HomeMy WebLinkAboutFriends of Greg Rothman - 2018 Annual Report i , Commonwealth of Pennsylvania Page 1 of t .
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification Report 1. 2. 3.
Number: pp 20150209 Filed ► ATBy: -.CANDIDE COMMITTEE `; X • LOBBYIST .
•_
Name of Filing Committee,Candidate or Lobbyist:Friends of Greg Rothman
Street Address:
P.O.Box 1471
City: Camp Hill State: PA [Zip Code: 17001-
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY - - 2. 30 DAY - -- 3. AMENDMENT
REPORT • PRE-PRIMARY ;.PRE-PRIMARY 4 POST PRIMARY REPORT? YES -NO X
6TH TUESDAY 4. ; 2ND FRIDAY 5. '30 DAY 6. TERMINATION
(place X to ;,PRE-ELECTION . PRE-ELECTION -POST,ELECTION • ':REPORT? ,• YES NO x
the right of • N
• ANNUAL 7. YEAR FILING METH '
report type)
REPORT.,r. X 100. 20181r �f ( )CHECK
OD ONE ' PAPER. X DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office ' Party County
Representative in the General Assembly MO. ,DAY YEAR Number Code Code Code
11 06 2018 87
STH REP 21
(SEE INSTRUCTIONS FOR CODES)
MO. DAY YEAR _ MO. DAY YEAR FOR OFFICE USE ONLY
C-3 N
Summary of Receipts 1100, 11 27 2018 12 31 2018 `= •
and Expenditures from: To 03
Ill >.
A. Amount Brought Forward From Last Report $ 9,886.09 Av
r
B. Total Monetary Contributions and Receipts(From Schedule I) $ 700.00 - C...)
CD
C. Total Funds Available(Sum of Lines A and B) $ 10,586.09 C-> "v
D. Total Expenditures(From Schedule III) $ 5,379.20 C W
E. Ending Cash Balance(Subtract Line D from Line C) $ 5,206.89 -- CD
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,including the attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this 1 /( '
/Gtoday of -Z 4,,,..rdr 20 f i v vSignatu e of erson Submitting Report
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SignatureQ ,. PENNS���p,N1A . '-f PrintedS71-
Name ?�/
My commission expires pop ,,.,„. t- O ( � J 7 l 37 T J
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•PART II -If this is a'repod of,a Ca,did> - q iiiia" .ee, candidate shall sign here. , {
I swear(or affirm)that to the best of my kno•,It e a•• •- e this political committee has not violated any provisions of the Act of ne 3,1937(P.L.1333,No.320)as
amended.
Sworn to and subscribed before me this �'pp \
/!5 day of .c..yt/sV y 20 NtN ��/ •• ature .1 • :at
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Signature CO Ncor,. • DS, or aunty Printed Nam
My commission expires 4V O� .„ .�tP pauPrns p6 20 � ��
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.' rA om�`S$10 EiVt Area Code Daytime Telephone Number
DSEB-502(7-99) Department of State • Bureau of Commissions,Elections and Legislation
210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 /
Page 2 of (
SCHEDULE I y/
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
1. 'UNITEMIZED CONTRIBUTIONS AND,RECEIPTS1.$.50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 0.00
2. CONTRIBUTIONS$50.01 TO $250.00(FROM PART A`AND PART B)
Contributions Received from Political Committees (Part A) $ 0.00
All Other Contributions(Part B) $ 200.00
TOTAL for the Reporting Period O. (2) $ 200.00
3. CONTRIBUTIONS OVER$250.00(FROM•PART C AND PART D)
Contributions Received from Political Committees (Part C) $ 0.00
All Other Contributions (Part D) $ 500.00
TOTAL for the Reporting Period pow (3) $ 500.00
4. OTHER RECEIPTS-REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC:(FROM PART E)
TOTAL for the Reporting Period 00• (4) $ 0.00
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD •(Add and enter amount totals from Boxes $ 700.00
1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.)
