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Home My WebLink AboutBloom for the 199th - 2018 Annual Report f PAGE 1 Commonwealth of Pennsylvania I1111Il11ll1l1111111111ll111111l1ll1l1l10lN1u11 Campaign Finance Report 300602 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification 2010108 I Report CANDIDATE COMMITTEE J LOBBYIST Number: 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 FRIDAYi PRE- 2. 30 DAY POST- 3. AMENDMENT Yes No REPORT PRE-PRIMARY PRIMARY i PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes• No (place X to PRE-ELECTION ELECTION ELECTION REPORT? 1 the right of report type) ANNUAL REPORT 7.X Year 2@19— FILING METHOD PAPER Itelfj DISKETTE got% ( )CHECK ONE Name of Office Sought byCandidate: DATE OF ELECTION District Office Party Code County 9 Number Code Code MO DAY YEAR 11 5 2019, (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY Expenditures from: 1 1 2018 TO 12 31 2018 A.Amount Brought Forward From Last Report $ 11,375.62 . B.Total Monetary Contributions And Receipts(From Schedule I) $ 3,072.96 C7 . o_ C.Total Funds Available(Sum Of Lines A and B) $ 14 448.58 -Thr `,,, Co L m D.Total Expenditures(From Schedule III) $ 12,919.00 = • r— t.J E.Ending Cash Balance(Subtract Line D From Line C) . $ 1,529.58 -- CD F.Value Of In-Kind Contributions Received (From Schedule II) $ 0.00 G. Unpaid Debts And Obligations(From Schedule IV) $ 0.00 C co AFFIDAVIT SECTION PART II-If-this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here._ w _1 I swear(or affirm)that this report,including the attached schedules filed on paper or by electronic m dium, to the best of my knowledge and belief,true correct and complete. COMMONWEALTH OF PENNSYLVV' i,a Sworn to and subscribed before me this NOTARIAL SEAL igna ure of Person Submitting Report rday of p?9 � fes,,oR 20 •audy Hoover, Notary Public 120869-T 7 ZfH13U1U Silver spring lwp., Cumberland Count/. My Commission ExpireS April 15, 2nature 1020 : Printed Name MEMBER. PENNSYLV. -.NIA?.SSCEI4" (Z'LR i�1 Duty A CpNC►1t1. 4/6-T My Commission Expires 40/4.,/ 16- .2a40� ,(.i Email Stip .126-5 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 provi ion t June 3,1937(P.L.1333, No 320)as amended. Sworn to and subscribed before me this Signature of�Candidate 3V 14. day of Td 20 11 ,5,ke--, !jx Q..0-1 ,0 , `,i ( ' ( Printed Name Sign tura ` lV iX 9y` Ll O 4:jr%1 G)C1-t1. 'Le f'►'•a; (. C(3 r'^+ My Commission Expires E it it ( s1Zo2-3— 1---/ -- -701 — 1(4--3G MO DAyde Daytime Telephone Number Commonwealth of Pennsylvania Notary ea Bethany D Wilston,Notary ruutl( Dauphin County My commission expires November 05,2022 1/29/2019 9:16:58 AM Commission number 1286547 PAGE 2 i SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2018 To: 12/31/2018 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) $ 0.00 All Other-Co bet s s {Part-B) 0.00 TOTAL for the Reporting Period (2) $ 0.00 3.Contributions Received Over$250.00(From Part C and Part 0) Contributions Received From Political Committees(Part C) $ 3,072.96 All Other Contributions (Part D) $ 0.00 TOTAL for the Reporting Period (3) $ 3,072.96 4.Other Receipts,Refunds,Interest Earned,Returned.Checks, Etc.(From Part E) TOTAL for the Reporting Period (4) $ 0.00 i I Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount 3,072.96 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 1/26/2019 11:40:35 PM . 