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Assoc. - 2017 6th Tuesday Pre-Election I IIIIRINIIIII I FReset Form ; Print Form 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 8300058 (Mark X) n Name of Filing Committee,Candidate or HAMPDEN TOWNSHIP REPUBLICAN ASSOCIATION Lobbyist Street Address 6300 SALEM PARK CIRCLE City MECHANICSBURG State PA Zip Code 17050-2836 Type of Report(Place x under report type) 1 1-6th Tuesday 2- 2"d Friday 3-30 Day Po 4-6th Tuesday 5-rd Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day 1 Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election ar Amendment Termination (MM/DD/YYYY) /I Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 07/01/2017 09/30/2017 A.Amount Brought Forward From Last Report $ 1,147.03 B.Total Monetary Contributions and Receipts $ 670 (From Schedule I) C.Total Funds Available $ C7 0 (Sum of linesC- nes A and B) 1,817.03 D.Total Expenditures $ co 231.95 CD c-- (From Schedule III) rn x> E.Ending Cash Balance ' $ 73 Z (Subtract Line D from Line C)C) 1,585.08 r— C) Z F.Value of In-Kind Contributions Received $ (From Schedule II) 0 C) 3 G.Unpaid Debts and Obligations $ 0 --- 0(From Schedule IV) C_ •• Affidavit Section ---I -,.) Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. -< CT I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my k edge and belief true,correct and complete. Sworn to and subscribed before me this a / c7 .-5---day dayof3L.��'f/ 20 i� . , J ignature of Person Submitting repo 411 Q�--e, -' LYNETT .MORRELL / / Signature Printed Name /�/� 717 657-7484 My Commission expire!" iQ aqd 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 -- " COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Jacqueline Marie Harper,Notary Public Lower Paxton Twp.,Dauphin County My Commission Expires March 24,2021 , MEMBER,PENNSYLVANIAASSOCIATION OF NOTARIES SCHEDULE I Contributions and Receipts Detailed Summary Page I Filer Identification Number 8500038 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 70 2.Contributions of$50.01 to $250.00(From. Part A and:PartB) - - Contributions Received from Political Committees(Part A) $ 0 — — All Other Contributions(Part B) $ 100 Total for the reporting period (2) $ 100 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 500 All Other Contributions(Part D) $ Total for the reporting period (3) $ 500 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) - Total for the reporting period (4) $ 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) 670 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:. , 8500038 Full Name of Contributor Date[MM/DD/YYYY] $ Tammy Shearer 7/8/17 100 House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYr ,$ 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/YYYY] $ 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/YYYY]. .$ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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 over$250.00 in the reporting period. Filer IdentificatIorlNNumber:. �: y s s?' n '1F � ..8500038 x ,y ,Full Nameof4i,*'..:::','; Date[MM/DD/YYYYJ $.. • t. 500 ContributingCommittee-- Cumberland County Republican Caucus y,rrE ;y . 7/5/17 !:'A'. House#A Street Address Date[MM/DD/YYYY] $ y�y wY City,;,x State .Zip Code ; Date[MM/DD/YYYYj:;' i'"'1A1' Carlisle Y PA . 17013 Full Name of,.':.:: , ;i ' .Date[MM/DD/YYYY] $, 'ContnbutingCommtttee' I. House#.. Street Address •Date[MM/DD/YYYY] 5: Vii:,'[ .f1 xz , City State, Zip Coder: Date[MM/DD/YYYY] S; A~ s a; Full Name,of, , Y''.4*;',' Date[MM/DD/yyyyjA* .$ Contributing Committee• • ' l.; , r ,;':,;,-,':"4-1,,P.',.0....1 p ▪ ' House# Street Address Date[MM/DD/YYYY] ' ,$•, n„,:., State; Zip Code. Date[MM/DD/YYYY] $h '11.-7'71:g: Full.Name ofv--3s ,:'- Date[MM/DD/YYYYJ . $, Contributing Committee House#• 'StreetAddress -Date[MM/DD/YYYY] $,: `or>cm" city ;,. State,; Zip Code ' Date[MM/DD/YYYYJ $, Full Name off-,,,:;°•i•sr f, Date[MM/DD/YYYY]•, $ Contributing Committee: • •;.-_:•,A-.-:.4 :•...,..,_, L• House# Street Address -Date[MM/DD/YYYY], .$,- cItyftd„' State. ZipCode-.- Date[MM/DDJYYYYL S {� . if ,... Full.Name of,.: .,;' Date[MM/DDfYYYYJi $` C_ontributing Committee' A^ _ .. st`.. House# Street Address Date[MM/DD/YYYYJ,. $ City,: State Zip Code . Date[MM/DD/YYYY],. •$. rzox SCHEDULE III Statement of Expenditures Filer Identification Number: 8500038 To Whom Paid Date[MM/DD/YYYY] $ Michelle Nestor 78/17 231.95 House# Street Address Description of Expenditure City Mechanicsburg State PA Codee 17050 reimbursement for printing 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 . qtY State•. Tip 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 Tip 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 Tip Code