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Home My WebLink AboutBloom for the 199th - 2017 Annual Report PAGE 1 Commonwealth of Pennsylvania 11311111111®1111111111111111 Campaign Finance Report 274239 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification 2010108 Report CANDIDATE COMMITTEE LOBBYIST Number: I f Filed By : Name of Filing Committee,Candidate or Lobbyist: BLOOM, STEPHEN FOR THE 199TH COM Street Address: 2100 LONG GAP ROAD City: CARLISLE State: PA Zip Code: 17013-8651 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3. AMENDMENT Yes No 1/ REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No jeOd (place X to PRE-ELECTION ELECTION ELECTION REPORT? the right of report type) ANNUAL REPORT 7.X Year 2017 FILING METHOD PAPERDISKETTE ( )CHECK ONE Name of Office Sought byCandidate: DATE OF ELECTION District Office Party Code County 9 Number Code Code MO DAY YEAR REP 21 • 11 7 2017 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY Expenditures from: 1 1 2017 TO 12 31 2017 C c=:, ccs A.Amount Brought Forward From Last Report $ 22,432.98 r B.Total Monetary Contributions And Receipts(From Schedule I) $ 7,483.55 c) C.Total Funds Available(Sum Of Lines A and B) 29,916.53 7 __ ' D.Total Expenditures(From Schedule III) 18,540.91 �j C fV E.Ending Cash Balance(Subtract Line D From Line C) $ 11,375.62 !V F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00 G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 AFFIDAVIT SECTION - PART I-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 filed on paper or by electronic media 4,a/ve o ye t of y owledge and belief,true correct and complete. � �f t� Sworn to and subscribed befor is COMMONWEALTH Or P N SY e f Person ubmitting Report Sr-- da 20 / NOTARIAL SEA'P Karen S. Noel, Notarvl�l3i�i'Ii_ �- �'414 uib LJ Carlisle Borough, P' ted Name kignature Cumberlan.dCountyC Va,r' C0 4C1.35`T,i(/6T Ny ommission Expires MyCommissionExpires Z,4;013019. Email Sgli _lac 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 pr vi ' Oaf r of June 3,1937(P.1.1333, No 320)as amended. Sworn to and subscribed before a this ., .....--- Signature of Candidate day o—, I-It 1 I► 20 /8" COMMONWEALTH OF p5A-s ,qNQ 3(OCf /� NOTARIAL SEAL Printed Name dir Karen S. Noel, iNpptary Pp li t si•n. Carlisle l`t9+1-• ,o of�!''`c.: 1 .L0it, County Cumberland CountyEmail ) My Co mission Expires , My Commission Expired -!_8 $ i I•_ t+36 No DAY YR Area Code Daytime Telephone Number 1/29/2018 5:10:14 AM 0 PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2017 To: 12/31/2017 1.Unitemized Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 0.00 2.Contributions Received- $50.01 To$250.00(From Part A and Part B) Contributions Received From Political Committees(Part A) $ 4,000.00 All Other Contributions (Part B) $ 600.00 TOTAL for the Reporting Period (2) $ 4,600.00 3.Contributions Received Over$250.00(From Part C and Part D) Contributions Received From Political Committees(Part C) $ 2,883.55 All Other Contributions (Part 0) $ 0.00 TOTAL for the Reporting Period (3) $ 2,883.55 4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E) TOTAL for the Reporting Period (4) $ 0.00 Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount 7,483.55 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 1/29/2018 5:10:14 AM PAGE 3 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. