The URL can be used to link to this page

Home My WebLink AboutCommittee to Elect Shelly Capozzi - 2019 2nd Friday Pre-Primary IIII ICC3CE-un IIT, r-r1111 V1 vn 111 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 833397394 (Mark X) n Name of Filing Committee,Candidate or ' Lobbyist Committee to Elect Shelly Capozzi • Street Address 1655 Holly Pike City Carlisle State PA Zip Code 17015 Type of Report(Place x under report type) 1-6"' Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"d 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) 5/21/2019 2019 Report X ! Report • Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2019 5/6/2019 A.Amount Brought Forward From Last Report $ 0 • C? r'•- , B.Total Monetary Contributions and Receipts $ L.. r (From Schedule I) 3841.00 C.Total Funds Available $ rn (Sum of Lines A and B) 3841.00 r-- — D.Total Expenditures $ • -z c=k (From Schedule III) 1736.40cp E.Ending Cash Balance $ C") (Subtract Line D from Line C) 2104.72 <"� C3 F.Value of In-Kind Contributions Received $ 01 (From Schedule II) 0' -< --i G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here s is is ndldate report,candidate sign here. I swear(or affirm)that this report,including the attach.d st iedi l ,. paper,is to the best of my knowlede and belieftrue,correct and complete. Sworn to and subscribed before me this 'a �� /��/�/Rd__ � Spa�"s E"aGG/o day of (J1J( C� l 20 a t c . - /� t lit -- a ,Signature �r�pn bmitting report t+cd Signature . 6.,v; Printed Name My Commission expires i—C.ib . 1 L4 cacta5 o > 4 2 ( / ? //"/ 'Zl MO. DAY YR. . d Area Code Daytime Telephone Number ' s Part II-If this is a report of a Candidate's Authorized Committee,c. didate 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 v r r. i )04%day of rP 20 c711 �.g a —)j-JtP / nC- CT ri x o pf L��C 7 Sign re of an ida e y a s hc11/ �. �7 74 Signature i n s Print d Name • �Qb. j ^^.�C wa•22 • My Commission expires eb 4 O oas s? s.R � ) Q 7 9'7a U MO. DAY YR. ''-; " Area Code Daytime Telephone Number 0 d SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 833397394 I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 25 2.Contributions of$50.01 to $250.00(From • Part A and Part B) I Contributions Received from Political Committees(Part A) $ 375 All Other Contributions(Part B) $ 2466 . Total for the reporting period (2) $ 2841 3.Contributions Over$250.00(From Part C and Part D) + Contributions Received from Political Committees(Part C) $ 0 • All Other Contributions(Part D) $ 1000 Total for the reporting period (3) • $ • 1000 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ .12 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) 3841.12 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. Filer Identification Number: 833397394 Full Name Committee to Elect Shelly Capozzi House# 1655 Street Address Holly Pike City State Zip ; Date[MM/DD/YYYY] $ Carlisle PA Code 17015 .12 02/28/2019 Receipt Description Dividend on campaign checking account. 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 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 ' Zip • Date[MM/DD/YYYY] $ Code Receipt Description II II Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification 9 p Report Filed By Candidate Committee \ Lobbyist Number 93.33 ?3 y (Mark X) n Name of Filing Committee,Candidate or Lobbyist Committee to Elect Shelly Capozzi Street Address 1655 Holly Pike City Carlisle State PA Zip Code ISM t..�1S- IType of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6u'Tuesday 5-rd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election 2 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 01/01/2019 MS n — A.Amount Brought Forward From f Last Report $ C o 0 V" .sa B.Total Monetary Contributions and Receipts $ C7/ 7 3;841 3$1 m zew (From Schedule I) X -< r-- I C.Total Funds Available $ y (Sum of Lines A and B) kir) (Sum D.Total Expenditures $ -0 1,736.4 C7 (From Schedule Ill) E.Ending Cash Balance $ C c ) (subtract Line D from Line C) �aa 40J o F.Value of In-Kind Contributions Received $ -< t.0 (From Schedule II) 0 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. Sworn to and subscribedibbefore me this day of i)€CO a tSl'iEALTh