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Home My WebLink AboutFriends of Chris Delozier - 2019 2nd Friday Pre-Primary III I III RPM!! 11011Reset Form 1 Print Form ' 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 834241240 (Mark X) Name of Filing Committee,Candidate or Friends of Chris Delozier Lobbyist Street Address POBox 714 City New Cumberland State PA Zip Code 17070 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2nd 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) 5/21/19 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2019 05/06/2019 C) - - A.Amount Brought Forward From Last Report $ C" c" 0 ,.o B.Total Monetary Contributions and Receipts $ CO =. (From Schedule I) 8,075 -mac C.Total Funds Available $ i•'-' t (Sum of Lines A and B) 8,075 la) D.Total Expenditures $ 431 ED (From Schedule III) CD E.Ending Cash Balance $ G (Subtract Line D from Line C) 7,644 - ; F.Value of In-Kind Contributions Received $ < op.."J (From Schedule II) 455.24 a ...M.......1....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 th ,of cAy knowledge and belief true,correct and complete. Sworn to and subscribed before me this COMMONWEALTH OF PENN NOTARIAL SEAL �/ y day of 20 l' Lorah, Notary Pu tj flit ` LA._ � _ Michael Daup South Han• er TY/P... •g ature of P son mining report .y Commi -ion Expires sZ., OctO �,F,r-r t it .("-r- .. Signature -�,gN1A A5 CCIA 1• Printed Name 11 h'E'JS=R,"r E'' f My Commission expires L( / 2-LIL Z--01 y C".4(.7 S�f•.. �,36; • M AY 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. c 6MMQNWEALTH OF PENNSYLVANIA NOTARIAL SEAL Sworn to and subscribed before me this Michael S. Lorah, Notary Public 1 t- day of 201 I South Hanover• Twp., Dauphin Con �>�l� ,)-----. My ComfnlSai• Expires Oct. 22, /1-/u.f//s NcM.ER•PE NSYLV h t A S• IATICN OF No 'ii• 5� $igr}�turetCap ' at t� Signature Printed Name • My Commission expires IC Z ) Z Z9/1 h1 1 S1. '923t� MO. L DA/ YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page IFiler Identification Number I I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 75 2.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ 950 All Other Contributions(Part B) $ 2,550 Total for the reporting period (2) $ 3,500 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 1,000 All Other Contributions(Part D) $ 3,500 Total for the reporting period (3) $ 4500 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) 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) 8,075 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 I 83 4241240 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Barry Jozwiak 100 4/16/19 House# Street Address Date[MM/DD/YYYY] $ 590 Grande Rd City State Zip Code Date[MM/DD/YYYY] $ Bernville PA 19040 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Fran Chardo 4/24/19 100 House# Street Address Date[MM/DD/YYYY] $ PO Box 512 City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 , Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Mark Kellar 4/16/19 250 House# Street Address Date[MM/DD/YYYY] $ 6441 Waggoners Gap Rd City ' State Zip Code Date[MM/DD/YYYY] $ Landisburg PA 17040 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Glenn Grell for House Committee 4/24/19 250 House# Street Address Date[MM/DD/YYYY] $ 17 Devonshire Sq City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Mike Regan 250 . 4/1/19 House# Street Address Date[MM/DD/YYYY] $ PO Box 811 City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributing Date[MM/DD/YYYY] $ 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.) I Filer Identification Number: I 84 4241240 Full Name of Contributor Date[MM/DD/YYYY] $ Gayle Mills-Russell 4/18/19 100 House# Street Address Date[MM/DD/YYYY] $ 808 Derby Ave City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Brian Rider 4/18/19 100 House# Street Address Date[MM/DD/YYYY] $ 35 Emily Ln City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Tom and Linda Farr4/19/19 200 House# Street Address Date[MM/DD/YYYY] $ 425 N 4th St City State Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ Bill Fulton 250 4/16/19 House# Street Address Date[MM/DD/YYYY] $ 138 N 25th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Sean Connolly 4/14/19 100 House# Street Address Date[MM/DD/YYYY] $ 1602 Kent Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ • Fay Betsker 4/16/19 100 House# Street Address Date[MM/DD/YYYY] $ 5245 Winthrop Ave City State ' Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 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.) I Filer Identification Number: I 84 4241240 Full Name of Contributor Date[MM/DD/YYYY] $ Mark A Perry 4/18/19 250 House# Street Address Date[MM/DD/YYYY] $ 204 Sunset Dr . City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ Elizabeth Kroutch 4/27/19 200 House# Street Address Date[MM/DD/YYYY] $ 2296 Pullman Way City State Zip Code Date[MM/DD/YYYY] $ Hummelstown PA 17036 Full Name