OSEB-502(7-99)
PART A Page 3 of t
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
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 0.00
DSEB-502(7-99)
PART B Page '/ of b'V
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
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
Full Name of Contributor MO:-; DAY YEAR $ 100.00
Corky Goldstein 11 28 2018
Mailing Address M.O.:-DAY. "YEAR',
2900 Parkside Ln
City State Zip Code(Plus 4) MO:x,IDAY "YEAR $
Harrisburg PA 17110-
Full Name of Contributor MO: DAY 7YEAR
Richard S Templin 11 28 2018 $ 100.00
Mailing Address MO :DAY,:'YEARt
916 S 14th St
City State Zip Code(Plus 4) MO :}DAY a YEAR; $
Harrisburg PA 17104-
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 200.00
DSEB-502(7-99)
PART C Page $ of
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.
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 0.00
DSEB-502(7.99)
PART D Page . of B-
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
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
Full Name of Contributor MO. .DAY ,0YEAl2.• $ 500.00
Saul Ewing, LLP 12 11 2018
Mailing Address h407 :DAY' !.YEAR", $
Centre Square West 1500 Market St, 38th Floor
City State Zip Code(Plus 4) .MO: 'DAY YEAR'
Philadelphia PA 19102—
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
PAGE TOTAL
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 500.00
DSEB-502(7.99)
• PARTE Page 7 of I y/
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
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.00
DSEB-502(7.99)
• SCHEDULE II Page , of )1%
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
Friends of Greg Rothman
From 11 /27/2018 To 12/31/2018
1.. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50,00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period 11100 (1) $ 0.00
2. IN-KIND CONTRIBUTIONS RECEIVED_—VALUE OF$50.01 TO$250:00,(FROM PART1 F)
TOTAL for the Reporting Pericid (2) $ 0.00
3. IN-KIND CONTRIBUTIONS RECEIVED. VALUE OVER$250.00(FROM PART G)
TOTAL for the Reporting Period 11100. (3) $ 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, $ 0.00
and 3;also enter on Page 1, Report Cover Page, Item F.)
DSEB-502(7-99)
• SCHEDULE II Page 5 of +
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 2. $ 0.00
DSEB-502(7-99)
• SCHEDULE II Page 10 of iY
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
DATE AMOUNT
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page,Section 3. $ 0.00
DSEB-502(7.99)
SCHEDULE III Page ; ( of )V/
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
To Whom Paid , DAYS° YEAR; Amount
DTR Consulting 12 04 2018 $ 500.00
Mailing Address Description of Expenditure
210 Kelker St Professional services
City State Zip Code(Plus 4)
Harrisburg PA 17102-
To Whom Paid iDAYj YEAR4 Amount
Republican Party of Pennsylvania 12 06 2018 $ 1, 000.00
Mailing Address Description of Expenditure
112 State St Contribution
City State Zip Code(Plus 4)
Harrisburg PA 17101-
To Whom Paid µMOSDAY %YEAf2 Amount
J&K Signs 12 07 2018 $ 450.00
Mailing Address Description of Expenditure
315 Ross Ave Signs
City State Zip Code(Plus 4)
New Cumberland PA 17070-
To Whom Paid iMO :fDAYYEAR+ Amount
Hampden Township Republican Assoc. 12 10 2018 $ 300.00
Mailing Address Description of Expenditure
P.O. Box 283 Contribution
City State Zip Code(Plus 4)
Camp Hill PA 17001-
To Whom Paid MO!t DAYSYEARi Amount
Maverick Finance 12 13 2018$ 2,729.20
Mailing Address Description of Expenditure
1426 N 3rd St Suite 310 • Printing and postage
City State Zip Code(Plus 4)
Harrisburg PA 17102-
To Whom PaidMO IDAYY I)SYEAR1 Amount
Adam Eungard 12 26 2018 $ 100.00
Mailing Address Description of Expenditure
24 Stone Spring Ln Reimbursement
City State Zip Code(Plus 4)
Camp Hill PA 17011-
To Whom Paid !MO t LYEARI Amount
House Republican Campaign Committee 12 26 2018 $ 300.00
Mailing Address Description of Expenditure
P. 0. Box 11787 Contribution
City State Zip Code(Plus 4)
Harrisburg PA 17108-
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL
*REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. $ 5,379.20
DSED-502(7-99)
SCHEDULE IV Page Si- of /z
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 11/27/2018 To 12/31/2018
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 0.00
DSEB-502(7-99)