OF PEN SYLVANIA ' a-----------' NOTARIAL SEA nater of P son Su+ tt e rt rd �� gCfr?4 L (SeEe 4 0 Signatur �eTA.BURKETT Note Public Printed Name S.Middleton Twp.,Cum County M r...._ iz M 23 2020 7 R / —5' 2 02 My Commission expires / L 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 provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. Sworn1Ttp and subscribed before me this . .1��day.f k.C., 0� 2 ", SSlgnat Li t_ ,e off ndfda UM Signaturreen� a/� Printed Name o (� My Commission expires t�C�V. pDq14 aoa t 1 - t 7�i-7p o Co COMMONWEVI OF PENNSYLVANIA� Area Code Daytime Telephone Number r NOTARIAL SEAL LORME GEISTW1nTE — Notary Public CARLISLE BORO.CUMBERLAND COUNTY My Commission Expires Feb 14.2021 SCHEDULE I Contributions and Receipts Detailed Summary Page I Flier.Identification Number 1 63 33 7 73 5, v I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 25 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 375 All Other Contributions(Part B) $ 2,466 Total for the reporting period (2) $ 2,841 13.Contributions Over$250.00(From Part C and Part 0) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 1,000 Total for the reporting period (3) $ 1,000 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 Cover Page,Item B) 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. Filer Identification Number 6333 .52.y4 f Amount Full Name of Contributing Date[MINI/DD/YYYY] $ Committee Friends of Chris Reilly 250 02/04/2019 House# Street Address Date[MM/DD/YYYY] $ P.O.Box 206 City State Zip Code: Date[MM/DD/YYYY] $ York PA 17406 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Bloom for the 199th Committee 02/06/2019 125 House# Street Address Date[MM/DD/YYYYJ $ 19 Brookwood Avenue City State Zip Code Date-[MM/DD/YYYYJ $ Carlisle PA 17015 Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House 41 Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/MY] $ 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.) Filer Identification Number: f Full Name of Contributor Date[MM/DD/YYYY] $ Nataliia Adler 02/3/2019 100 House#. Street Address Date[MM/DD/YYYY] $ 2930 Arconia Road City State Zip Code Date[MINI/DD/YYYY] ,$ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Judge M.Ebert 2/3/2019 100 House# Street Address Date[MM/DD/YYYY] $ 1885 W.Lisburn Road • City State ,r Code:- Date[MM/DD/YYYY] $ Carlisle PA 17015 Full Name of Contributor Date[IVIM/DD/YYYY] $ Andrew Eisemann 2/4/2019 100 House# Street Address Date[MM/DD/YYYY] $ 73 Channel Drive City State: Zip,C ode Date[MM/DD/YYY'] $ Carlisle rl!'1' PA " ;'.,17013 Full Name of Contributor Date[MM/OD/YYYY] $ Terry Harris 2/3/2019 100 House# Street Address Date[MM/DD/YYYY] $ 2214 Eaglesmoor Lane City. State; Zip Code Date[MM/DD/YYYY] $ Enola PA17025 Full Name of Contributor Date[MM/DD/YYYY] $ Paul Strizzi 100 2/3/2019 House# Street Address Date[MM/DD/YYYYj $ 200 Mountainview Rd City State . Zip Code Date[MM/DD/YYYY] $ Mount Holly Springs PA 17065 Full Name of Contributor Date[MM/DD/YYYY] $ Alan Duxbury 100 2/3/2019 House# Street Address Date[MM/DD/YYYY] $ 270 College Street City State Zip Code Date[MM/DD/YYYY] $ Carlisle °"4'''PA ` 17013 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: P3/3 7._? Full Name of Contributor Date jMM/DD/YYYY] $ Eric Swidler 2/3/2019 125 House# 'Street Address Date[MM/DD/YYYY] $ 845 Hamilton Street City State Zip Code , Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MMJDD/YYYY] $ Dennis Burkett DDS 2/2/2019 100 House# Street Address Date[MM/DD/YYYY] $ 13 Brookwood Avenue,Suite 1 City State Zip Code Date[MM/DD/YYYY] $ Carlisle • PA 17015 Full Name of Contributor . Date[MM/DD/YYYY] $ Craig Adler 2/3/2019 100 House# Street Address Date[MMJDD/YYYY] $ 355 North 21st Street, Suite 205 City State Zip Code ` Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date.