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Home My WebLink AboutHampden Twp. Republican Assoc. - 2019 30-Day Post-Primary Reset Form I_ Print Form ;� 11111INIRI I I II • . 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 8300058 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Hampden Township Republican Assoc Street Address PO Box 283 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"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) 11/21/19 2019 Report X Report Summary of Receipts and From Date To Date • For Office Use Only Expenditures 05/11/2019 06/10/2019 A.Amount Brought Forward From Last Report $ 1,302.13 B.Total Monetary Contributions and Receipts $ 5,970 C` (From Schedule I) .o C.Total Funds Available $ CX3 Ci0 (Sum of Lines A and B) 7,332.13 -0 D.Total Expenditures $ 't— N (From Schedule III) 3,300 < C1 t E.Ending Cash Balance $ C7 -0 (Subtract Line D from Line C) 3,972.13 Cj r r,.) -- F.Value of In-Kind Contributions Received $ 111.17 (From Schedule II) .l"' G.Unpaid Debts and Obligations $ 4,588 �' -G CO (From Schedule IV) \,` f Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate repo • idate sign here. I swear(or affirm)that this report,including the attached schedules on paper ' ojtivE14 of my knowledge and belief true,correct and complete. WO 1 Sworn to and subscribed before me this �i aSyyva1`aQ°b\`� day of _ .a1r� 20 I ) of ,00 ,,, . t A. lb- /�/./� /' �Ro�,,Ao ok. vs\u. S00., (4 �wc Pers taNR/F2ubmitting Cfrt 1 Signature C . 4oc`tx�R`bet Printed Name 10 CC�� omm`• S`ocN My Commission expires O'er i� • My C Co mmb �� MO. DAY Y• 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 I Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number • 8 SCHEDULE I Contributions and Receipts . Detailed Summary Page Filer Identification Number 8300058 I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0 I2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 600 All Other Contributions(Part B) $ 1,370 Total for the reporting period (2) $ 1,970 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 2,500 All Other Contributions(Part D) $ .1,500 Total for the reporting period (3) $ 4,000 14.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ , enter amount totals from Boxes 1,Z 3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 5,970 1 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 8300058 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee CITIZENS FOR SHERE 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ PO BOX 948 City State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 Full Name of Contributing Date[MM/DD/YYYY] $ Committee KIRK4JUDGE 250 05/28/2019 • House# 'Street Address Date[MM/DD/YYYY] $ PO BOX 923 • City State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17013 Full Name of Contributing Date[MM/DD/YYYY] $ Committee FRIENDS OF NATE SILCOX 05/28/2019 250 House# Street Address Date[MM/DD/YYYY] $ PO BOX 882 • City State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 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/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] $ 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.) I Filer Identification Number: I 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ ALBERT BIENSTOCK 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ PO BOX 192 City State Zip Code Date[MM/DD/YYYY] $ LEM OYN E PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ JOHN V THOMAS 05/28/2019 110 House# Street Address Date[MM/DD/YYYY] $ 407 PAWNEE DR City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ BEVERLY O'NEILL 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 5271 STRATHMORE DRIVE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ MICHAEL LANGAN 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 838 ANTHONY DRIVE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ GARY EICHELBERGER 125 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 6060 5 ARCH ST City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ VICE DIFILIPPO 125 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ NONE LISTED City State Zip Code Date[MM/DD/YYYY] $ 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ LIZ GABEL 06/10/2019 100 House# Street Address Date[MM/DD/YYYY] $ 5 FOXFIELD CT City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBUG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ MICHAEL GOSSERT 05/28/2019 110 House# Street Address Date[MM/DD/YYYY] $ 690 CROOKED STICK City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ KELLY NEIDERER 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 281 N OLD STONEHOUSE RD City State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17015 Full Name of Contributor Date[MM/DD/YYYY] $ RONNY R ANDERSON 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 114 EAST SPRINGVILLE RD City State Zip Code Date[MM/DD/YYYY] $ BOILING SPRINGS PA 17007 • Full Name of Contributor Date[MM/DD/YYYY] $ RONALD M LUCAS 