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 I Reporting Period From: To: DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR. Mailing Address City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Part A on Schedule I,Detailed Summary Page,Section 2. $ 0.00 1/26/2019 11:40:35 PM PAGE 4 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 From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State I Zip Code(Plus 4) 1 1 1 1 1 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00 1 1/26/2019 11:40:35 PM PAGE 5 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 I Reporting Period J BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2018 To: 12/31/2018 DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR. Bloom for Congress Mailing Address 2100 Longs Gap Road 4 3,4372:96 City Carlisle State Zip Code(Plus 4) 6 30 2018 PA 17013 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 3,072.96 1/26/2019 11:40:35 PM , PAGE PART D ALL OTHER CONTRIBUTIONS OVER$250.4x6 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) 1 1 1 1 1 Employer Name Occupation Employer Mailing Address/Principal Place of I City (State I Zip Code(Plus 4) 1111.01nzaz 1 I i 7 7 PAGE TOTAL Enter Grand Total of Part C on Schedule I,Detailed Summary Page,Section 3. - $ 0.00 1/26/2019 11:40:35 PM PAGE 7 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. IName of Filing Committee or Candidate I Reporting Period I From: To: DATE AMOUNT ti'Name MO DAY YEARS 1 Mailing Address $ 0.00 City State Zip Code(Plus 4) 1 Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.00 1 1 1/26/2019 11:40:35 PM • PAGE 8 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 ^ BL1DCrM,STEPHEN FOR THHE 199TH CO from: 111/MB To: 12/31t2D18 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF,$50.00 OR LESS PER CONTRIBUTOR TOTAL far- rt:iv-Peried $ 0.00 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL tar ftie oe rr!a�Psi 42) I $ 0.00 3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reoortina Period (3) I $ 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 • 1/26/2019 11:40:35 PM PAGE 9 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.40 Name of Filing Committee or Candidate Reporting Period Frnm• DATE AMOUNT Full Name of Contributor I_ I J Mailing Address $ 0.00 City J State • Zip Code rias 4j • 1 l l l l 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 1/26/2019 11:40:35 PM - PAGE 10 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED liAtill OVER $250.00 Name of Filing Committee or Candidate Reporting Period 1 From: To: DATE AMOUNT Full Name of Contributor unM r _,.....,..._ Mailing Address $ 0.00 ]7IPCDdP(PJM54). rAty r l l 1 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 Summary Page,Section 3. 0.00 1/26/2019 11:40:35 PM . PAGE 11 • SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate I Reporting Period j BLOOM, STEPHEN FOR THE 199TH COM 1 From 1/1/2018 To: 12/31/2018 DATE AMOUNT To Whom Paid friends of Kristin Phillips-Hill MO DAY YEAR •Maili""-d-digss PO Box 149 - 3 1 31 l 2018 I $ 250.00 City Jacobus State Zip Code(Plus 4) Description of Expenditure PA 17407 campaign contribution To Whom Paid MO DAY YEAR Friends of Keefer Committee Mailing Address 430 Franklin Church Road3 31 2018 1 4 25.0.