 150.00 04/30/2017 House# Street Address Date[MM/DD/YYYY] $ 5445 Margaret Circle City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributing Date[MM/DD/YYYY] $ Committee I House# Street Address Date[MM/DD/YYYY] $ City I State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# I 'Street Address' Date[R!M/DD/`YYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address) Date[MM/DD/YYYY] $ I I City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing I Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City ' State ' Zip Code Date[MM/DD/YYYYI $ Full Name of Contributing i Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State I Zip Code Date[MM/DD/YYYY] $ I I I l I 1 PART B An 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.) Filer Identification Number. Full Name of Contributor Date[MM/DD/YYYYJ $ Keith Brenneman 5/2/2017 175.00 House if ` Street Address' Date[MM/DD/YYYY] $ {5908 Stephens Crossing I _ I City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor I Date(MM/DD/YYYY) $ ILouisa Gaughen 5/5/2017 150.00 House# Street Address Date[MM/DD/YYYY] $ 55 Tuscany Court Cit y- - -Camp Hill State nit,s.00 --Dais j{'rii�JDDi r r r r: $ PA 117011 Full Name of Contributor Date[MM/DD/YYYY] $ Ronald Lucas 5/10/2017 100.00 1 House# Street Address Date[MM/DD/YYYY] $ 1935 1935 Monterey Drive City State I Zip Code Date[MM/DD/YYYYJ $ Mechanicsburg PA 17050 I _ J Full Name of Contributor Date[MM/DD/YYYYJ $ W.Greg Rothman 150.00 5/10/2017 House# + 'Street Address Date[MM/DD/YYYY] $ 13 (I I Lemoyne Drive City State Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 Full Name of Contributor i Date j /DD/YYY`:] $ I Richard Stewart 5/4/2017 150.00 House# I Street Address Date[MM/DD/YYYYJ $ 1811 Warren Street City State Zip Code Date[MMJDD/YYYYJ $ New Cumberland PA 17070 Full Name of Contributor I Date[MM/DD/YYVY] $ I5/10/2017 Michael Verber House# Street Address Date[MM/DD/YYYY] $ Market Street City I 3920 State I Zip Code Date[MM/DDJYYYY] $ 150.00 - I Camp Hill I PA I l 17011 ' SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS REC!EVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE Filer Identification Number: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 35.00 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) I $ 559.90 I 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ I 0 TOTAL TRTOURING REPORTING I $ I PERIOD(AddVALUE andOF enterIN-KIND amountCONtotals IfromNS Db oxes 1THIS,2,and 3;PalsoTINenter on Page 1,Report Cover Page,Item F) I 1559.90 4t 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] $ Raymond Bromley 5/10/2017 100.00 House# City ( Street Address Date[NiNijDDjYYYYj 5 Houston Drive I State I Zip Code Date[MM/DD/YYYY) $ Mechanicsburg PA 17050 Description of Contribution 1 Use of facility Full Name of Contributor Date(MM/DD/YYYY] $ 1 William Kokos 5/10/2017 84.80 House# Street Address Date[MM/DD/YYYY] $ 2 Bittersweet Lane City State Tip Code Date[MM/DD/YYYY] $ M_ erhanicsburg PA 17050 I I l Description of Contribution Food Full Name of Contributor ( Date[MM/DD/YYYY] I $ Albert Kominski 71.10 5/10/2017 House# Street Address Date[MM/DD/YYYY] $ 5008 Greenwood Grcle City State I I Tip Code I Date[MM/DD/YYYY] $ Enola IPA I 1 17025 Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ I Nathan Larsen 05/10/17 t '00 House# Street Address Date[MM/DD/YYYY] $ 35 W.Main Street city I State I Z^Ce--ie I Date[f1.4.M/DD/YYY;n $ r J Mechanicsburg PA r l 17055 1 I Description of Contribution Wine Tasting I Full Name of Contributor i Date[MM/DD/YYYY] $ I James Silcox,Jr. 05/10/2017 100.00 House# Street Address Date[MM/DD/YYYY] $ 915 Mateo,Unit 305 City ' State ' 25p Code -Date[MM/DD/YYYY] $ Los Angeles CA 90021 Description of Contribution Music SCHEDULE III Statement of Expenditures Filer identification Number. ,� _ I .. ......., r i 4 To Whom paidDate L�f�v'�/DD!T T T-TJ -+� Quantum Communications I i 615.70 05/10/2017 House# Street Address Description of Expenditure 123 State Street fit_y I State I 1 7h I IHarrisburg IPA I Code 17101 Campaign Literature To Whom Paid Date[MM/DD/YYYYJ $ Artistic ImprintsN 1,060.00 05/10/2017 Homo.!! �.�s Address Description of Ev wnditure . 1823 I St.Johns Church Road City e Camp Hill State PA Zip HTVRC T-Shirt Sponsorship To Whom Paid Date jMM/DD/YYYYI $ -The Copy Shop 05/15/2017 - 270.30 House# Street Address Description of Expenditure t 12 S.Third Street City I Harrisburg State IPA CZode I 17101 Election Day literature To Whom Paid Date[MM/DD/YYYY] $ Friends of Dale Sabadish 100.00 05/15/2017 House#I Street Address Description of Expenditure 1 5 Surrey Lane 1 - -I City e Mechanicsburg State PA Code 17050 Campaign Donation To Whom Paid 1 Date[MM/DD/YYYY) $ I Nathan SilcoxOS/70!17 l 160.90 House# Street Address Description of Expenditure 1427 Inverness Drive City State Zip Mechanicsburg PA Code 17050 Food/Supplies Reimbursement To Whom Paid Date jMM/DD/YYYYJ $ House#I Street Address Description of Expenditure City I State . Zip Code To Whom Paid Date[MM/DD/YYYY] $ House#1 1Street Addressl Description of expenditure' City State Zip Code I To Whom Paid Date[MM/DD/YYYYJ 1 $ 1 House# Street Address Description of Expenditure JI City I State I I ZipI I Code I 1 I I