HomeMy WebLinkAboutFriends of Nate Silcox - 2018 2nd Friday Pre Election iii I Ft:set Form MPrint Form�l
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 (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Friends of Nate Silcox
Street Address P.O.Box 882
City Camp Hill State PA Zip Code 17050
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6"'Tuesday s-2nd Friday 6-30 Day Post 7-Annual Special 29`1 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) 11/06/2018 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
06/04/2018 10/22/2018 C) o
A.Amount Brought Forward From Last Report $ —
g 487.26 ` ^ co
CO
B.Total Monetary Contributions and Receipts $ rn c`)
3,490.00
(From Schedule I)
r— IV
C.Total Funds Available $ =. CFI
(Sum of Lines A and B) 12,977.26 C.]
D.Total Expenditures $ C7
(From Schedule ill) 1,805.17 C) _
E. C Q
Ending Cash Balance $ 11,172.09 —'
(Subtract Line D from Line C) ....I Ca)
F.Value of In-Kind Contributions Received $
(From Schedule II) 570.00
G.Unpaid Debts and Obligations $
(From Schedule IV)
Affidavit Section
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 best of y c Wedge and belief true,correct and com le .
Sworn to and subscribedfore me this �i
013 da of 0 20 /b
�...........7
iture of Person�y�tt1pgert
Signature J Printed Name. r
My Commission expires id", a 0749( 7/ I a 31 -- I '(3D
Commonwealth of PelNylvania04otary Sal Area Code Daytime Telephone Number
Adam C.Wagner,Notary Public
Part II-If this is a regtertlipharCiDolidaitp'a Authorized Committee,candidate shall sign here.
I sWefy(plf(jirrgttbpigp etpb pa()Mdnd belief this political committee has not violated any provisions of the Act of June 3,1937(P.I-1333,NO.320)as
amended.Commission number 1220364
Sworn and uennsyly niaAssociationofNotaries
�' ribed�b`e�foreme this )(�
'e2• day of ( t..-hi 5 20 / 2S •
Iffirw Signature of Candidate
Signature Printed Name � -
My Commission expires /2 c- .2O I "t (7 L q Q 2-O b"-
MO. DAY YR. Area Code Daytime Telephone Number
Commonwealth of Pennsylvania-Notary Seal
Adam C.Wagner,Notary Public
Dauphin County
My commission expires December 2,2021
Commission number 1220384
Member,Pennsylvania Association of Notaries
e
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
IFiler identification Number
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $ 410.00
2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 950.00
All Other Contributions(Part B) $ 1,630.00
Total for the reporting period (2) $
2,2580.00
3.Contributions Over$250.00(From Part C and Part D)
I
Contributions Received from Political Committees(Part C) $ 0 /
All Other Contributions(Part D) $
500.00
Total for the reporting period (3) $
500.00
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
I
Total for the reporting period (4) $
0
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)
•
,
•
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.
Filer identification Number
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Glen Grell for House Committee 100.00
09/02/2018
House# Street Address Date[MM/DD/YYYYJ $
5445 Margaret Court
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17050
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Mike Regan for Senate 08/23/2018 100.00
House# Street Address Date[MM/DD/YYYY] $
P.O.Box811
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17055
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Regola PAC 08/27/2018 250.00
House# Street Address Date[MM/DD/YYYY] $
22 Glenmeade Rd
City State Zip Code Date[MM/DD/YYYY] $
Greensburg PA 15601
Full Name of Contributing Date[MM/DD/YYYY] $
Committee McNees PAC 08/13/2018 250.00
House# Street Address Date[MM/DD/YYYY] $
P.O.Box 11166
City State Zip Code Date[MM/DD/YYYYj $
Harrisburg PA 17108
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Dawood Engineering PAC 09/13/2018 250'00
House# Street Address Date[MM/DD/YYYYj $
1828 Good Hope Rd,Suite 202
City State Zip Code Date[MM/DD/YYYY] $
Enola PA 17050
Full Name of Contributing Date[MM/DD/YYYYJ $
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.)
IFiler Identification Number. I
Full Name of Contributor Date(MM/DD/YYYYj $
Maria Louisa Gaughen 09/12/2018 $70.00
House p Street Address Date[MM/DD/YYYYj $
P.O.Box 203
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYYJ $
Jonathan Silcox 09/12/2018 $70.00
House 4 Street Address Date[MM/DD/YYYY] $
86A Beard Rd
City State Zip Code Date[MM/DD/YYYY] $
Enola PA 17025
Full Name of Contributor Date[MM/DD/YYYY] $
Joe Radle $100.00
08/27/2018
House 4 Street Address Date[MM/DD/YYYY] $ .