-0.0 , City Dillsburg State Zip Code(Plus 4) Description of Expenditure PA 17019 campaign contribution To Whom Paid MO DAY YEAR Denny Lebo Mailing Address 1 Courthouse Square, Rm 200 5 18 2018 $ 120.00 1 1 City Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17013 Luncheon registration lTo homFaid j___ _ I_. ��1�_ I 1 Newville Lions Club MO DAV YEAR Mailing Address 92 Doubling Gap Road 5 18 2018 $ 100.00 City Newville State Zip Code(Plus 4) Description of Expenditure I PA 17241 Newville Lions Club fairbook J To Whom Paid I" I II-FIO— DAT—"- 'TEAR-- Citizens for Gleim Mailing Address 450 Sherwood Drive 8 30 2018 $ 250.00 City Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17015 campaign contribution 1/26/2019 11:40:35 PM PAGE 12 • ) • i . __ _ r_ __ _ I_ I To Whom Paid MO DAY YEAR Cumberland County Republican Committee Mailing Address PO Box 1495 8 30 2018 $ 250.00 • 1 1 1 City Camp Hill State Zip Code(Plus 4) Description of Expenditure PA 17001 Contribution • To Whom-Paid MO DAY YEAR Cumberland County Republican Committee Mailing Address PO Box 1495 12 14 2018 $ 750.00 City Camp Hill State Zip Code(Plus 4) Description of Expenditure PA 17001 Contribution To Whom Paid THOMAS WITMER Mailing Address 2451 RITNER HIGHWAY 2 7 2018 $ 550.00 • City CARLISLE 1State -Zip Lode 1 Plus 43 Description of Expenditure jTo PA 17015 DONATION REFUND Whom Paid I.MO I DAY I YEAR J ROBERT J. MUSSER Mailing Address 8 CREEKVIEW DRIVE 21 7 2018 # 300.00 LEt; CF�fit11'StiE 'State .Zip Code_(P_Ius 4) l -Description of E,cycniHitu,e 1 PA 17015 I DONATION REFUND I To Whom Paid J WILLIAMMO I DAY IYEAR I .4.Ef I Mailing Address 361 CRANES GAP ROAD 2 120181 $ 250.00 City CARLISLE (State Zip Code(Plus 4) Description of Expenditure • I1 PA 17013 1 DONATION REFUND To Whom Paid CORRINE MYERS IMO I DAY I YEAR I I Mailing Address 70 GREASON ROAD 2 7 2018 $ 100.00 City CARLISLE (State I Zip Code(Plus 4) Description of Expenditure 1 1 PA 1 17015 1 DONATION REFUND 1 1/26/2019 11:40:35 PM PAGE 13 - 1 I- _, I <._J J To Whom Paid MO DAY YEAR BRUCE GARNER Mailing Address 136 REMBRANT DRIVE 2 7 2018 $ 200.00 1 1 1 City LANCASTER State Zip Code(Plus 4) Description of Expenditure PA 17603 DONATION REFUND I TO Wheat ilkadd MO DAY YEAR SANDRA EVANS Mailing Address 811 CREEK ROAD 2 7 2018 $ 200.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17015 DONATION REFUND JTo Whom Paid I.._�_� Is.. - I ---1_riv vs.� -r-EAR'tic- . LARRY FOOTE Mailing Address 35 E. HIGH STREET 2 7 2018 $ 100.00 City 'State dip Code(-Pius 4) CARLISLE Description of Expenditure PA 17015 DONATION REFUND To Whom Paid I MO I DAY I YEAR I J . JOHN STEVEN EVANS Mailing Address 2221 LONGS GAP ROAD 2 7 1 2018 $ 200.00 ItY IState IZip Ode-CP-WS 4) � sc CARLISLE l l e �ipfivn of Expcn�ii[u�C 1 I PA I 17013 I DONATION REFUND I To Whom Paid urN SON.G , oy.L..E MO I DAY I YEAR I Mailing Address 141 N. COLLEGE STREET 2 7 2018 $ 100.00 City OARLTSiF State I Zip Code(Plus 4) Description of Expenditure 1 PA 1 17013 1 DONATION REFUND 1 To Whom Paid PETER K. EINSTEIN MO bAY IYEAR Mailing Address PO BOX 952 2 7 2018 $ 100.00 City CARLISLE (state I Zip Code(Plus 4) Description of Expenditure I1 PA 1 17013 1 DONATION REFUND 1 1/26/2019 11:40:35 PM PAGE 14 • ) J -. i i------! 1 To Whom Paid BERNIE J. CAMPANELLA MO DAY YEAR Mailing Address 595 CONSTITUTION DRIVE 2 7 2018 $ 300.00 7 1 1 City MIDDLETOWN State Zip Code(Plus 4) Description of Expenditure PA 17057 DONATION REFUND TG Whom P d �1 MO DAY I YEAR JOHN R. HOCKENSMITH Mailing Address 270 MOHAWK ROAD 2 7 2018 250.00 — City NEWVILLE State Zip Code(Plus 4) Description of Expenditure PA 17241 DONATION REFUND J To Whom Paid I L..„______1,„..