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Home My WebLink AboutFriends of Chris Delozier - 2019 6th Tuesday Pre-Election 1 li, . Reset Form � 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 Committee ` Lobbyist Number 834241240 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friens of Chris Delozier Street Address PO Box 714 City New Cumberland State PA Zip Code 17070 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3 30 Day Post 4-60Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary PrimaryPre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 1 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/11/19 09/16/19 A.Amount Brought Forward From Last Report $ 1199 � � B.Total Monetary Contributions and Receipts $ as c/3 (From Schedule I) 8783.60 i"tl rn ,, C.Total Funds Available $ 9732.60 V .i (Sum of Lines A and B) g� D.Total Expenditures $ (From Schedule III) 8533.60 C.) -2.: q)s E.Ending Cash Balance $ 1449. 0 (Subtract Line D from Line C) ac'_ F.Value of In-Kind Contributions Received $ —4 (From Schedule II) 0 < — G.Unpaid Debts and Obligations $ 0I (From Schedule IV) 8533.60 Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report can.'.. • ':n here. I swear(or affirm)that this report,including th ommonw w r:, ..�a m.,4,btew_,• knowledge and belief true,correct and complete. - Sworn to and subscribed before me this Michael S.Lorah,Notary Public Dauphin County , �y / / ' - Z 3 day of Sc feb2/ 20 mmisslexpires October 22, T'1.��•I,, j"�� r S/� Commis ion number 1294062 :nature of P rso ubmitting report /---( "`J`_, Member,Penns IVrnlr Association of Not ° r�TCt4au A. Aoizt, -`rr_&'t Signature `• Printed Name / My Commission expires (43 " ZZ- Zo1 1 L i/7/ S7/-6-363 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 kno. •••• .-: : ' ... ficonakttstatvS6210 iolated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. Commonwealt o •- Public Michael S.Lorah,Notary Sworn to and subscribed before me this Dauphin County II My commission expires October 22,2019 I,� � Z� day of S lltiW,yR/ 20 ) j Commissi n number 1294062 /1, )1"........1 nl■Arroda29 of Najarie IL( r .51 z Member,Penney S' ture of Candidate 1 /l,� • G' s�v�t i)Osie 0- Signature Printed Name My Commission expires /0 —2-2-- tPl) '7/1 ''11'' (Q 2 5 V MO. DAY YR. Area Code Daytime Telephone Number 3 SCHEDULE I Contributions and Receipts Detailed Summary Page 1 Filer Identification Number 834241240 I 1.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) $ 0 All Other Contributions(Part B) $ 250 Total for the reporting period (2) $ 250 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 8533.60 Total for the reporting period (3) $ 8533.60 I4.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) 8783.60 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: 834241240 Full Name of Contributor Date[MM/DD/YYYY] $ Tiffany Mutabaugh 8-14-19 250 House# Street Address Date[MM/DD/YYYY] $ 934 Hummel Ave City State Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 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 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: 834241240 Full Name of Contributor Date[MM/DD/YYYY] $ Chris Delozier 8553.60 6-22-19 House# Street Address Date[MM/DD/YYYY] $ 1331 Sconsett Way City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Employer Name Occupation City of Harrisburg Law Enforcement Employer Mailing Address/ Principal Place of Business 123 Walnut St.Harrisburg,PA 17101 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 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 SCHEDULE III Statement of Expenditures Filer Identification Number: 834241240 To Whom Paid Date[MM/DD/YYYY] $ Red Mavrick Media 7/15/19 8533.60 House# Street Address Description of Expenditure 1426 N Third St City State Zip Harrisburg PA Code 17102 Campaing Mailers 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 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: 834241240 Name of Creditor Chris Delozier Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1331Sconsett Way [MM/DD/YYYY] 6-22-19 City State Zip 8533.60 New Cumberland PA Code 17070 Description of Debt Loan from Candidate 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