HomeMy WebLinkAboutNeiderer, Kelly - 2019 30-Day Post-Primary II II Reset Form 5 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 X Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Kelly Neiderer
Street Address 281 N.Old Stonehouse Rd
City Carlisle State PA Zip Code 17015
Type of Report(Place x under report type)
1-6`h Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 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) 11/5/2019 2019 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
5/7/2019 6/10/2019
A.Amount Brought Forward From Last Report $ (7,065.63) 7-0" .o
'" C.—
B.Total Monetary Contributions and Receipts $ rn =
(From Schedule I) -0
C.Total Funds Available $ :x''
(Sum of Lines A and B) (7,065.63) 1Z
CD
D.Total Expenditures $ C7
(From Schedule III) 520.84 Q _
E.Ending Cash Balance $ C
(Subtract Line D from Line C) (7,586.47)
-< CD .
F.Value of In-Kind Contributions Received $
(From Schedule II) 671.51 ^
G.Unpaid Debts and Obligations $ •
(From Schedule IV) -0
Affidavit Section
Part 1-If this is a Committee report,treasur• sigh his is a Candidate report,candidate sign here.
I swear(or affirm)that this report,includin the attach: les on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this 4 �r X44 of
�l - ppe-'`t°4' 1 r
/ day of , # I'1_2� 20 . '.",174//4:4).k,,-Kr ry/,,a _si. .
hyorye or O4 _i
• iiri diy ,y Signatu, o' 'e, o •ubmitt'p�r d%
,` +Signature o'H'bbie ?n qp`6//�tdys`D�/ , PrintedVi:me ��((
419
My Commission expire• 1—I r t9.0023 60 066 ..) (117 1 6.g4- /�/
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 • I
Signature of Candidate
Signature ` Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
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
I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR l
TOTAL for the reporting period (1) $
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I
TOTAL for the reporting period (2) $
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $ 11
671.51
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) 671.51
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
Philip Neiderer 671.51
5/11/2019
House# Street Address Date[MM/DD/YYYY] $
281 N.Old Stonehouse Rd
City State Zip Code Date[MM/DD/YYYY] $
Carlisle PA 17015
Employer Name Masland Associates Occupation Physician
Employer Mailing Address/Principal Description
Place of Business 220 Wilson Street,Carlisle PA. of Wine for event
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
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
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
SCHEDULE III
Statement of Expenditures
IFiler Identification Number: I
To Whom Paid Date[MM/DD/YYYY] $
Dickinson College 156.83
5/11/2019
House# Street Address Description of Expenditure
28 N.College Street
City State Zip
Carlisle PA Code 17013 Deposit for catering
To Whom Paid Date[MM/DD/YYYY] $
Stan's Beverage 113.49
5/7/2019
House# Street Address Description of Expenditure
75 Ashland Ave
City State Zip
Carlisle PA Code 17013 beer for event
To Whom Paid Date[MM/DD/YYYY] $
Dollar Tree 11.66
5/8/2019
House# Street Address Description of Expenditure
650 E.High Street
City State Zip
Carlisle PA Code 17013 Decor for event
To Whom Paid Date[MM/DD/YYYY] ' $
Giant 16.68
5/8/2019
House# Street Address Description of Expenditure
255 S.Spring Garden St
City State Zip
Carlisle PA Code 17013 Water,Candy,decor for event
To Whom Paid Date[MM/DD/YYYY] $
Giant 44.88
5/10/2019
House# Street Address Description of Expenditure
255 S.Spring Garden St.
City State Zip
Carlisle PA Code 17013 Soda,Candy&decor for event
To Whom Paid Date[MM/DD/YYYY] $
Aldi 26.72
5/10/2019
House# Street Address Description of Expenditure
250 Westminster Dr
City State Zip
Carlisle PA Code 17013 Flowers,fruit for event
To Whom Paid Date[MM/DD/YYYY] $
Capitol Rentals 110.62
5/10/2019
House# Street Address Description of Expenditure
1122 Harrisburg Pike
City State Zip
Carlisle PA Code 17013 Glassware&table rental for event
To Whom Paid Date[MM/DD/YYYY] $
Costco 39.96
5/11/2019
House# Street Address Description of Expenditure
5125 Jonestown Rd
City State Zip
Harrisburg PA Code 17112 Desserts for event