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Home My WebLink AboutFriends of Jake Miller - 2019 30-Day Post-Primary II 11 i li_Reset Form f 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 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friends of Jake Miller Street Address 3819 Hearthstone Rd ' City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d 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 05/07/2019 06/10/2019 A.Amount Brought Forward From Last Report $ 3,610.93 B.Total Monetary Contributions and Receipts $ 600 • (From Schedule I) C: , C= C.Total Funds Available $ 4,210.93 `- (Sum of Lines A and-B) c:... rn • D.Total Expenditures $ i,3 (From Schedule III) 511.02 r-- E.Ending Cash Balance 'GJ (Subtract Line D from Line C) $ 3,699.91 F.Value of In-Kind Contributions Received - $ C3 = (From Schedule II) 31.96 Q 41 G.Unpaid Debts and Obligations $ • (From Schedule IV) 65a.oa -< C 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 o and subscribed before me this 13 day of 20 19' 44, ' Commonwealth of Penns v is-Notary Seal Si+r.tu//re/of-Pe son fitting reportn ^ t MEGAN ORRIS-N ary Public 77�CAw��Ob Signature Cumberland ounty Printed Name - • �1 My Commission Expir Jan 14,2023 ��'/// My Commission expires ' • l�. d oanmission Number 1260066 C`�, I(� .� 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. Commonwealth of Pennsylvania-Notary Seal MEGAN ORRIS-Notary Public Sworn to and subscribed before me this Cumberland CountyQQ12— - My Commission Expires Jan 14,2023 13 dayoftd(�(,./,�.. 20'l_ Commission tuber 1260066 • ."--CaA-A-A'd----- . ' . ignatu`re of nd to �'/ SignaturePrinted Name • My Commission expiresjaAl • I LI r da3 711 ( t ]l-p' 31 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor 1 Total for the reporting period (1) $ 50 12.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 550 Total for the reporting period (2) $ 550 3.Contributions Over$250.00(From Part C and Part 0) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 f4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I 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 600 Cover Page,Item B) 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: I Full Name of Contributor Date[MM/DD/YYYY] $ Rick Galena 05/08/2019 100 House# Street Address Date[MM/DD/YYYY] $ 53 E.North Street City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date,[MM/DD/YYYYJ $ Lisa Keck 05/08/2019 150 House# Street Address Date[MM/DD/YYYY] $ 3828 Carriage House Drive City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Wayne Landon 05/14/2019 100 House# Street Address Date[MM/DD/YYYY]_. $ 872 ACri Road City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/OD/YYYY] $ Heather Purichia 05/15/2019 100 House# Street Address Date[MM/DD/YYYY] $ 140 Northgate Drive City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYYJ $ Bonnie Kline 100 05/22/2019 House# Street Address Date[MM/DD/YYYY] $ 217 W.Park Avenue City State Zip Code Date[MM/DD/YYYYJ $ State College PA 16803 Full Name of Contributor Date[MM/DD/YYYYJ 4 House#. Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 556, 00 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: I • I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 31.96 I2. 1N-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) 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 on Page 1,Report Cover Page,Item F) 31.96 SCHEDULE III Statement of Expenditures • filer Identification Number: I To Whom Paid Date[MM/DD/YYYY] $ Vantiv 87.76 05/09/2019 House# Street Address Description of Expenditure City State Zip Code April 2019 Vantiv Fee To Whom Paid Date[MM/DD/YYYY] $ Gannett Fleming Gancom 398.56 05/09/2019 House# Street Address Description of Expenditure 209 Senate Avenue City State Zip Camp Hill PA Code 17011 Hand Out Cards To Whom Paid Date[MM/DD/YYYY] $ Cedar Cliff Pizza 16.7 05/21/2019 House# Street Address Description of Expenditure 1055 Carlisle Rd City Camp Hill State PA zee 17011 Team Dinner To Whom Paid Date[MM/0D/MM $ PNC Bank 2 06/03/2019 • House# Street Address Description of Expenditure 4242 Carlisle Pike City Camp Hill State PA zee 17011 Banking Service Charge period ending 05/31/19 To Whom Paid Date DAM/DD/YYYY] $ Act Blue 6 06/05/2019 House# Street Address Description of Expenditure PO Box 441146 City State Zip Somerville MA Code 02144-0031 Act Blue May 2019 Fee To Whom Paid Date[MM/DD/YYYY] $ , House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/MY] $ 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 3 5 )I Ca 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: I Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 3824 Carriage House Drive [MM/DO/YYYY] 02/11/2019 City Camp Hill State PA Code 17011 500 Description of Debt Open PNC Bank Account for Friends of Jake Miller Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 3824 Carriage House Drive [MM/DD/YYYY] 02/05/2019 City Camp Hill State PA COpde 17011 5 Description of Debt BOE CD 1 Name of CreditorJake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 3824 [MM/DD/YYYY] Carriage House Drive 03/08/2019 City Camp Hill State PA COpde 17011 100 Description of Debt BOE Filing Fee Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 3824 Carriage House Drive [MM/DD/YYYY] 03/25/2019 aty Camp Hill State PA Cie 17011 49.04 Description of Debt Team Meeting-Dinner Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ • [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State ' Zip Code Description of Debt