HomeMy WebLinkAboutEast Pennsboro Democratic Club - 2017 2nd Friday Pre-Election S
IIIc Iot Form I Print Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be dear and legible.It should be typed)
Filer Identification Report Fled By Candidate CommitteeLobbyist
Number 2004261 (MarkX) X
Name of Fling Committee,Candidate or
Lbbbyid Fast F2nnsboro Democratic Club
greet Address P.O.Box 63
l" Enola aate PA Zip Qde 17025
Type of F bport(Race 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 medal 2"d Friday Speclat 30 Day
Fre-Primary Pre-Primary Primary Pre-Rection Pre-Election Bedion Pre-Eled ion Post-Election
II x
Date Of Bedion Year Amendment Termination
(MM/DD'YYYY) 11/07/2017 2017 Report •
3tmmary of FLaceiptsand From Date To Date For Office Use Only
Expenditures '
06/06/2017 10/23/17
A.Amount Brought Forward From Last Report $ 111.30
•
C)
H Total Monetary Cbntributionsand Fleaeipts $ 3168 •
• o
(From Htedule I) CO --a
C Total FmdsAvailable $ m c7
(aim of LinesA and q 4279.30 _,
D.Total Expenditures $ 1827.72 Z C..)
(From at�edule III) C)
CD
E Ending( Balance $ -',
(aibtrad Line D from Line q 2451.58 0
F.Value of In-Kind GbrttributionsReoeived $ ..
(From afiedule II) 32250 -4 —
G Unpaid Debtsand Obligations $ IN
(From aitedute IV) 1000
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,induding the attached schedules on paper,is to the be of my knowledge and belief true,coned and complete.
Sworn to and subscribed before me this /
M!., :,EAaL sFPENN'so ,'•.`tLt.;_ &%//.r[ /,. Jlfr� ' -/✓i ,
s OT ,• SEAL9ghature of rsobm '-.report
-.r .I•iota - M/�I� n atmn(Wrc,n[ �►n k
' a ,%'en sbo : umberland County Printed Name
y Commission Ex ;res May. :.,20 1 ( i n `80�'1_ q oe /�
f�• ,• . „"'^••ti�.x'.?'7�rr,rr�r•rsrr=.' 1 ( oC / fC�
MO. DAY 1•R Area(ode Daytime Telephone Number
Part II-If this is a report of a Candidate'sAuthorfaed Committee,candidate shall sign here.
I swear(or affirm)that to the be of my knowledge and belief thispolitical committee has not violated any provisions of the Ad of dine 3,1937(P.L 1333,NO.320)as
amended.
SNorn to and subscribed before me this
day of 20
Sgnature of Candidate
8gmature Printed Name
MyCbmmission expires
MQ DAY YR Area(ode Daytime Telephone Number
V
SZHEDULEI
Cott ributions and Receipts ,
Detailed 31mmary Page
Fier Identification Number 1
12004261
I1.Unitemized Contributionsand Ffeaeipts$50.00 or Less per Contributor
Total for the reporting period (1) $
1,418
12.Wntnbutionsof$50.01 to 52.50.00(From I
Part A and Part
Contributions Ftceived from Fblitical Cbmmittees(Part A) $ U
All Other Cbntributions(Fart B) $ 750
Total for the reporting period (2) $ 750
13.Contributions Over$250.00(From Part Cand Part D) I
Contributions Ftaceived from Political Committees(Part Q $ 0
All Other Cbnt ri but ions(Part D) $ 1000
Total for the reporting period (3) $ 1000
4.Other 1:1eoeiptsFt4unds Interest Earned;Fttumed(hedcs ETC(From Part E) I
Total for the reporting period (4) $ 0
Total Monetary Cbnt ri but ions and Paceipts during this reporting period(Add and $
enter amount totals from Ebxes 1,2,3 and 4;also enter this amount on Page 1,f;bport
Cbver Page,Item 6, 3,168
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other oontri burials with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributionsfrom political committees reported in Part A.)
