HomeMy WebLinkAboutFriends of Jim Hertzler - 2017 30-Day Post Election li
Ftrset Form j Flint Form
Commonwealth of Pennsylvania-(ampaig1 Finance Report
(Note:This report must be dear and legible.It should be typed)
Filer Identification Report Fled By Candidate (brrxmittee \ fabbyist —
Number (Mark X) n
Name of Fling Committee,Candidate or
Lobbyist Friendsof Jm Hertzler
Street Address P.O.Box 43
Oty Enda PA PA ap°3de 17025 •
Type of Fbport(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 *edal 21°Friday $redal 30 Day
Re-Primary Re-Rimary Primary Pre Stadion Re Rection Bedion Pre Bedion Prrst Radion
X
Date Of Rection Year Amendment Termination
(MM/DLYYYYY) 11/07/2017 2017 Report }import
summary of Receiptsand From Date To Date For Office Use Only
Expenditures
10/24/2017 11/27/2017
A.Amount Sought Forward From last Fbport $ 1598.88
B Total Monetary(bntributionsand Receipts $ is = o
(From 9*iedule I) co o
C Total FmdsAvailable $
1599.04 m rn
(San of LinesA and B) 2j
D.Total Expenditures $ j I
(FromSi
iedule III) 461.95 -.I
E Ending Cash Balance $ CJ -v
(9ibtract Line D from Line A 1137.09 C-)
om.•
F.Value of In-Kind CxrtributionsRec.:ceived $ 0 N
9iiedule II)
z 2,' npaid Debtsand Obligations $ --< co
z —
a u •(Rom Sofredute IV)
y = 0
c) Mfidavit 9 Sion
z a•c U. 1-If this is a Committee report,treasurer sign here.If this is a Qmdic(ate report,candidate sign here.
z ,:o t Zl smear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete.
a N 2 a t••,.rn to and subscribed before me this /
LL E. , +h17
oar - .�S .
_ , c U w _'! say of : /G 20 ._.a._ 1.
n- a m o c - / M �Sgniatureof iirson't`i_ngr
Q r- m o o " ./ i ! L// • 1 \��I,�w 1'• �(0.Y1C r`0.
O •
3 z m co . _,; 9gature Printed Name
E
O UtayCbmmissione�iresa5 -0 - lei ` l) 6oa
—069
O U ° MO. DAY 1R Area(Ade Daytime Telephone Number
c)
Fit II-If this is a report of a te'sAuthorizedCom ittee,candidateshallsignhere. •
I swear(or affirm)that to the best of my knowledge and belief thispolitical committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as
amended.
SNorn to and subscribed before me this -t
1+6 day of 20 � f •
9gnaturofidate
A _, . . 4O _ _ . . ., 4,414.12 ,r,„..,„
)£44147-2 C- -
9gnaturep( 7 1 Printed Name
My Commission expires VANIA -7/ ^� 10
t AL
- Area axle Telephone Number
MEGAN IE skis..
•
1loluy Public
RUSI.E BDRO,CUMBERLAND COUNTY 1L
My Commission Expires Jan 14,2019
• a
WHEDULEI
Gbntributionsand Receipts
Detailed Rummy Page
Rler Identification Number I
1.Unitemiaed(bntributionsand Reaeipts$50.00 or temper Contributor
Total for the reporting period (1) $ o
2.(britnbutionsof$50.01 to 5250.00(From
Part A and Part El)
Contributions Received from Fblitical Cbmmittees(Part A) $ 0
All Other Cont ributions(Part B) $ o
Total for the reporting period (2) $ 0
3.ContributionsOver$250.00(From Part Cand Part D)
Contributions Fbceived from Fblitical Cbmmittees(Part Ca $ 6
All Other Cbnt ributions(Part D) $ o
Total for the reporting period (3) $ 0
I4.Other Receipts-Refunds,Interest Gamed,Returned Chedcs ETC(From Part E)
Total for the reporting period (4) $ .16
Total Monetary Cbnt ribut ions and Fbceipts during this report i ng period(Add and $
enter amount totals from fixes 1,2 3 and 4;also enter this amount on Page 1,Wort 16
Qrver Page,Item B)
PART E
Other R3ceipts
REFUNDS INTRESiINCOME FiETURN®C?i&ETC
Use this Part to report refunds received,interest earned,returned chedcs and prior expendituresthat were returned to the filer.
Fier Identification Number:
Full Name
Ameridioice Federal aedit Union
House# 2175 Rfeet Addressl Bumblebee Hollow Fbad
aty Rate Zip Date[MM/DD/YYYYJ $
Mechanicsburg PA Code 17055 10/31/2017 .16
Receipt Description
Interest Income
Full Name
Ham# Street Addres1
City State 2ip Date[MM/DIY WWI $
O de
Receipt Description
Full Name
House# RreetAddres1
aty Rate bp Date[M M/Dal YYYYJ $
Code
Receipt Description
RAI Name
House# Rivet Address
City State Zip Date[MM/DD/YYYYJ $
Code
Reoeeipt Description
RAI Name
House# Rivet Address
City I Rate bp Date[MM/DD/YYYYJ $
Oade
Receipt Description
Rill Name
House# Street Addresj
City I Rate Zip Date[MM/DD/YYYYJ $
Code
Receipt Desiiption
93-IEDULEin
Statement of Expenditures
Filer identification Number:
To Whom Paid Date[MM/DD/YYYYJ $
,kmesHertzler 461.95
11/10/2017
House# 920 Street Addresl S uth Homer Street Description of 6q)enditure
Zp
Enola Iaty sate PA Coda 17025 F imbursement for Fbbocalls
To Whom Paid Date[MM/DQ'WYVJ $
House# Rreet Address' Description of B:penditure
aty Rate Zp
Code
To Whom Paid Date[MM/DLYYYYYJ $
House# Rreet Address Description of Bcpenditure
City Sate Zp
Code
To Whom Paid Date[MM/DO/YYYYJ $
House# Rreet Address) Description of Expenditure
City Rate Zip
Code
To Whom Paid Date[MM/DDrYYYYJ $
House# Rreet Andre Description of 6 penditure
City Sate Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Rreet Addres3IDescription of Expenditure
City Sate Zip
(ode
To Whom Paid Date[MM/DD/YYYYJ $
House# Rreet Addresl Description of Bcpenditure
City I Rate Zp
Code
To Whom Paid Date[MM/DD/YYYY] $
House it Street Address Description ofEcpendittre
City Rate Zp
(ode