of Contributor Date[MM/DD/YYYY] $ Joe Marshall 4/16/19 100 • House# Street Address Date[MM/DD/YYYY] $ 2225 Chatham Way City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Dave Latorre 250 4/23/19 House# Street Address Date[MM/OD/YYYY] $ 443 Arlington Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Joe and Karen Deklinski 100 4/24/19 House# Street Address Date[MM/DD/YYYY] $ 406 N Front St • City State Zip Code Date[MM/DD/YYYY] $ Wormyelsburg PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ • Ray and Jen Zaborney 4/23/19 100 House# Street Address Date[MM/DD/YYYY] $ 98 Carol PI City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 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.) I Filer Identification Number: 84 4241240 Full Name of Contributor Date[MM/DD/YYYY] $ Jeffrey Cook 4/24/19 100 House# Street Address Date[MM/DD/YYYY] $ 1918 Carlisle Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Matthew Nordstrom 4/24/19 100 • House# Street Address Date[MM/DD/YYYY] $ 5227 Windsor Blvd City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Judith Nordstrom 4/24/19 100 House# Street Address Date[MM/DD/YYYY] $ 138 Lancaster Blvd City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Robert Gotwalt 4/23/19 100 House# Street Address Date[MM/DD/YYYY] $ 1391 Letchworth Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Norm Nelson 100 4/22/19 House# Street Address Date[MM/DD/YYYY] $ 2 Mayfair Ct • City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Lisa Stone 100 4/24/19 House# Street Address Date[MM/DD/YYYY] $ 98 Carol St. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 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.) I Filer Identification Number: I 83 4241240 Full Name of Contributor Date[MM/DD/YYYY] $ Charles Hinson 4/24/19 100 House# Street Address Date[MM/DD/YYYY] $ 1105 Valley Rd City State Zip Code Date[MM/DD/YYYY] $ Marysville PA 17053 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] $ 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. tFiler Identification Number: f83 4241240 I Full Name of Date[MM/DD/YYYY] $ Contributing Committee Friends for a Better Commonwealth 1,000 4-15-19 House# Street Address Date[MM/DD/YYYY] $ PO BOX 12090 City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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) I Filer Identification Number: I 83 4241240 Full Name of Contributor Date[MM/DD/YYYY] $ Chris Wasko 500 4/18/19 House# Street Address Date[MM/DD/YYYY] $ 130 Fieldstone Dr City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17015 Employer Name Occupation PA Dental Association Insurance Services Insurance Broker Employer Mailing Address/ Principal Place of Business 3501 N Front St.Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Jim and Jen Delozier 1,000 4/24/19 House# Street Address Date[MM/DD/YYYY] $ 1297 Letchworth Rd • City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Retired Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor . Date[MM/DD/YYYY] $ Glen Thomas 4/18/19 1,000 House# Street Address Date[MM/DD/YYYY] $ 98 Farrier Ln City State Zip Code Date[MM/DD/YYYY] $ Newtown Square PA 19073 Employer Name GT Power and Associates Occupation Attorney Employer Mailing Address/ Principal Place of Business 101 Lindenwood Dr Suite 225 Malvern,PA 19355 Full Name of Contributor Date[MM/DD/YYYY] $ John and Kris Dormuth 4/24/19 1,000 House# Street Address Date[MM/DD/YYYY] $ 619 Musket Ct City State Zip Code Date[MM/DD/YYYY] $ Lewisberry PA 17339 Employer Name Temple University Occupation Associate Professor Employer Mailing Address/ Principal Place of Business 1801 N Broad St.Philadelphia,PA 19110 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: 83 4241240 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I 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) $ I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 455.24 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) 455.24 SCHEDULE 11 Part G In-Kind Contributions Received VALUE OVER$250 I Filer Identification Number: 83 4241240 I Full Name of Contributor Date[MM/DD/YYYY] $ Friends of Sheryl Delozier 4/24/19 455.24 House# Street Address Date[MM/DD/YYYY] $ PO Box 66 City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Employer Name Commonwealth of PA Occupation State Legislator Employer Mailing Address/Principal Description Place of Business Commonwealth Ave.Harrisburg,PA 17105 of Food/Drink for fundraiser 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 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 Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: 83 4241240 To Whom Paid Date[MM/DD/YYYY] $ Red Maverick Media 431 4/29/19 House# 1426 Street Address N 3rd St Description of Expenditure City State Zip Harrisburg PA 17102 Fundraiser Admin Fee 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 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