Rler Identification Number:
2004261
Full Name of Contributor Date[MM/DIY YYYYJ $
Rdt Fbvegno 10/10/2017 100
House# StreetAddressDate[MM/D(YYYYYJ $
112 I Spring Farm Orde
Qty Rate Zip(bole Date[M M/DD/YYYYJ $
C2rlisle PA 17013
Full Name of Contributor Date[MM/DLYYYYYJ $
,brome Wood 09/11/2017 250
House# Rreet Address Date[M M/DDr YYYYI $
928 AaiFbad
City Rate Zip 03de Date[MM/DO'YYYYJ $
Mechanicsburg PA 17050
Full Name of Cbntributor Date[MM/DD/YYYY] $
Fbn Griffith 09/11/2017 100
Hasse# Rreet Addrel Date[MM/DD/YYYYJ $
413 First 3reet
City Rate ZpQxie Date[MM/DDrYYYYJ $
Simmerdale PA 17093
Full Name of Contributor Date[MM/DLYYYYYJ $
Alida Sine 100
09/11/2017
House# greet Address! Date[MM/DDrYYYYJ $
1 Windswept Way
City Rate bp(bde Date[MM/DD'YYYYJ $
Camp Ifill PA 17011
Full Name of Contributor Date[MM/DD(YYYYJ $
•
Char Magaro 100
09/18/2017
House# RreetAddresel Date[M M/DIY YYYYJ $
606 Magaro Fbad
Qty Rate by Code Date[MM/DO'WYV] $
Emla PA 17025
Rill Name ofContributor Date[MM/DD+YYYY] $
Debbie Lupoid 100
09/18/2017
Hasse# RreetAddrese4 Date[MM/DD/YYYYJ $
102 Salt Fbad
City Rate Zip Code Date[MM/DDrYYYYJ $
Enda PA 17025
PART D
All Other Gbntributions
Over$250.00
Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period
(6(dude oontributionsfrom political committees reported in Part()
Fier Identification Number:
2004261
Full Name of Contributor Date[MM/OD/YYYY] $
Henry Cbyne 500
10/02/2017
House# Street Addresi Date[MM/DD/YYYY] $
110 Fast Lauer lane
City Sate Zp Cbde Date[MM/DD/YYYYJ $
(imp 1611 PA 17011
Employer Cbyne and Cbyne PC Occupation Attorney
Employer Mailing Address/
Prindpal Place of iness 3901 Market greet,Camp 1611,PA 17011
Full Name of Contributor Date[M M/DD/YYYY] $
Lisa Marie Coyne 09/18/2017 500
House# greet Addresi Date[M M/D0/YYYY] $
3901 Market greet
City Sate Zip aide Date[M M/DD/YYYYJ $
(Drnp 1611 PA 17011
Employer Name
Coyne and(Dyne PC OOalpation Attorney
Employer Mailing Address/
Prindpal Race of Business3901 Market greet,Cbrnp 161l PA 17011
Full Name of Contributor Date[MM/DO'YYYYJ $
House# SreetAddress Date[MM/DD/YYYY] $
Oty Sate ZpCbde Date[MM/DD/YYYYJ $
Employer Name Ooatpation
Employer Mailing Address/
Prindpal Race of Business
Full Name of Ctxttributor Date[MM/DD/YYYY] $
House# Sreet Addresi Date[MM/DD/YYYY] $
Oty Sate 2ipQxle Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/
Prindpal Race of Business
SKiEDULEII
IN-14 ND OONTF BUT]ONS AND VAWABLE ml NGS FEC]EVE)
USE
THIS SCHEDULE TO FiEPORTALL IN-KIND QONTAIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PLOD
DETAILS SUM MARY PAGE
Filer Identification Number:
2004261
I1. UNITBVII2tD IN-KIND OONTFIBUT10NSFITHVED-VAWEOF$50,000REEC PEROONTRIBUTOR
TOTALfor the reporting period (1) $ 0
I2. IN-FIND OONTRIBU110NSFECT3VED-VAWEOF$50.01 TO$250.00(FROM PART F)
TOTALfor the reporting period (2) $
322.50
I3. IN-KIND CONTRIBUTION REORVED-VALLIEOVER$250.00(FROM PART G)
TOTALfor the reporting period (3) $ 0
TOTAL VAWEOFIN-KIND CONTRIBUTIONS DURING THISFH JRI1NG $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Fbport Cbver Page,Item F) 32250
SCHEDULE!!