452 Prowel Dr
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Richard Stewart 09/04/2018 $100.00
House it Street Address Date[MM/DD/YYYY] $
1811 Warren St
City State Zip Code Date[MM/DD/YYYY] $
New Cumberland PA 17070
Full Name of Contributor Date[MM/DD/YYYY] $
Richard E.Jordan Ill&Elizabeth Jordan $135.00
09/12/2018
House 4 Street Address Date[MM/DD/YYYY] $
304 N.27th Street
City State Zip Code Date[MM/DD/YYYYJ $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
John Murphy 250.00
09/12/2018
House 4 Street Address Date[MM/DD/YYYY] $
565 Brentwa ter Rd
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
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. I
Full Name of Contributor Date[MM/DD/YYYY] $
H.Edward Black 250.00
09/07/2018
House p Street Address Date[MM/DD/YYYY] $
2403 N.Front St
City State Zip Code Date[MM/DD/YYYY] $
Harrisburg PA 17110
Full Name of Contributor Date[MM/DD/YYYY] $
Robert V.Godlier,Sr. 09/12/2018 250.00
House# Street Address Date[MM/DD/YYYY] $
1000 N.Front St,Suite 500
City State Zip Code Date(MM/DD/YYYY] $
Wormleysburg PA 17043
Full Name of Contributor Date[MM/DD/YYYY] $
Kathy Pape&Robert Trinkle 09/03/2018 250.00
House# Street Address Date[MM/DD/YYYY] $
1920 Monterey Dr
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17050
Full Name of Contributor Date[MM/DD/YYYY] $
Dan McMaster 08/15/2018 75.00
House** Street Address Date[MM/DD/YYYY] $
190 Packet Boat Road
City State Zip Code Date[MM/DD/YYYY] $
Lewistown PA 17044
Full Name of Contributor Date[MM/DD/YYYY] $
Dennis Ritchey,Jr. 80.00
08/15/2018
House# Street Address Date[MM/DD/YYYY] $
9592 U.S.Highway 522 S.
City State Zip Code Date[MM/DD/YYYY] $
Lewistown PA 17044
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYY] $
V
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.
I Filer Identification Number.
I
Full Name of Date[MM/DD/YYYYJ $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date[MM/DO/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
I
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date(MM/DD/YYYYJ $
Contributing Committee
House It Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYYJ $
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)
IFiler Identification Number. I
Full Name of Contributor Date[MM/DD/YYYYJ $
Matthew Hammond $500.00
09/10/2018
House# Street Address Date[MM/DD/YYYY) $
1663 Teresa Ct
City State Zip Code Date[MM/DD/YYYYJ $
Downingtown PA 19335
Employer Name Traffic Planning&Design,Inc. Occupation Executive Vice President
Employer Mailing Address/
Principal Place of Business 2003 Lower State Rd,Doylestown,PA 18901
Full Name of Contributor Date[MM/DD/YYYYJ $
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/YYYYJ $
City State Zip Code Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYYJ $
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
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.
IFiler Identification Number. I
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
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 Zip Date[MM/DD/YYYY] $
Code
Receipt Description
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: I
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
0
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $ 11
570.00
1 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $
0
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) 570.00
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] $
Raymond Bromley 09/12/2018 100.00
House# Street Address Date[MM/DD/YYYY] $
5 Houston Dr
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17050
Description of Contribution use of Facility
Full Name of Contributor Date[MM/DD/YYYY] $
Albert Kominksi 09/12/2018 120.00
House# Street Address Date[MM/DD/M1 $
5008 Greenwood Cir
City State Tip Code Date[MM/DD/YYYY] $
Enola PA 17025
Description of Contribution Food for Event
Full Name of Contributor Date[MM/DD/YYYY] $
William Kokos 75.00
09/12/2018
House# Street Address Date[MM/DD/YYYY] $
2 Bittersweet Ln
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17050
Description of Contribution Food for Event
Full Name of Contributor Date[MM/DD/YYYY] $
Nathan Larsen 200.00
09/12/2018
House# Street Address Date[MM/DD/YYYY] $
35 W.Main St
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17055
Description of Contribution Drinks for Event
Full Name of Contributor Date[MM/DD/YYYY] $
Jim Yaple 09/12/2018 $75.00
House# Street Address Date[MM/DD/YYYY] $
1920 Lambs Gap Rd
City State Zip Code Date[MM/DD/YYYY] $
Enola PA 17025
Description of Contribution Drinks for Event
SCHEDULE II
PartG
In-Kind Contributions Received
VALUE OVER$250
IFiler Identification Number.
Full Name of Contributor Date[MM/DD/YYYYJ $
Howe it 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 it 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 tt Street Address Date IMM/DD/YYYYJ $
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 it 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
SCHEDULE HI
Statement of Expenditures
IFiler Identification Number.
To Whom Paid Date[MM/DD/YYYYJ $
Hampden Township Veterans Recognition Committee 500.00
09/03/2018
House 4 Street AddressDescription of
4900 Carlisle Pike PMB 257 Expenditure
City Zip
Mechanicsburg State PA Code 17050 Annual Golf Outing Sponsorship
To Whom Paid Date[MM/DD/YYYY] $
Scott Wagner for Governor
1,000.00
09/06/2018
House 4 Street Address Description of Expenditure
204 St.Charles Way,Unit 371E
City York State PA •Zip
17402 Campaign Contribution
To Whom Paid Date[MM/DD/YYYY] $
Nathan Silcox 262.46
09/28/2018
House# Street Address Description of Expenditure
1427 Inverness Dr
City Zip
Mechanicsburg State PA Code 17050 Reimbursement for Expenses
To Whom Paid Date[MM/DD/YYYYJ $
Nathan Silcox 42.71
10/20/2018
House# Street Address Description of Expenditure
1427 Inverness Dr
City Zip
Mechanicsburg State PA Code 17050 Reimbursement for Expenses
To Whom Paid Date[MM/DD/YYYYj $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
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 d Street Address Description of Expenditure
City State Zip
Code
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.
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MMJDD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DDJYYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MMJDD/YYYYJ
City State Zip
Code
Description of Debt