[MM/DD/YYYY] $ Nancy Skilton 2/3/2019 100 House# Street Address Date[MM/DD/YYYY] $ ' 103 4th Street City State Zip Code Date.jMM/DD/YYYY] $ Boiling Springs PA 17007 Full Name of Contributor Date jMM/DD/YYYY] $ • Timothy Ziegler 2/1/19 100 House# Street AddressDate[MM jDDJYYYY] $ 133 Timber Lane City State • Zip Code Date[MM/DD/YYYYJ $ Lebanon PA 17042 Full Name of Contributor Date jMM/DD/YYYY] $ Lisa McConnell 100 2/3/2019 House# Street Address Date jMM/DDJYYYYJ $ 6545 Windmere Court City State Zip Code Date jMM/DDJYYYY] $ Harrisburg PA 17111 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 P.33,297 'f 9 Full Name of Contributor Date[MMJDD/YYYY] $ Kelly R.Lewis 2/4/2019 200 House# Street Address Date[MM/OD/YYYYI $ 311 Skyport Road City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Todd R.Long 2/3/2019 200 House# Street Address Date[MM/DD/YYYY) $ 5 Wellington Court City State Zip Code Date[MMJDDJYYYYj $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Daniel Natirboff 02/3/2019 100 House# Street Address Date[MM/DD/YYYY] $ 2332 Forest Hills Drive City State Zip Code Date[MMJDD/YYYY] $ Harrisburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY]. $ Donna Myers 02/3/2019 50 House# Street Address Date(NIM/DD/MY) $ 230 Parker Street City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/OD/YYYY] $ Robert Goodling 01/23/2019 250 House# Street Address Date[MMJDD/YYYY] $ 575 Dogwood Drive City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA Full Name of Contributor Date[MM/DDJYYYY] $ House# Street Address Date[MM/DDJYYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 17112 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: g 32.75 2.7� 9 3 �y I Full Name of Contributor" Date[MM/DD/YYYYJ $ Shelly Capozzi Living Trust 3/21/2019 91 House# Street Address Date[MM/00/YYYYJ $ 1655 Holly Pike City State. lip code Date[MM/DD/YYYYJ,: $ Carlisle PA 17015 Full Name of Contributor pate[MMJODJYYYYJ $ John Lyter 01/31/2019 50 House# Street Address Date[MM/DO/YYYY] $ 1211 Georgetown Circle City State Zip,Co a Date(MM/DDJYYYY) $ Carlisle PA ..; 17013 Full Name of Contributor Date[MM/DD/YYYYI $ Jay Swisher 02/3/2019 80 House# Street Address Date[MM/DD/YYYYJ $ 535Park Drive City State Zip code Date[MM/DDJYYYYJ $ Boiling Springs <>PA '; 7f,. 17007 Full Name of Contributor., Date;[MM/DD/YYYYJ $ Michael Berk 2/3/2019 100 House# Street Address Date[MM/DD/YYYYJ $ 5 Palms Court City Sta> Zip Code Date{MM/DD/YYYYJ $ Carlisle '-'PA 17015 Full Name of Contributor Date[MM/DD/YYYYJ $ ball'cel tAlerie/fr z l3 AD/r I%0 -- House# Street Address Date[MM/DD/YYYY] $ l I.co c itve -6-- x p City State; Zip Ccorie Date[MM/DD/YYYY] $ C,�� '�'le `; �( I ' /7D /S Full Name of Contributor .Date-.[MM/DD/YYYYJ $ /4,2(ST/We- fnA‘4,34)1 y 13/ 7-oi f 4'e 0 House# Street Address Date[MM/DD/YYYY] $ /3491 el/is Dsg ive, u'V i-r /OS City State Zip.Code Date[MM/DOJYYYYJ $ y:/4 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) Filer Identification Number; 3,725'73g Full Name of Contributor Date[MM/DD/YYYY] $ Maria Louisa Gaughen 1,000 2/4/2019 House# 'Street Address Date(MM/DD/YYYY] P.O.Box 203 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17001 Employer Name Occupation Employer Mailing Address/ Principal Place of Business 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 Place of.Business 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 Place of Business 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 Place of Business 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 yyIY4v,, 8,�33p734 y TOTAL for the reporting period (1) $ ;;7 p r ® gra „ -, in ,p // /%� �7/7/,,/f % // Z /'"Q / i/ /, TOTAL for the reporting period (2) ll %-;% frmy lbw?gyp toy$ /ip// / / / r /i �• TOTAL for the reporting period (3) $ ` TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter 0 -. on Page 1,Report Cover Page,Item F) �O ,, SCHEDULE III Statement of Expenditures IFiler Identification Number: u 3/3 '77" I To Whom Paid Date[MM/DD/YYYY] $ Siffeerptite4b.ea, 1/23,L2839 House# Street AddressDescription of Expenditure 241115-- StertTEM1571757tiMie City State Zip Au tin 28358 a T'a a^ Code To Whom Paid ,---"'" Date[MM/DD/YYYY] $ e/m,%4 (A-vtN Zbyl, 4 S-3 D. House# Street Address 4 _//y ACC Description of Expenditure /S7Z / � �i City e/q c/f j/ State /7,4 Code M D 15- 04-reg"E f To Whom Paid , Date{MM/DD/YYYYj $ She11y G' AP02z -.2_ 11-112°11 l2blp.4o House# ` PSg Street Address NO 1 It p le Description of Expenditure ` CityCdebrState 7 Zip n �W� Code 110 LS- (2eIM.bof 'r '180S 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