HomeMy WebLinkAboutGossert, Michael - 2017 30-Day Post Election liii 1 r Reset Form f Print Form a
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 Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Michael H.Gossert
Street Address 690 Crooked Stick Drive
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 4-6thTuesday 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/YYYY) Report Report
Summary of Receipts and From Date ` To Date For Office Use Only
Expenditures
10-26-17 11-7-2017
A.Amount Brought Forward From Last Report $ 0
() N
B.Total Monetary Contributions and Receipts $ o C
(From Schedule I) M --'
ED o
C.Total Funds Available - $` 0 171rn
(Sum of Lines A and B)
r— I
D.Total Expenditures : $ 3: ul
(From Schedule III) 286.00
E.Ending Cash Balance ' $- "v
MC
(Subtract Line D from Line C) 0 D
F.Value of In-Kind Contributions Received $ C w
(From Schedule II), ..` .. 490.00 - L)
G.Unpaid Debts and Obligations $ COIAONViaLTH OF PFNSYLVAN
(From Schedule IV) 0 NOTARIAL SEAL
Ramle... . 'ivne mN"",Public
Affidavit Section Silver Sprivg Trp-CumMila'd County
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. M micsinn Expires Feb 24,201E
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct�NSTLYANIA A;soCiMTIOM or NOTA
Sworn to nd subscribed
before me this
_____/_day of rxcy y2on_ `�
Signature of Per/n Submitting report
dial ael H Gossert
Signature � Printed Name
My Commission expires o? -a//r o20/8�+ 717 303-6465
MO. DAY YR. Area Code Daytime 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.
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
./
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] $
Hampden Township Republican Association 490.44
10-31=17
House It Street Address Date[MM/DD/YYYY] $
P.O.Box 283
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Description of Contribution Campaign Flyers and Mailer
Full Name of Contributor Date[MM/DD/YYYY] $
House It Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description 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] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House It Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description 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] $
Description of Contribution
SCHEDULE III
Statement of Expenditures
IFiler Identification Number: I
To Whom Paid Date[MM/DD/YYYY] $
Just Signs 134.00
10-31-17
House# Street Address Description of Expenditure
4880 A6 Distribution Ct
City Orland State FL Code 32822 Yard Signs
To Whom Paid Date[MM/DD/YYYY] $
Quantum Communications 112.00
House# Street Address Description of Expenditure
123 State Street
City Zip
Harrisburg State PA Code 17101 Robo Call
To Whom Paid Date[MM/DD/YYYY] $
House It Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
Facebook 40.00
House# Street Address Description of Expenditure
f On line
City State Zip
Code Facebook Campaign Page Boosting
To Whom Paid Date[MM/DD/YYYY] $
House it 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/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code