PART F
In-Kind Contributions 143ceived
VALUEOF$50.01 TO$250
Fier Identification Number:
2004261
Full Name ofCbntributor Date[MM/DD/YYYYJ $
.Dome Wood 10/07/2017 131.75
House# StreetAddress Date[MM/DO'YYYYJ $
928 Aai Fbad
City State Zip Cade Date[M M/DD/YYYYJ ' $
Mechanicsburg PA 17050
Description of Contribution Rampkinfest applies
Full Name of Contributor Date[MM/DD/YYYYJ $
Matthew Franchak 10/08/2017 190.80
House# Street Address Date[MM/DD'YYYYJ $
17 LogansRin
City State Zip Code Date[MM/DD/YYYYJ $
Biala PA 17025
Description of Contribution Yard Sgn Stickers
Full Name of Contributor Date[MM/DD'YYYYj $
House# Street Address Date[MM/DD/YYYYJ $
(Ry State Zp03de Date[MM/DD/MY) $
Description of Contribution
Full Name of Contributor Date[MM/DDfYYYYJ $
House# StreetAddreg Date[MM/DD'YYYYJ $
(Ry I State Zip(ode Date[MM/DD/YYYYJ $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYYJ $
House# 9reetAddress Date[MM/DD/YYYYJ $
City sate Zp Code Date[MM/DQ'YYYYJ $
Description of Oantrib cation
UIEIII
Statement of Expenditures
Fier Identification Number:
2004261
To Whom Paid Date[MM/DO/MI $
East ibnnsboro Athletic Booster aub 150
09/05/2017
House it 425 Street Addres6 we Siady Lane Description of expenditure
City Ewla Sate PA bp
de 17025 Fall 4iorts Program Advertisement
To Whom Paid Date[MM/DD'YYYYJ $
Matthew Franchak 552
10/05/2017
House# 17 LoganStreet Address s Rpn Description of expenditure
Oty Emla sate PA Zip
17011 Yard 9gns Faimbursement
To Whom Paid Date[MM/DD/YYYYJ $
Fast Fbnnsboro 5porstmensAssodation 09/10/2017 250
House# Street Address Description of Expenditure
290City I Fine Hill Fbad Extension
Enols State PA ap
Oade 17025 Pavilion Fbntal for Fundraiser
To Whom Paid Date[MM/DD/YYYY] $
Matthew Franchak 78.40
08/22/2017
House# 17 Street Address Desoiption of egfenditure
9a,s Fbn
City Zip
Fnola Sate PA Cbde 17011 Fbstage Fbimbursement for Picnic Mailing
To Whom Paid Date[MM/DD/YYYYJ $
I4nhaus Marketing and Rinting 724.22
10/18/2017
House it 3544 Street Addres1(tY�ur t Fbad Description of Expenditure
9
City Zip
Camp Iill Sate PA Cbde 17011 Flyers
To Whom Paid Date[M M/DD/YYYYJ $
Harland aarke Checks 25.40
10/18/2017
Hoge# 15955 Street Address La aantera Parkway Description of Expenditure
Qty San Antonio I Sate TX Code 78256 Checks for Checking Account
To Whom Paid Date[M M/DD/YYYYJ $
Endes Trophies LLC 47.70
09/26/2017
Home it Street Address Description of expenditure
524 Sbuth Ecola Fbad
City Zip
Enola Sate PACode 17025 Lifetime Achievement Award Plaque
To Whom Paid Date[MM/DD/YYYY] $
House it Street Address Description of Expenditure
City Sate Zip
Ode
&}IWULEIV
Statement of Unpaid Debts
Use this53dion to itemize all unpaid debts and obligations are outstanding at the end of the reporting period.
Flex Identification Number:
2004261
Name of Qeditor Dr.,bhn Ibsha Outstanding Balance of Debt
House# gra Address DATE DEUR INCURRED $
7 Gale Orde [M M/DDfYYYYJ
05/02/2017
City C
(�rnp FEII Sate PA ode 17011 1,000
Description of Debt
Wan
Name of Qeditor Outstanding Balance of Debt
House# greet Addrel DATE DB3T INCURRED $
[MM/DD'YYYYJ
City Sate Zip
Code
DesQiption of Debt
Name of(}editor Outstanding Balance of Debt
House# greet Address DATE DEBT INCSJFfRB) $
[MM/DD'YYYYJ
City Sate Bp
Code
Description of Debt
Name of Qeditor Outstanding Balance of Debt
House# greet Addresi DATE DB3TINQJMBD $
[MM/DD'YYYYJ
(Sty Sate Zip
Code
Description of Debt
Name of Oeditor Outstanding Balance of Debt
House# greet Address DATE DEBT INCURRED $
[MW DDr YYYYJ
Qty Sate Zip
Code
Description of Debt
•
Name of Qeditor Outstanding Balance of Debt
House# Sreet Address DATE DB3T INCURRED $
[MM/DIY YYYYJ
(Sty Sate Zp
(Jude
Description of Debt