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Home My WebLink AboutFriends of David Beasley - 2017 30-Day Post Election IISReset Form j Print Form I Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friends of David Beasley Street Address 409 Herman Ave • City' Lemoyne State PA Zip Code 17043 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6"'Tuesday S_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 1 X Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/07/2017 2017 Report Report X Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/24/2017 11/27/2017 A.Amount Brought Forward From Last Report $ 2,363.9 B.Total Monetary Contributions and Receipts $ o 318.56 (From Schedule I) .�, C.Total Funds Available $ Co — 2,682.46 m rn (Sum of Lines A and B) 7 c7 D,Total Expenditures $ r— I (From Schedule III) 2,682A6 C!7 E.Ending Cash Balance $ —0 (Subtract Line D from Line C) 0 C) F.Value of In-Kind Contributions Received $ C W (From Schedule II) 368.16 " G.Unpaid Debts and Obligations $ < (From Schedule IV) 0 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,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subs 'bed before me this 9I/ dayo L(.710c/i.20 /7 rntia Pso uit/ vyort COMMONWEALTH OF NSYLVANIA Signature Printed Name NOTARIAL S Al. • (' 15 do,00NNAKHOPE 111 V,YOSci My Commission expires MO. Da Y Notary Public DAMP HILU BORO,CUMBERLAND COUNTY rea Code Daytime Telephone Number My Convpiscioelrpiras Mar IS ?019 Part II-If this is a report of a candidre. 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. Sworn to and subscribed before me this 4714 day of PL a?'C1u- 20 / 7 Sign re Candidate / dc� sl� Signal Printed Name ' My Commission expires VANIA. '717 6 el v7"/ 61e7g "'' `$ )TARIAAEAL Area Code Daytime Telephone Number DONNA K HOPE Notary Public CAMP HILL BORO,CUMBERLAND COUNTY My Commission Expires Mar 15,2019 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number I I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 318.56 Total for the reporting period (2) $ 318.56 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) 5 0 All Other Contributions(Part 1D) $ 0 Total for the reporting period (3) $ 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 318.56 PART B All 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: 1 Full Name of Contributor Date[MM/DD/YYYYJ $ Susan Stuart 200 10/21/2017 House# Street Address Date[MM/DD/YYYYJ $ 200 N Front St City State Zip Code Date[MM/DD/YYYY] $ Wormleysburg PA 17043 Full Name of Contributor Date[MM/DD/YYYYJ $ , Far Amusements&Properties 11/03/2017 118.56 House# Street Address Date[MM/DD/YYYYJ $ 417 West Main St City State Zip Code Date[MM/DD/YYYY] $ Hummelstown PA 17036 Full Name of Contributor Date[MM/DD/YYYY]_ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City ' State ' Zip Code Date[MM/DD/YYYY] $ 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 Filer Identification Number: I 1. UNITEM1ZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR 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) $ 114.19 I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I TOTAL for the reporting period (3) $ 253.97 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) 368.16 SCHEDULE H PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 I filer Identification Number: I Full Name of Contributor Date[MM/DD/YYYYI $ Patty Beasley 11/06/2017 114.19 House# Street Address Date[MM/DD/YYYYJ $ 409 Herman Ave City State Zip Code Date[MM/DD/YYYYj $ Lemoyne PA 17043 Description of Contribution Poll Hand Outs Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYj $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 filer Identification Number: I Full Name of Contributor Date[MM/DD/YYYYJ $ Tiffany Mutzabaugh 10/17/2017 253.47 . House# Street Address Date[MM/DD/YYYYJ $ 36 Hoke Farm Way City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Employer.Name Cccu hon Hazen Law Group Paralegal Employer Mailing Address/Principal Description Place of Business 2000 Lingelstown Rd,Suite 202,Harrisburg PA 17110 of signs Contribution Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address Date[MM/DD/YYYY] $ City ' State I 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/YYYYJ $ House#` Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYYJ $ 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/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures I Filer Identification Number: I To Whom Paid Date[MM/DD/YYYY] $ Ream Printing Company Inc 11/04/2017 1,391.23 House# Street Address Description of Expenditure PO Box 2891 City p York State PA Code 17405 Mailer To Whom Paid Date[MM/DD/YYYY] $ Ream Printing Company Inc 1,291.23 11/11/2017 House# Street Address Description of Expenditure PO Box 2891 City York State Zip PA 17405 Mailer Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYj $ House# Street Address , Description of Expenditure City State Zip Code To Whom.Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYj $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYj $ House# Street Address Description of Expenditure City State Zip Code