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 1935 MONTEREY DRIVE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ JODY SMITH 100 05/28/2019 House# 'Street Address Date[MM/DD/YYYY] $ 28 GOODHART RD City State Zip Code Date[MM/DD/YYYY] $ SHIPPENSBURG PA 17257 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ ERIK HUME 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 473 ADAM LANE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 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/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/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 I 8300058 Full Name of Date[MM/DD/YYYY] $ Contributing Committee FRIENDS OF NATE SILCOX 05/28/2019 1,000 House# Street Address Date[MM/DD/YYYY] $ PO BOX 882 City State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 ' Full Name of Date[MM/DD/YYYY] $ Contributing Committee CUMBERLAND COUNTY REPUBLICAN COMMITTEE 06/10/2019 1,500 House# Street Address Date[MM/DD/YYYY] $ 2250 MILLENIUM WAY City State Zip Code Date[MM/DD/YYYY] $ ENOLA PA 17025 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/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code 1 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/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ MICHELLE NESTOR 1,000 06/10/2019 House# Street Address Date[MM/DD/YYYY] $ 1014 BAYTHORNE DR City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Employer Name TEAMPETE REALTY Occupation REALTOR Employer Mailing Address/ Principal Place of Business 15 CENTRAL BLVD,CAMP HILL,PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ SKIP EBERT 05/28/2019 500 House# Street Address Date[MM/DD/YYYY] $ 1885 W LISBURN RD City State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17015 Employer Name CUMBERLAND CO DISTRICT ATTY Occupation DA Employer Mailing Address/ Principal Place of Business 1 COURTHOUSE SQ,CARLISLE,PA 17013 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 Place of Business 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 Place of Business • 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. Filer Identification Number: 8300058 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 Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description • • 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: 8300058 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 0 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 111.17 I . IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 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) 111.17 , SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 I Filer Identification Number: I 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ - ERIK HUME 05/21/2019 111.17 House# Street Address Date[MM/DD/YYYY] $ 473 ADAM LANE City State Zip Code Date[MM/DD/YYYY] $ MECHANCISBURG PA 17050 Description of Contribution LUNCH FOR POLL VOLUNTEERS 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 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 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 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 SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 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 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 Filer Identification Number: 8300058 To Whom Paid Date[MM/DD/YYYY] $ CADDY SHACK 600 05/07/2019 House# Street Address Description of Expenditure 800 ORBS BRIDGE RD City State Zip MECHANICSBURG PA Code 17050 SCHOLARSHIP FOUNDATION BANQUET To Whom Paid Date[MM/DD/YYYY] $ HTRA SCHOLARSHIP 2,700 • 05/29/2019 House# Street Address Description of Expenditure PO BOX 283 City State Zip FUNDS FROM 2019 SCHOLARSHIP DINNER CAMP HILL PA Code 17011 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 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 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 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: 8300058 Name of Creditor SPEED PRO IMAGING Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 312 S.10TH STREET [MM/DD/YYYY] 05/19/2019 City LEMOYNE State PA Zip 17043 4'588 Code Description of Debt YARD SIGNS&HANDOUTS FOR CV SCHOOL BOARD RACE 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 $ [M M/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 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 • I IIIIIIIIIIII Reset Form I Print Form III IO' '8300058I I I II 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 8300058 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Hampden Township Republican Assoc Street Address PO Box 283 City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 6-30 Day Post 7 Annual Special 2"a Friday Special 30 Day 2nd Friday 3-30 Day Post 4-6th Tuesday 5- Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 0021/19 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2019 - 06/10/2019 A.Amount Brought Forward From Last Report $ 2,870.58 B.Total Monetary Contributions and Receipts $ C) '^"_ (Fro'm Schedule I) 6,530 r-v- 0 �.n C.Total Funds Available $ 9,400.58 C_ (Sum of Lines A and B) 23 D.Total Expenditures $ t— N (Fro*Schedule III) 5,428.45 ,- a E.Ending Cash Balance $ CD • (Subtract Line D from Line C) 3,972.13 C) "0 (: F.Value of In-Kind Contributions Received $ - (From Schedule II) 111.17 �' G.Unpaid Debts and Obligations $ -� J7 (From Schedule IV) 4,588 1 Affidavit Section .