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Home My WebLink AboutKeating, Jaime - 2019 30-Day Post-Primary \ 1I t ResetForm Print form` I • Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) • Filer Identification Report File d By Candidate XCommittee lobbyist Number. (Mark X) Name of Filing Committee,Candidate or' JAIME M KEATING Lobbyist Street Address 529 BOSLER DRIVE City • -' CARLISLE State PA Zip Code 17013 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-60 Tuesday 5=2nd Friday' 6-30 Day Post 7-Annual Special 2"O Friday' Special 30 Day Pre-Primary Pre-Primary Primary " Pre-Election Pre-Election Election Pre-Election Post-Election• ' X i • _ Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/21/2019 - Report Report ' Summary of Receipts and From Date To Date For Office Use Only Expenditures 05/07/2019 06/10/2019 i7 A.Amount Brought Forward From Last Report $ , ` .v -21,146.72 B.Total Monetary Contributions and Receipts $ .11 C (From Schedule I) 0 _= C.Total Funds Available ' (Sum of Lines A and B) $ -21,146.72 zz co Ss D.Total Expenditures $ 3,084.11 )3 (From Schedule Ili) . C sD E.Ending Cash Balance • $ '` (Subtract Line Dfrom Line C} 24,230.85 -—< T F.Value of In-Kind Contributions Received = $ (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 th�t of my knowledge and belief true,correct and complete. Sworn to and subscribed .efore me this ,',-�� 4-2/// p 1 1 day o .ri'_ .0 i ' y"'�"�-C- - L/ _, �/�y of Pennsylvania-Notary Seal Signature of Person Submitting report l �/ • R.Elder.Notary Public M KEATING Sielature�M�ll�iFranklin County Printed Name V( � x My Commission expi _ A 1 717 433-2332 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 day of 20 ( Signature of Candidate Signature I . Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number Viol SCHEDULE I Contributions and Receipts Detailed Summary Page Filer identification Number I 1.Unitemized Contributions and Receipts$50.00 or Less per Contributor Total for the reporting period (1) $ VContributionsOf$500itO , $250.00.(From art A.and Part B) Contributions Received from Political Committees(Part A) • $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 3.Contributions Over$250.00(From Part C and Part D)I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ Other Receipts Refunds,interest Earned,Returned Checks,ETC.(From Part E) , 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 /�`v( Cover Page,Item B) 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 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee bg E House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] .$ Full Name of Contributing Date[MMJDD/YYYY] $ Committee House# Street Address Date[MM/DDJYYYY] _ $ City :. State Zip Code Date[MM/DD/YYYY] $ Full.Name of Contributing Date[IVIM/DD/YYYY] $ Committee House#: Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of:Contributing Date[MM/DD/YYYY] Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YVYYj $ City State` Zip Code Date[MM/DD/YYYY] $• Full Name of Contributing. Date[MM/DD/YYYY]• $ Committee :. House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY]: $ 3/ d 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/YYYYj $ 14 Ott House#. Street Address Date[MM/DD/YYYY] $• City State Zip Code : Date jMM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYYJ $ 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[MINI/DD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYX] $ 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. Filer identification Number: I • Full Name of Date[MM/DD/YYYYJ $ Contributing Committee I 1401 E House# Street Address Date[MM/DD/YYYY] $ City State 1 Zip Code Date[MM/DD/YYYY] $ il Full Name of 1 Date[MM/DD/YYYY] ' $ Contributing Committee House# Street Address Date[MM/DD/YYYYJ $ 1 City . State i Zip Code- Date[MM/DD/YYYY] $ 6 Full Name of Date jMM/DD/YYYYJ $ 1 Contributing Committee House# Street Address Date[MM/DD/YYYYJ $ City State ; Zip Code Date[MM/DD/YYYY] $ i Full Name of Date[MM/DD/YYYY] $ Contributing Committee I House# ;Street Address , Date[MM/DD/YYYY] $ I { City State' I 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/DDJYYYY] $ 1 Contributing Committee House# Street Address Date[MMJDD/YYYY] $ City i 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) Filer Identification Number: , I Full Name of Contributor Date[MM/DD/YYYy] $ lls( otf House# Street Address Date[IUM/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/VYYY] $ 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/YYYV] $ City State Zip Code Date[MM/DD/YYYY] $:: Employer Name Occupation Employer Mailing Address I Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $" House# Street Address Date[MM/DD/YYYY] $ City. State` Zip Code Date iMM/DD/YYYW] . $ Employer Name ' Occupation Employer Mailing Address/ Principal Place.of Business • /d 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: I Full Name 101(1 House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State I 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/DDJYYYY] $ Code Receipt Description Full Name House# Street Address City State ' Zip Date[MM/DD/YYYYI $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description ra 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 IFiler Identification Number: I 1. 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) $ TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter goqt., on Page 1,Report Cover Page,Item F) V �a SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 IFiler Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ g House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution r Full Name of Contributor Date[MM/DD/YYYYJ . $ House# Street Address Date:[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor ' Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYYJ $ City State Zip Code Date'[MM/DD/YYYY] $ Description 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] Description of Contribution Frill Name of Contributor. Date[MINI/DD/YY.YYJ $ House# 'Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYj $ Description Of Contribution`. 9/ SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: f I Full Name of Contributor Date[MM/DD/YYYY] $ Nopjf 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/YYYYI $ 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 f Date[MM/DD/YYYY] $ House# Street Address , Date[MM/DD/YYYYJ $ City State Zip Code , Date[MM/DD/YYYYJ . $ 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 I o td SCHEDULE III Statement of Expenditures Fifer Identification Number: I To Whom Paid , i. Date[MM/DD/YYYY] $ UPS STORE#2878 9 400 05/09/2019 House# Street AddressDescription of Expenditure 950 WALNUT BOTTOM ROAD g City '-State . Zip CARLISLE PA Code 17015 NOTARY To Whom-Paid I Date[MM/DD/YYYY] $ UPS STORE#2878 5/10/2019 1.61 House# Street Address i Description of Expenditure 950 I WALNUT BOTTOM ROAD City ! Statei Zip CARLISLE , PA 17015 Code COPIES To Whom Paid i Date[MM/DD/YYYY] $ UPS STORE#2878 18,cX VARIOUS House# Street Address 1 Description of Expenditure 950 i WALNUT BOTTOM ROAD • City 1 State ' Zip CARLISLE PA ' Code 17015 MAILBOX RENTAL t To Whom Paid : Date[MM/DD/YYYY] $ • Xfinity MOBILE 55.5€7 House# 'Street Address ` Description of Expenditure 1701 - JFK BLVD City- State Zip PHILADELPHIA PA Code 19103 POLITICAL CELL PHON To Whom Paid Date[MM/DD/MY] $ CITIZENS FOR KEATING 3,000 5/22/2019 House# Street Address ' Description of Expenditure 950 WALNUT BOTTOM ROAD,STE 15-153 . CARLISLE State PA j Cop 17015 LOAN TO COMMITTEE i e Code To Whom Paid 1 1 Date[MM/DD/YYYY] $ House# Street Address 1 Description of Expenditure , City ` State Zip Code To Whom Paid 6 Date[MM/DD/YYYY] '$ House# Street Address ' Description of Expenditure City ;State.. Zip - .- • { ' Code ,To Whom Paid Date[MM/DDTYYYY] $ • • House# Street Address ; Description of Expenditure" . City State Zip • Code. 1 1 / I ) tl t 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 Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip NOV 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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED, $ [MM/DD/YYYYj 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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYJ 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 ld is