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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