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HomeMy WebLinkAboutFriends of Rob Kline - 2019 2nd Friday Pre-Primary j Reset Form - i Print Form I Ifl II 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 X Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Friends of Rob Kline Lobbyist Street Address 714 Bridge Street City New Cumberland State PA Zip Code 17070 i - Type of Report(Place x under report type) 1-61° Tuesday 2- 2"l Friday 3-30 Day Post 4-6L''Tuesday 5-2hd 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 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 04/04/2019 05/06/2019 A.Amount Brought Forward From Last Report $ 0 C) B.Total Monetary Contributions and Receipts $ /q, 62- C (From Schedule I) ! [T1 = C.Total Funds Available $C. }' (Sum of Lines A and B) .--- D.Total Expenditures $ -"PCl Rya, (From Schedule 111) Cn1 y-7 -0 E.Ending Cash Balance $ C7 (Subtract Line D from Line C) 1618.15 C) N F.Value of In-Kind Contributions Received $ s ,.- . (From Schedule II) 0 --1 coo G.Unpaid Debts and Obligations $ (From Schedule IV) 1o55.6z • 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 subscribed before me this - day of /1(7Yy 20 / _—aa/ . f I CrI Signature of Person Submitting report ��� C ( n S Kostukovich Signatdre �7 r Printed Name My Commission expires ©9 2(a 2027 717 730-0820 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. Sworn to and subscribed before me this It 1Q"--1 day of / 20 COMMONWEALTH OF PENN YLVANIA Signature of Candidate t.4.49.1.AL SEAL Robert P Kline Signature Darrell C. Dethlefs, Notary ublic Printed Name ,Caritp Hill BgrpJCumberland County 717 770-2540 My Commission expires ?./My nmrnis Expires Aug. 5, 2020 M ,EMBER?A'CNNSYLYRNIA ASSOCIATION OF SOTARIES Area Code Daytime Telephone Number CHERIE ROGERS COUCHE Notary Public-State of South Carolina My Commission Expires September 26,2027 1 SCHEDULE I Contributions and Receipts Detailed Summary Page I Filer Identification Number I I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 12.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ 625.00 Total for the reporting period (2) $ 625.00 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ 500.00 Total for the reporting period (3) $ 500.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 785.62 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) 1910.62 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: Full Name of Contributor Date[MM/DD/YYYY] $ Anne C Partridge 05/06/2019 250.00 House# 'Street Address Date[MM/DD/YYYY] $ 5008 Woodbox Lane City • State Zip Code ! Date[MM/DD/YYYYJ $ Mechanicsburg PA 17055 Full Name of Contributor ' I Date[MM/DD/YYYYJ $ John R Murray 05/06/2019 125.00 House# Street Address I Date[MM/DD/YYYY] $ 503 Park Avenue City State Zip Code [Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor I Date[MM/DD/YYYY] $ James Smith Dietterick&Connelly LLP 05/03/2019 250.00 House# Street Address I Date[MM/DD/YYYY] $ 11 E Chocolate Avenue Suite 300 City State I Zip Code Date[MM/DD/YYYY] $ Hershey PA 17033 Full Name of Contributor I Date[MM YYY /DD/ Y] $ House# Street Address I Date[MM/DD/YYYY] $ City State [Zip Code - Date[MM/DD/YYYYT $ Full Name of Contributor Date[MM/DD/YYYY] $ House# ' 1Street Address Date[MM/DD/YYYY] $ City State ' Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYY] $ • House# Street Address Date[MM/DD/YYYYJ $ City State I 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) Filer Identification Number: ' Full Name of Contributor Date[MM/DD/YYYY]_ _ $ Lemoyne Development 500.00 05/03/2019 e I House# Street Address Date[MM/DD/YYYY] $ 301 Market Street PO Box 109 City I State ' Zip Code 1 ^Date[MM/DD/YYYY] $ 1 Lemoyne PA 17043 Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] _ $ _ I 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 LState Zip Code Date[MINI/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# ;Street Address LDate[MM/DD/YYYY] $ • City State Zip Code ; Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business PART E Other Receipts REFUNDS,INTREST INCOME,RETURNED CHECKS,ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Flier Identification Number: Full Name Robert P Kline House# Street Address 414 Poplar Ave City State Zip Date[MM/DD/YYYY] $ New Cumberland PA Code 17070 785.62 04/12/2019 Receipt Description Loan to Committee 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 SCHEDULE 111 Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Event Cafe 100.00 05/02/2019 House# Street Address Description of Expenditure 206 3rd St City State Zip New Cumberland PA Code 17070 Fundraising event To Whom Paid Date[MM/DD/YYYY] $ Staples 192 47 05/02/2019 House# Street Address Description of Expenditure 128 S 32nd St City State Zip Camp Hill PA Code 17011 Fundraising invitations 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 • SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: Name of Creditor Robert P Kline Outstanding Balance of Debt House#, 'Street Address DATE DEBT INCURRED $ 414 Poplar Ave [MM/DD/YYYY] 04/12/2019 I City [-State Zip 785.62 'New Cumberland ! PA 17070 Code Description of Debt Name of CreditorRobert P Kline Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 414 Poplar Ave [MM/DD/YYYY] 03/12/2019 City i State Zip 7 105.00 New Cumberland i PA Code 17070 Description of Debt Name of Creditor Robert P Kline Outstanding Balance of Debt House#1 Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] 414 Poplar Ave ' 05/03/2019 City State I Zip 165.00 New Cumberland PA 1 Code 17070 Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address 1—DATE DEBT INCURRED $ I [MM/DD/YYYY] — City State,• rZip 1Code ,Description of Debt " Name of Creditor { Outstanding Balance of Debt House# 'Street Address, I DATE DEBT INCURRED $ [MM/DD/YYYYJ 1 l City State Zip , I Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1 [MM/DD/YYYY] I City State ; Zip • Code Description of Debt