„....._-I • SANDRA F. HOCKENSMITH Mailing Address 270 MOHAWK ROAD 1 2 7 2018 $ 250.00 1 City NEWVILLE [State �Zip Code(-Pius 4) Description of Expenditure PA 17241 DONATION REFUND To Whom Paid J–MO I DAY I YEAR_ I PAULA GRIBBLE Mailing Address 195 LOCUST GROVE ROAD 21 1201: 1 $ 250.00 City DILLS—BURG -State _zip Code lPIIJS 4) -Descl n VftxNern;aute • iPA 17019 l DONATION REFUND To Whom Paid I$orst-R A.I-�4--"EU fl I MO DAY I YEAR I Mailing Address 125 W YELLOW BREECHES ROAD 21 7 i 2018 $ 100.00 City &ARIJSIP State I Zip Code(Plus 4) Description of Expenditure PA 1 17015 1 DONATION REFUND 1 To Whom Paid MICHAEL GRIFFIE MO l DAY 1YEAR I • Mailing Address 1430 LONGS GAP ROAD 2 7 2018 $ 100.00 City CARLISLE State I Zip Code(Plus 4) Description of Expenditure PA 1 17013 1 DONATION REFUND 1/26/2019 11:40:35 PM PAGE 15 1 • ! 1- -- -- - 1 I J To Whom Paid THOMAS P. HILTERMAN MO.. DAY YEAR Mailing Address 61 GREYSTONE ROAD 2 7 2018 $ 250.00 7 1 1 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND MO DAY YEAR GREGORY HOSLER Mailing Address 735 W. LOUTHER ST 2 7 2018 $ 300.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND J To Whom Paid I_ I� I -1 J rrt PAMELA L. HOSLER Mailing Address 735 W. LOUTHER ST 2 1 7 I 2018 300.00 City CARLISLE `State •'Zip Lode Illus 4) Description of Expenditure PA 17013 DONATION REFUND To Whom Paid J MICHAEL H. CRUTCHER MO . IDAY__I YEAR I Mailing Address 809 NESBIT DRIVE 2 7 i 2018 $ 100.00 1 ; CARLYSLE .State I2ip Cede!Piu -Dew., s 41 l ;pLiwo of Expe,it Lure IPA I 17013 I DONATION REFUND To Whom Paid I MO I DAY IYEAR I JI Mailing Address 315 W. WILLOW STREET 2 7 2018 100.00 City CARLISLE State (Zip Code(Plus 4) Description of Expenditure PA 1 17013 DONATION REFUND To Whom Paid I CAROLYN H. KOUGH JMO l DAY . 1 YEAR I Mailing Address PO BOX 116 2 7 2018 $ 200.00 City NEWVILLE (State I Zip Code(Plus 4) Description of Expenditure 1 1 PA 1 17241 1 DONATION REFUND 1/26/2019 11:40:35 PM • PAGE 16 To Whom Paid MO DAY YEAR CHARLES R. FINKENBINDER Mailing Address 804 CREEK ROAD 2 7 2018 $ 250.00 • 1 1 1 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17015 DONATION REFUND iTo Wham•Pattl MO DAY YEAR BRUCE A. APGAR JR. Mailing Address 321 WILLOW GROVE ROAD 2 7 2018 $ 100.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND 1To Whom Paid L ,,,,T 'I��.. I,*taut_ 1 rry vM BRUCE A. APGAR SR. Mailing Address 121 HORSESHOE ROAD 2 7 i 2018 $ 100.00 City CARLISLE `State IlipCode tPlus#) Description of Expenditure PA 17015 DONATION REFUND !To Whom PaidI JOSEPH F. BRAZEL I MO IDAY YEAR_ Mailing Address 555 HIGHLAND AVENUE 2 7 2018 1 $ 200.00 City CARLISLE .State i Zip Code.(PJus 4) l fiescription of Expenditure 1 PA 1 17013 I DONATION REFUND To Whom Paid MANSFIELD I MO IDAY I YEAR I •R. - Mailing Address 9 MONTSERA ROAD 21 7 2018 $ 550.00 City CpRJJS1F 'State I Zip Code(Plus 4) Description of Expenditure 1 PA 1 17015 DONATION REFUND To Whom Paid JAMES S. McCALLUM l MO IDAY (YEAR I Mailing Address 901 STRATFORD DRIVE 2 7 i 2018 $ 300.00 City CARLISLE 'State I Zip Code(Plus 4) Description of Expenditure 1 1 PA 1 17013 1 DONATION REFUND 1/26/2019 11:40:35 PM PAGE 17 J • To Whom Paid i I LES HURLEY MO DAY YEAR Mailing Address 281 HARVEST DRIVE 2 7 2018 $ 250.00 1 1 1 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND whomid J_______�T� ----..__ I MO DAY YEAR WILLIAM R. UNGER Mailing Address 1103 SHERWOOD DRIVE 2 7 2018 $ 450.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND To Whom Paid 1 ...T I....� I:..