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Foschi, Jean - 2018 2nd Friday Pre-Primary
11111111MPINIIIIIII Reset Form [ Print Form .._ Commonwealth of Pennsylvania-Campaign Finance Report /4 (Note:This report must be clear and legible.It should be typed) Flier Identification Report Filed By Candidate x Committee T- Lobbyist 2018C0864 Number (Mark X) • " Name of Filing Committee,Candidate or Jean Marie Vargas Foschi Lobbyist Street Address 2195 Brunswick Avenue City Mechanicsburg State PA Zip Code 17055 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Pre-Primary Pre-Primary Primary Pre- Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special ra Friday Special 30 Day Election Pre-Election Election Pre-Election Post-Election X - ' Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/15/2018 2018 Report Report c) 1... a Summary of Receipts and From Date To Date For Office Use 05 co Expenditures rn 12- 01/01/2018 04/30/2018 XI A.Amount Brought Forward From Last Report $ 0 B.Total Total Monetary Contributions and Receipts $ Ian 0 C) (From Schedule I) Q ... • • C.Total Funds Available $ C ...1. 0 ' 7: (Sum of Lines A and B) D.Total Expenditures $ -‹ Ulli 2,915A (From Schedule Ill) - ... E.Ending Cash Balance $ 0 (Subtract Line D from Line C) COMMONWEALTH OF PENNSYLVANIA F.Value of In-Kind Contributions Received $ 0 NOTARIAL SEAL (From Schedule II) Rachel Brinkley,Notary Public G.Unpaid Debts and Obligations $ Lower Swatara Twp.,Dauphin County 0 (From Schedule IV) My Commission Expires Feb.14,2021 Affidavit Section MEMBER,PENNSYLVANIAASSOGIATire,r 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 b,pt of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this • day of kci---1 20 1 tt, ‘_/I i 0 ES I, • Signature of Person Subrrittin:4 po ----15t-.:1—C-1)-- -- ieaix Pam- igir • .1-0SCl/tx-.. Signature I Printed Name 1--a — My Commission expires 09— / 1Y / ai . 1-1 3 3 LI 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 1 • Signature of Candidate Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number a 9.I 19% SCHEDULE I Contributions and Receipts Detailed Summary Page I Filer Identification Number 2018C0864 I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 2.Contributions of$50.01 to $256.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I I 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) lia- 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. I Filer Identification Number 2018C0864 I Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $4 Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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: 2018C0864 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/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 U Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ .§l/a 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 Identification Number: I 2018C0864 Full Name of Date[MM/DD/YYYYJ $ I Contributing Committee i House U Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Date[MM/DD/YYYJ $ Contributing Committee House$1 Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYYJ $ Contributing Committee House It Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House it Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of 1 Date[MM/DD/YYYYJ $ Contributing Committee House ii Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ , Full Name of Date[MM/DD/YYYYJ $ Contributing Committee House U Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 0/g" PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: 2018C0864 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business 74 PART E Other Receipts REFUNDS, INTREST INCOME,RETURNED CHECKS,ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. I Filer Identification Number: 2018C0864 Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Tip Date[MM/DD/YYYY] $ Code Receipt Description 1. Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code - Receipt Description Full Name House# Street Address City State Tip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Tip Date[MM/DD/YYYY] $ Code Receipt Description kii?' . 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: 2018C0864 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR ' l 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) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 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) q Jtd SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 I Filer Identification Number: 2018C0864 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Trp 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 Tip 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# 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 1©�y� SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 2018C0864 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State 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/YYYY] House# Street Address Date[MM/DD/YYYY] $ City State Tip 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/YYYY1 $ House# Street Address Date[MM/DD/YYYY] $ City State Tip 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/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of • Contribution RP SCHEDULE III Statement of Expenditures I Filer Identification Number. I 2018C0864 • To Whom Paid Date[MM/DDJYYYY] $ Friends of Jean Foschi 500 03/20/2018 House# Street Address Description of Expenditure 2195 Brunswick Avenue City Mechanicsburg State PA de 17055 Contributions to Friends of Jean Foschi To Whom Paid Date[MM/DD/YYYY] $ PA Dept of State 100 03/05/2018 House# Street Address Description of Expenditure 210 North Office Building City State Zip Petition FilingFee for 88th House District candidate Harrisburg Pa Code 17120 To Whom Paid Date[MM/DD/YYYY] $ Bevrore/Jillian Williams 100 03/21/2018 House# Street Address Description of Expenditure 1326 Saxton Way City State Zip Deposit fee for campaign hotos Mechanicsburg PA Code 17055 pp To Whom Paid Date[MM/DD/YYYY] $ Bevrore/Jillian Williams 2,215.4 04/04/2018 House# Street Address Description of Expenditure 1326 Saxton Way City State Zip Mechanicsburg PA 17055 Candidate photos 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 To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code • /al/A SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: I 2018C0864 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] - City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Lp Code Description of Debt •