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2017 To: 12/31/2017 DATE AMOUNT Full Name of Contributing Committee FOOD PAC (PA FOOD MERCHANTS ASSN) MO DAY YEAR Mailing Address PO BOX 870 $ 250.00 Ci State Zip Code(Plus 4) 4 26 2017 ty CAMP HILL PA 170110000 Full Name of Contributing Committee BIKERS PAC (BIKEPAC) MO DAY YEAR Mailing Address P 0 BOX 564 $ 250.00 Ci state Zip Code(Plus 4) 4 26 2017 tY MECHANICSBURG PA 17055-0000 Full Name of Contributing Committee PAA MO DAY YEAR Mailing Address 1925 N. FRONT STREET $ 250.00 City State Zip Code(Plus 4) 4 26 2017 HARRISBURG PA 17105 Full Name of Contributing Committee PA RESTAURANT&LODGING PAC MO DAY YEAR Mailing Address 100 STATE ST $ 250.00 Ci State Zip Code(Plus 4) 4 26 2017 ty HARRISBURG PA 171011034 Full Name of Contributing Committee CAPITAL BLUE PAC MO DAY YEAR Mailing Address PO BOX 60710 $ 250.00 CI State Zip Code(Plus 4) 4 26 2017 tY HARRISBURG PA 17106-0710 1/29/2018 5:10:14 AM PAGE 4 Full Name of Contributing Committee PENNSYLVANIA INSURANCE PAC MO DAY YEAR Mailing Address 1600 MARKET STREET STE 1720 $ 250.00 Cit State Zip Code(Plus 4) 4 26 2017 Y PHILADELPHIA PA 19103 Full Name of Contributing Committee UGI STATE PAC MO DAY YEAR Mailing Address 2525 N. 11TH ST $ 250.00 Cit State Zip Code(Plus 4) 4 26 2017 Y READING PA 19612 Full Name of Contributing Committee HIGHMARK PAC OF HIGHMARK INC MO DAY YEAR Mailing Address 1800 CENTER ST $ 250.00 City State Zip Code(Plus 4) 4 26 2017 CAMP HILL PA 17089-0000 Full Name of Contributing Committee PA ASSN OF MILK DEALERS(PAMD) MO DAY YEAR Mailing Address 240 N. 3RD ST $ 250.00 City State Zip Code(Plus 4) 4 26 2017 HARRISBURG PA 171010000 Full Name of Contributing Committee CERTIFIED PUBLIC ACCOUNTANTS PAC MO DAY YEAR Mailing Address 500 N. 3RD ST, STE 600A $ 250.00 Ci State Zip Code(Plus 4) 24 2017 ty HARRISBURG PA 17101 Full Name of Contributing Committee PPL PEOPLE FOR GOOD GOVT(PPLPGG) MO DAY YEAR Mailing Address 2 N 9TH STREET $ 250.00 City State Zip Code(Plus 4) 5 24 2017 ALLENTO W N PA 18101-0000 1/29/2018 5:10:14 AM PAGE 5 Full Name of Contributing Committee CHAMBER PAC MO DAY YEAR Mailing Address 417 WALNUT ST $ 250.00 Ci State Zip Code(Plus 4) 5 24 2017 ty HARRISBURG PA 17101 Full Name of Contributing Committee CHESAPEAKE ENERGY CORPORATION FED PAC MO DAY YEAR Mailing Address PO BOX 18496 $ 250.00 Ci State Zip Code(Plus 4) 5 24 2017 ty OKLAHOMA CITY OK 73154-0496 Full Name of Contributing Committee HOSPITAL&HEALTHSYSTEM ASSOC OF PA PAC(HAPAC) MO DAY YEAR Mailing Address 30 NORTH THIRD STREET STE 600 PO BOX 8600 250.00 City State Zip Code(Plus 4) 6 20 2017 HARRISBURG PA 17101 Full Name of Contributing Committee PAW-PAC MO DAY YEAR Mailing Address 800 WEST HERSHEYPARK DR $ 250.00 Ci State Zip Code(Plus 4) 6 20 2017 ty HERSHEY PA 17033 Full Name of Contributing Committee PA ARCHITECTS PAC MO DAY YEAR Mailing Address 208 N 3RD ST STE 400 $ 250.00 City State Zip Code(Plus 4) 6 20 2017 HARRISBURG PA 17101-0000 PAGE TOTAL Enter Grand Total of Part A on Schedule I,Detailed Summary Page,Section 2. $ 4,000.00 1/29/2018 5:10:14 AM PAGE 6 • PART B ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A) Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2017 To: 12/31/2017 DATE AMOUNT Full Name of Contributor W.GREG ROTHMAN MO DAY YEAR Mailing Address 3 LEMOYNE DRIVE $ 250.00 Cit State Zip Code(Plus 4) 5 8 2017 y LEMOYNE PA 17043 Full Name of Contributor NICOLE ELAINE WITMER MO DAY YEAR Mailing Address 2451 RITNER HWY 100.00 Cit State Zip Code(Plus 4) 4 26 2017 y CARLISLE PA 17015 Full Name of Contributor WILLIAM R.UNGER MO DAY YEAR Mailing Address 1103 SHERWOOD DRIVE $ 250.00 City State Zip Code(Plus 4) 4 10 2017 CARLISLE PA 17013 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 