•- Part,1-If this is a Committee report,treasurer sign her: -•'s is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the atta efe•. •son paper,is to the best of my kn•.,edge nd belief true,correct and complete. Sworn o and subscribed before me this o F MF ea/rhof gar ` �/Ai day oJt(,l'l 2- 20 46, 0,9,,_°e� �� vi Co��fis ° d�Coa/ o 'yolib eofP bmittingM mond et-f�%L Signature o �tpi� o4,' �b• �d Printed Name Nt, es 9, //. I. �f Abe/,.4/ 1 C-77-6e-2g6 My ommission expires• /DAYMO. 1 6006 0I3Area ode Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sig - e. 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 am4nded. Sworn to and subscribed before me this I I day of 20 Signature of Candidate Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number 0 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 18300058 1 11.0 n itemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 160 12.Contributions of$50.01 to $250.00(From I Part A and Part B) Coni ributions Received from Political Committees(Part A) $ 450 All Other Contributions(Part B) $ 1,370 Total for the reporting period (2) $ 1,820 3.Contributions Over$250.00(From Part C and Part D)I I Contributions Received from Political Committees(Part C) $ 3,050 All Other Contributions(Part D) $ 1,500 Total for the reporting period (3) $ 4,550 14.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 Cover Page,Item B) 6,530 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 8300058 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee MIKE REGAN FOR SENATE 100 04/29/2019 House# Street Address Date[MM/DD/YYYY] $ PO BOX 811 City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17055 Full Name of Contributing Date[MM/DD/YYYY] $ Committee KIRK4JUDGE 05/28/2019 250 House# Street Address Date[MM/DD/YYYY] $ PO BOX 923 City, State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17013 Full Name of Contributing Date[MM/DD/YYYY] $ Committee CITIZENS FOR SHERE 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ PO BOX 948 City State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 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 l 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/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ ALBERT BIENSTOCK 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ PO BOX 192 City State Zip Code Date[MM/DD/YYYY] $ LEMOYNE PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ JOHN V THOMAS 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 407 PAWNEE DR City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ BEVERLY O'NEILL 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 5271 STRATHMORE DRIVE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ MICHAEL LANGAN 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 838 ANTHONY DR City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ GARY EICHELBERGER 125 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 6060 S ARCH ST City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ VINCE DIFILIPPO 125 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ NONE LISTED City State Zip Code Date[MM/DD/YYYY] $ 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ LIZ GABEL 06/10/2019 100 House# Street Address Date[MM/DD/YYYY] $ 5 FOXFIELD CT City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBUG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ MICHAEL GOSSERT 05/28/2019 110 House# Street Address Date[MM/DD/YYYY] $ 690 CROOKED STICK City; State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full,Name of Contributor Date[MM/DD/YYYY] $ KELLY NEIDERER 05/28/2019 100 House# Street Address Date[MM/DD/YYYY] $ 281 N OLD STONEHOUSE RD City State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17015 Full Name of Contributor Date[MM/DD/YYYY] $ RONNY R ANDERSON 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 114 EAST SPRINGVILLE RD City State Zip Code Date[MM/DD/YYYY] $ BOILING SPRINGS PA 17007 Full Name of Contributor Date[MM/DD/YYYY] $ RONALD M LUCAS 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 1935 MONTEREY DRIVE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ JODY SMITH 100 05/28/2019 House# Street Address Date[MM/DD/YYYY] $ 28 GOODHARTRD City State Zip Code Date[MM/DD/YYYY] $ SHIPPENSBURG PA 17257 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: 8300058 FulllName of Contributor Date[MM/DD/YYYY] $ ERIK HUME 05/28/2019 110 House# Street Address Date[MM/DD/YYYY] $ 473 ADAM LANE City State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 FullName of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ Cityi 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/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Fulll 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. Filerildentification Number: 8300058 FullIName of Date[MM/DD/YYYY] $ Contributing Committee FRIENDS OF NATE SILCOX 05/28/2019 1,250 House# Street Address Date[MM/DD/YYYY] $ PO BOX 882 City. State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 Full'Name of Date[MM/DD/YYYY] $ Contributing Committee FRIENDS OF GREGG ROTHMAN 04/29/2019 300 House# Street Address Date[MM/DD/YYYY] $ PO BOX 147 City' State Zip Code Date[MM/DD/YYYY] $ CAMP HILL PA 17011 FullIName of Date[MM/DD/YYYY] $ Contributing Committee CUMBERLAND COUNTY REPUBLICAN COMMITTEE 06/10/2019 1,500 House# Street Address Date[MM/DD/YYYY] $ 2250 MILLENNIUM WAY City State Zip Code Date[MM/DD/YYYY] $ ENOLA PA 17025 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/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ Cityl State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee Ho i se# Street Address Date[MM/DD/YYYY] $ Cit 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: 8300058 Full Name of Contributor Date[MM/DD/YYYY] $ MICHELLE NESTOR 1,000 06/10/2019 House# Street Address Date[MM/DD/YYYY] $ 1014 BAYTHORNE DR City; State Zip Code Date[MM/DD/YYYY] $ MECHANICSBURG PA 17050 Employer Name TEAMPETE REALTY Occupation REALTOR Employer Mailing Address/ Principal Place of Business 15 CENTRAL BLVD,CAMP HILL,PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ SKIP EBERT 05/28/2019 500 House# Street Address Date[MM/DD/YYYY] $ 1885 W LISBURN RD Cityl State Zip Code Date[MM/DD/YYYY] $ CARLISLE PA 17015 Employer Name CUMBERLAND CO DISTRICT ATTY Occupation DA Employer Mailing Address/ Principal Place of Business 1 COURTHOUSE SQ,CARLISLE,PA 17013 . 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 Place of Business 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 Place of Business 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. Filer Identification Number: 8300058 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 Houle# Street Address City State Zip Date[MM/DD/YYYY] $ Code Rec i ipt Description Full iName House# Street Address City; State Zip Date[MM/DD/YYYY] $ Code Receipt Description 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: 8300058 I ;1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTALI for the reporting period (1) $ 0 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 111.17 1 13. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PER?OD(Add and enter amount totals from boxes 1,2,and 3;also enter on Plage 1,Report Cover Page,Item F) 111.17 SCHEDULE II PART F In-Kind Contributions Received . VALUE OF$50.01 TO$250 Filer Identification Number: 8300058 Full'Name of Contributor Date[MM/DD/YYYY] $ ERIK HUME 05/21/2019 111.17 House# Street Address Date[MM/DD/YYYY] $ 473 ADAM LANE City State Zip Code Date[MM/DD/YYYY] $ MECHANCISBURG PA 17050 Description of Contribution LUNCH FOR POLL VOLUNTEERS 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 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 FullIName of Contributor Date[MM/DD/YYYY] $ 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/YYYY] $ City, State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 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 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 Filer Identification Number: 1 8300058 To Whom PaidDate[MM/DD/YYYY] $ HTRA SCHOLARSHIP 1,838.28 04/17/2019 House# Street Address Description of Expenditure I PO BOX 283 City State Zip 1 CAMP HIL PA Code 17011 FUNDS OWED FOR 2018 SCHOLARSHIP To Whom Paid Date[MM/DD/YYYY] $ HTRA SCHOLARSHIP 2,700 05/29/2019 House# Street Address Description of Expenditure PO BOX 283 • City State ' Zip I CAMP HILL PA Code 17011 FUNDS FROM 2019 SCHOLARSHIP DINNER To Whom Paid Date[MM/DD/YYYY] $ CADDY SHACK 05/07/2019 600 Hotse # Street Address Description of Expenditure 800 ORBS BRIDGE RD I City State Zip IMECHANICSBURG PA Code 17050 To Whom Paid Date[MM/DD/WYY] $ ERIK HUME 290.17 03/05/19 House# Street Address Description of Expenditure 1 473 ADAM LANE City State Zip IMECHANICSBURG PA Code 17050 REIMBURSEMENT OF EXPENSES To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ Ho i se# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/WYY] $ House# Street Address Description of Expenditure R City State Zip I Code To Whom Paid Date[MM/DD/YYYY] $ 1 HoUse# Street Address Description of Expenditure City State Zip I Code 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: 8300058 Name of Creditor SPEED PRO IMAGING Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 312 S.10TH STREET [MM/DD/YYYY] 05/19/2019 City LEMOYNE State PA Zip 17043 4'588 Code Description of Debt YARD SIGNS&HANDOUTS FOR CV SCHOOL BOARD RACE 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 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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt