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Home My WebLink AboutHampden Democratic Club - 2019 30-Day Post-Primary 83IIIIIII-44IIII45IIII1500IIIIR II111 I Reset Form [ Print Form IIIll 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) Name of Filing Committee,Candidate or Lobbyist Hampden Township Democratic Club Street Address 102 Saint John's Church Road City Camp Hill State PA Zip Code 17011 ( Type of Report(Place x under report type) 1-6`" 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 x - 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 5/7/2019 5/10/2019 A.Amount Brought Forward From Last Report $ 430 n N cn B.Total Monetary Contributions and Receipts $ .770A .i� (From Schedule I) 566 C. C.Total Funds Available (Sum of Lines A and B) 996 >. D.Total Expenditures $ CA) 182.6 C7 (From Schedule Ili) n Ma. E.Ending Cash Balance $ Co = (Subtract Line 0 from Line C) 813'4 C *.-^ F.Value of In-Kind Contributions Received $ --4 NI (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 subscribed before me this 134day of ( JZ. 20 ! .'' Si1, 410 it g a 'e mittingreport 15 onwealth of Pennsyly is-Notary Seal N c3.Ct eX/^yt`'J�� Signaturek.-44terA-4-424.. MEGAN ORRIS-Nota y Public Pri ted Naris Jail ry Cumberland County Q p My Commission expiressC J- /��2 mission Expires Jan 14,2023 1 l 1 U5(, (3G,�8 MO. DAY ConyRission Number 1260066 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 a SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 83-4445500 I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 236 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) $ Total for the reporting period (2) $ 340 13.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 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0.25 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) 566.25 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.) Flier Identification Number 83-4445500 Full Name of Contributor Date[MM/DD/YYYYJ $ John Matthew Smith 05/21/2019 100 House# Street Address Date[MM/DD/YYYY] $ 373 Leyland Drive City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ David Fish 05/23/2019 240 House# Street Address Date[MM/DD/YYYY) $ 405 Lamp Post Lane City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date(MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYj $ 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/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ 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. I Filer Identification Number: 83-4445500 I Full Name Members 1st Federal Credit Union House# 6280 Street Address Carlisle Pike City State Zip Date[MM/DD/YYYY] $ Mechanicsburg PA Code 17055 0.25 05/31/2019 Receipt Description Swipe 5 Rebate 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 III Statement of Expenditures I Filer Identification Number: I 83-4445500 To Whom Paid Date[MM/DD/YYYY] $ Staples 44.52 05/15/2019 House# Street Address Description of Expenditure 128 South 32nd Street City Zip Camp Hill State 'PA Code 17011 Signs To Whom Paid Date[MM/DD/YYYY] $ Staples 23.3 05/15/2019 House# Street Address Description of Expenditure 128 South 32nd Street City State Zip Camp Hill PA Code 17011 To Whom Paid Date[MM/DD/YYYY] $ Giant 29.99 05/16/2019 House# Street Address Description of Expenditure 4510 Marketplace Way City State Zip Event Food Enola PA Code 17025 To Whom Paid Date[MM/DD/YYYY] $ Dollar Tree 16.96 05/16/2019 House# Street Address Description of Expenditure 417 North Enola Road City State Zip Event Su l Enola PA Code 17025Supplies To Whom Paid Date[MM/DD/YYYY] $ Little Caesars 67.84 05/16/2019 House# Street Address Description of Expenditure 4955 Carlisle Pike City State Zip Mechanicsburg PA 17055 Event Food Code To Whom Paid Date[MM/DD/YYYY] $ House It 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