� .._._I 3. MICHAEL ADLER � Mailing Address 2915 ENOLA ROAD 2 7 2018 4 250.00 City CARLISLE Description'dip Code(Thus 4)• Description of Expenditure PA 17015 DONATION REFUND I To Whom Paid I MO I DAY IYEAR I I DOROTHY K. WISE _ , J Mailing Address 241 RIDGE STREET 2 7 2018 $ 100.00 1 CIt; 'CA SLE liSxafe 11Zip Cede(.P1k 4) l 6escr. .. offxpenaiture II PA I 17013 I DONATION REFUND I To Whom Paid WILLIAMIMO I DAY kR I .DE Pam --- Mailing Address 1050 McCLURES GAP ROAD 2 7 2018 200.00 City .CARLISLE State I Zip Code(Plus 4) Description of Expenditure IPA 1 17013 1 DONATION REFUND To Whom Paid MO IDAY 1YEAR I ARTHUR C. PFIEFFER JR. Mailing Address 185 FAITH CIRCLE 2 7 2018 $ 100.00 City CARLISLE 'State I Zip Code(Plus 4) Description of Expenditure 1 1 PA 1 17013 1 DONATION REFUND 1/26/2019 11:40:35 PM PAGE 18 1 - _�_ I � r To Whom Paid ROBERT F. LONG MO DAY YEAR Mailing Address 300 BELVEDERE STREET 2 7 2018 $ 250.00 1 1 1 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND 1 To Whom-.Paid —I – J- _1 MO DAY YEAR ROBERT A. KILMER Mailing Address 13 DONEGAL DRIVE 2 7 2018 $ 250.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND To Whom PaidI�. �_ I I SANDRA S. KILMER Mailing Address 13 DONEGAL DRIVE 2 7 2018 $ 200.00 City CARLISLE State )21p Code(Pius 4) Description of Expenditure PA 17013 DONATION REFUND I To Whom Paid MO I DAY I_,YEAR I • RONALD M. KIZIMA Mailing Address 144 N. MIDDLESEX ROAD 2 7 2018 $ 400.00 1 'CA y Cf+RtSStf State lI.Zip Code(Plus 4) l Zest'ipLian oFC.ptndauie PA I 17013 I DONATION REFUND ITo Whom Paid _r _�._ 11 -GT.-OR-GEL�c u n T i I MO I DAY YEAR I G,..•. GEL S,•Evan Mailing Address 604 WILSON COURT 2 7 2018 $ 300.00 City cARllS11 State l Zip Code(Plus 4) Description of Expenditure PA 1 17013 1 DONATION REFUND To Whom Paid MARVIN C. SALSMAN Mailing Address 600 NOBLE BOULEVARD 2 7 2018 $ City CARLISLE State I Zip Code(Plus 4) MO DAY Hi Description of Expenditure 200.00 1 PA 1 17013 1 DONATION REFUND 1/26/2019 11:40:35 PM - PAGE 19 1_ r 1— I 1 To Whom Paid MO DAY YEAR THOMAS RICHWINE Mailing Address 1106 ACRE DRIVE 2 7 2018 $ 300.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND 'T Whom;Paid �__ — MO DAY —` YEAR DONA M. HEISHMAN Mailing Address 1110 SHERWOOD DRIVE 2 7 2018 $ 200.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND 1 To Whom Paid ____KG-- V Ls, I�. I CAROLYN SHRINER Mailing Address 253 CARLISLE ROAD 2 7 2018 $ 200.00 1 CRY NEWVILLE 'State j2ip Code(-Pius 4) Description of Expenditure PA 17241 DONATION REFUND To Whom Paid ARTHUR R. AMUNDSEN I MO IDAY_._. (YEAR , Mailing Address 1142 S. PITT STREET 7 20 2018 $ 250.00 Y L`ARUSt1 .State Zip Cade(PJuS 4) l Debutiptiun of Expenditure • 1 PA 17013 I DONATION REFUND To Whom Paid MO DAY I YEAR I I H. JAY SEXTON Mailing Address 4 MICHAUD OAKS RD 21 71 2018 $ 449.00 City CtARDMP�S State I Zip Code(Plus 4) Description of Expenditure I PA l 17324 l DONATION REFUND To Whom PaidI I DAVID N.TAYLOR IMO I DAY I YEAR I Mailing Address 3751 ROUNDTOP ROAD 2 7 1 2018 $ 250.00 City ELIZABETHTOWN State I Zip Code(Plus 4) Description of Expenditure PA 1 17022 1 DONATION REFUND 1 1/26/2019 11:40:35 PM PAGE 20 I0 .-. I _ ter I — -:, i 1 To Whom Paid MO DAY YEAR n JOHN AUGER Mailing Address 901 DUNBAR STREET 2 7 2018 $ 100.00 7 1 7 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 DONATION REFUND IT-e Ab'-hom-Paid - I- n� .,____ . i.�__. T� MO fik YEAR. LARRY HATTER Mailing Address PO BOX 1218 2 7 2018 # 150.00 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17055 DONATION REFUND PAGE TOTAL Enter Grand'Total of Expenditures on Page 1,Report Cover Page,Item ft 12,919.00 1/26/2019 11:40:35 PM