600.00 1/29/2018 5:10:14 AM PAGE 7 PART C Contributions Received From Political Committees OVER $250.00 Use this Part to itemize only contributions received from Political committees with an aggregate value from Over $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2017 To: 12/31/2017 DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR PFIZER PAC Mailing Address 235 E 42ND ST 250.00 Ci State Zip Code(Plus 4) 10 20 2017 ty NEW YORK NY 100170000 Full Name of Contributing Committee MO DAY YEAR PFIZER PAC Mailing Address 235 E 42ND ST $ 250.00 Cit State Zip Code(Plus 4) 5 27 2017 Y NEW YORK NY 100170000 Full Name of Contributing Committee MO DAY YEAR MARATHON PETROLEUM CORPORATION EMPLOYEES PAC (MPAC) Mailing Address 539 S MAIN ST $ 500.00 Cit Y FINDLAY State Zip Code(Plus 4) 4 26 2017 OH 45840-3229 Full Name of Contributing Committee MO DAY YEAR JOHN DEERE PAC Mailing Address 1 JOHN DEERE PLACE $ 500.00 Ci State Zip Code(Plus 4) 3 25 2017 tY MOLTEN IL 61265 Full Name of Contributing Committee MO DAY YEAR FRIENDS OF ANDY SHAW Mailing Address 15 COUNTRY SIDE DRIVE $ 383.55 Cit State Zip Code(Plus 4) 1 30 2017 Y CARLISLE PA 17013 1/29/2018 5:10:14 AM PAGE 8 Full Name of Contributing Committee MO DAY YEAR PA BANKERS PUB AFFAIRS (PABPAC) Mailing Address 3897 N FRONT ST S 500.00 City State Zip Code(Plus 4) 5 24 2017 HARRISBURG PA 171100000 Full Name of Contributing Committee MO DAY YEAR PA ABC PAC (PA ASSOC. BLDRS&CONTRACTORS) Mailing Address 135 SHELLYLAND ROAD $ 500.00 City MANHEIM State Zip Code(Plus 4) 6 7 2017 PA 17545-8683 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. 2,883.55 • 1/29/2018 5:10:14 AM PAGE 9 PART D ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer Name Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 0.00 1/29/2018 5:10:14 AM PAGE 10 • PART E OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.00 1/29/2018 5:10:14 AM PAGE 11 • SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2017 To: 12/31/2017 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 0.00 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the Reporting Period (2) $ 0.00 3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reporting Period (3) $ 0.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter 0.00 amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.) 1/29/2018 5:10:14 AM PAGE 12 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 • City State Zip Code(Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. 0.00 1/29/2018 5:10:14 AM PAGE 13 SCHEDULE IT PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer of Contributor Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution Business 4) Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 3. 0.00 • 1/29/2018 5:10:14 AM PAGE 14 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From 1/1/2017 To: 12/31/2017 DATE AMOUNT To Whom Paid REPUBLICAN PARTY OF PENNSYLVANIA MO DAY YEAR Mailing Address 112 STATE ST 11 12 2017 $ 1,000.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17101 COMMONWEALTH CLUB To Whom Paid JUSTIN SIMMONS FOR CONGRESS MO DAY YEAR Mailing Address 7001 N. ROUTE 309,STE 169 #203 10 16 2017 $ 500.00 City COOPERSBURG State Zip Code(Plus 4) Description of Expenditure PA 18036 FED CAMPAIN CONTRIBUTION To Whom Paid MO DAY YEAR FRIENDS OF MARK KELLER $ Mailing Address 6441 WAGONERSGAP ROAD 9 21 2017 300.00 City LANDISBURG State Zip Code(Plus 4) Description of Expenditure PA 17040 REMINGTON SPONSOR To Whom Paid PA FEDERATION OF COLLEGE REPUBLICANS MO DAY YEAR Mailing Address 302 COLLEGIATE COURT 3 10 2017 $ 2,500.00 City SHIPPENSBURG State Zip Code(Plus 4) Description of Expenditure PA 17257 CONTRIBUTION To Whom Paid CUMBERLAND COUNTY REPUBLICAN COMMITTEE MO DAY YEAR $ Mailing Address 2250 MILLENNIUM WAY 10 3 2017 500.00 City ENOLA State Zip Code(Plus 4) Description of Expenditure PA 17025 GOP DIRECTORY INSIDE COVER 1/29/2018 5:10:14 AM PAGE 15 To Whom Paid MO DAY YEAR WALMART Mailing Address 6520 CARLISLE PIKE, STE 550 9 13 2017 $ 47.67 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 OFFICE SUPPLIES To Whom Paid MO DAY YEAR HRCC Mailing Address PO BOX 11787 8 26 2017 $ 5,000.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17108 SOUTH CENTRAL EVENT To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET, STE 101 7 25 2017 $ 500.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17110 AUGUST INVOICE To Whom Paid TRI COUNTY HDC MO DAY YEAR Mailing Address 1514 DERRY STREET 8 11 2017 $ 125.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17104 GOLF OUTING SPONSORSHIP To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET, STE 101 6 4 2017 $ 985.00 City HARRISBURG State Zip Code(Pius 4) Description of Expenditure PA 17110 JUNE INVOICE To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET,STE 101 7 7 2017 $ 750.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17110 JULY INVOICE 1/29/2018 5:10:14 AM PAGE 16 To Whom Paid MO DAY YEAR CUMBERLAND COUNTY COUNCIL OF REPUBLICAN WOMEN $ Mailing Address 1111 TUNBRIDGE LANE 4 27 2017 120.00 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 LINCOLN DAY EVENT SPONSORSHIP To Whom Paid MO DAY YEAR HRCC Mailing Address PO BOX 11787 4 27 2017 $ 1,000.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17108 REPUBLICAN ROUND-UP To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET, STE 101 5 6 2017 193.55 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17110 RURAL ELECTRIC EVENT To Whom Paid CITIZENS FOR SHEARER MO DAY YEAR Mailing Address PO BOX 948 4 27 2017 $ 250.00 City CAMP HILL State Zip Code(Plus 4) Description of Expenditure PA 17001 CAMPAIGN CONTRIBUTION To Whom Paid FRIENDS OF JONATHAN BIRBECK MO DAY YEAR $ Mailing Address 104 S. HANOVER ST 4 27 2017 250.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 CAMPAIGN CONTRIBUTION To Whom Paid MO DAY YEAR DENNY LEBO Mailing Address 1 COURTHOUSE SQ RM 205 5 27 2017 $ 115.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 LUNCHEON GROUP DUES 1/29/2018 5:10:14 AM PAGE 17 To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET,STE 101 4 13 2017 $ 1,693.55 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17110 MARCH/APRIL/MAY To Whom Paid PHOENIX FUNDRAISING PARTNERS LLC MO DAY YEAR Mailing Address 2601 N. FRONT STREET, STE 101 1 20 2017 $ 500.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17110 JANUARY INVOICE To Whom Paid HRCC MO DAY YEAR Mailing Address PO BOX 11787 1 20 2017 $ 275.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17108 2017 RETREAT To Whom Paid HRCC MO DAY YEAR Mailing Address PO BOX 11787 1 13 2017 $ 130.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17108 CAMPAIGN GEAR To Whom Paid STEPHEN BLOOM MO DAY YEAR Mailing Address 2100 LONGS GAP RD 12 9 2017 $ 806.14 , City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 REIMBURSE TRAVEL/LODGING/EXPENSES PMA SEMINAR To Whom Paid MO DAY YEAR TEAM BREAM Mailing Address 543 BREAM ROAD 12 20 2017 $ 1,000.00 City ALTOONA State Zip Code(Plus 4) Description of Expenditure PA 16601 CAMPAIGN CONTRIBUTION PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D. $ 18,540.91 1/29/2018 5:10:14 AM