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Home My WebLink AboutHampden Democratic Club - 2019 2nd Friday Pre-Primary OII11hht11 II �I 111 Reset Form Print Form 4 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 83-4445500 (Mark X) • n Name of Filing Committee,Candidate or Lobbyist Hampden Township Democratic Club Street Address 102 Saint Johns Church Road City • Camp Hill State PA Zip Code 17011 1 Type of Report(Place x under report type) 1 1_60 Tuesday 2- 2"Friday 3-30 Day Post 4-6th Tuesday 5-2"Friday 6-30 Day Post 7-Annual Special 2""Friday Special 30 Day 1 Pre-Primary Pre-Primary Primary - Pre-Election Pre-Election Election • Pre-Election Post-Election Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/21/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 04/01/2019 05/06/2019 A.Amount Brought Forward From Last Report $ 0 - C) N B.Total Monetary Contributions and Receipts $ (From Schedule I) 430 W = C.Total Funds Available $ ril 1"' (Sum of Lines A and B) 430 r- —,C- D.Total Expenditures $ •CT1 ,,"" (From Schedule III) 0 ® • E.Ending Cash Balance $ C) mg (Subtract Line D from Line C) 430 U F.Value of In-Kind Contributions Received $ 0 '` • (From Schedule II) G.Unpaid Debts and Obligations $ (From Schedule IV) 0 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 my knowledge and belief true,correct and complete. Swor io and subscribed before me this ��` //- Iq W day of 20 AL. ..„.4,1„.._ �4a I Si t re `�L7, ittin report Signaturett„ /�_ Commonwealth of PemnsyN+"�' �'y Print:.. Nyaamom r ,, ✓) �ices Cum Eaat*GAN ORRIS-r.an c. ^I 1 l 1. 5(4-tsV My Commiss n xpires My Commission EX"irK Am 14,2023 ` L MO. (roymissionNprber 12a0064 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 SCHEDULE I Contributions and Receipts Detailed Summary Page IFiler Identification Number _ 83-4445500 I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 180 $250.00(From .j.2.Contributionsof$5O.Olto . Part A and Part B) Contributions Received from Political Committees(Part A) $ 250 All Other Contributions(Part B) $ 0 Total for the reporting period (2) $ 250 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E). - 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 430 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. I Filer Identification Number 83-4445500 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Fedor 250 04/16/2019 House# Street Address . Date[MM/DD/YYYY] $ PO Box 635 City State Zip Code Date[MM/DO/YYYY] $ Enola PA 17025 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/YYYYj $ 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/YYYY] $