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Home My WebLink AboutKeating, Jaime - 2019 2nd Friday Pre-Election \l11 jse t Form _1Pr)nt Form- v Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By . Candidate Committeelobbyist. Number (Mark X). Name of Filing Committee,Candidate or -, Lobbyist JAIME M KEATING Street'Address 529 BOSLER DRIVE City, State Zip Code ' CARLISLE PA 17013 •Type of Report(Place x under report type) 1-6`h Tuesday. 2= 2' Friday 3-30 Day Post 4-6th Tuesday 5 rd 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 - Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/06/2019 • FReport _ _ X Report Summary of Receipts and ,' From Date- ..-' To Date For Office Use Only Expenditures , 6/11/2019 10/21/2019 A.Amount Brought Forward Fromlast Report $ 24,230.85 C") e-.a B.Total Monetary Contributions'and Receiptso $ 0 :.� From Schedule 1) Cp 2t C.Total Funds Available ` $ m cp (Sum of Lines A and B) .. • -24,230.85 X, N D.Total Expenditures $ 2 GIi (From Schedule ill) 4,500 CI ]or E.Ending Cash Balance $ 28,730.85 C) ! (Subtract Line D from Line C) . 0 Ca v tfe F.Value of.lnKind Contributions Received $ > (From Schedule II) 0 Gi o- ,11::, G.Unpaid Debts and Obligations $ 0 �z ¢c .o my (From Schedule IV) a W z Affidavit Section p ¢ ."..,1-• - Part 1-If this Is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. i= I swear(or affirm)that this report,including the attached schedules on paper,is to the b-st of my knowledge and belief true,correct and complete. Q 82, A Sworn to and subscribed/ before me this �?� Z Q ��` 413 day of A/ ' 20 1 9 ,I '. ' 1. !-r ZO g8 Signature of Person Submitting re.. 6;1471# .�..1 r M KEATING p oj Signature Printed Name (J My Commission expires es- as Jaw 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 Printed Name • My Commission expires MO. DAY YR. Area Code Daytime Telephone Number * Amendment to cover page only. When preparing subsequent report, noticed that the candidate name/address portion had not printed on 2nd Friday Pre-Election Report. 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. X Committee Lobbyist Number (Mark X) _ _ _ Name of Filing Committee,Candidate or fl Lobbyist Jai Yh e. i1.att i Street Address 59`61 Eos Lia-r •briVv.-• City ,�}•-l S� State `,h Zip Code 110 J 2 Type of Report(Place x underreport type) i 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6.30 Day Post 7-Annual Special 2°Friday Spedal 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) 11/06/2019 Report Report Summary of Receipts and From Date To.Date For Office Use Only Expenditures 06/11/2019 10/21/2019 A.Amount Brought Forward From Last Report $ -24,230.85 C) B.Total Monetary Contributions and Receipts $ (From Schedule i) 0 C.Total Funds Available $ 03 -24,230.85 C"7 (Sum of Lines A and B) XI —4 D.Total Expenditures $ -, N (From Schedule Ill) 4,500 „; . 0 E.Ending Cash Balance $ 28,730.85 n x (Subtract Line D from Line C) .. Q F.Value of In-Kind Contributions Received $ C E.5. (From Schedule II) 0 OD G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here.I tit's is ai-an '(tate report,candidate sign here. I swear(or affirm)that this report,including the attached chh�nl0.on Qer,is to the b- t of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this 0 o 6 ,,, // /7/4 day of t fi--fib.P/' 20/1 K o A Z 01111; # 714,/ I',,Ir / /�` N *�O Signature of Perso Submitting re..u /�► �,,;,�� Zr_.-,,, JAI KEATING Sign. p Printed Name -p - r -n a 35 Z Z W v 717 433-2332 My Commission expires b 7 v oa J m X c)D z MO. DAY YR. T Z DD r- z Area Code Daytime Telephone Number m 0-< - Part II-If this is a report of a Candidate's Authorized Commi ted, ( idat call sign here. I swear(or affirm)that to the best of my knowledge and beli f tbip'litica ( mmittee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. N n D Sworn to and subscribed before me this day of 20 Signature of Candidate Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number i 04 is SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 2.Contributions of$50.01 to $250.00(From Part 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) $ I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ O� enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) to a .4 !a • 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] S. Committee SOW L House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[1VIM/D0/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] $ 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[MINI/DD/MY] $ 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 dC to • 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: Full Name of Contributor Date[MM/DD/YYYY] $ NOV I 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/YYYYI $ City State Zip Code Date[MM/DD/YYYYj $ 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/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code. Date[MM/DD/YYYYj $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYj $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 44 e(' is • 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: \ \ir \ Full Name of Date[MM/DD/YYYY] $ Contributing Committee NO t 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/DDJYYYYJ $ 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] $ 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/YYYYJ $ 5AC 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: Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ 1404 Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/MY] $ 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/YYYYJ $ 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/YYYYJ $ Code Receipt Description • 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: Full Name of Contributor Date[MM/DD/YYYY) $ Kota House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $', House# J 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/YYYYJ $ 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 I. Principal Place of Business 7 .4 to • 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:•• I I I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR 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) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I I 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 Notstteon Page 1,Report Cover Page,Item F) • S 4 to SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 I Filer Identification Number: I Full Name of Contributor Date[MM/DD/YYYY] $ Noa. 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/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City A 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 ti'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/YYYYJ $ House# Street Address Date(MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYKY] - $ Description of Contribution i SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 I Filer Identification Number: 1 Full Name of Contributor Date[MM/DD/YYYY] $. 1404 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/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address I Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ 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/YYYYJ $ House# Street Address' Date(MM/DD/YYYYJ $ City State. Zip Code ' Date[MM/DD/YYYYJ $ .1 Employer Name Occupation Employer Mailing Address/Principal Description Place of-Business - of Contribution IØ '4L1. SCHEDULE III Statement of Expenditures IFifer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ CITIZENS FOR KEATING 07/08/2019 4,500 House# Street Address . Description of Expenditure 950 WALNUT BOTTOM ROAD,STE 15-153 City , State Zip. CARLISLE PA Code 17015 LOAN TO COMMITTEE To Whom Paid Date[MM/DD/YYYY] $ House# Street Address ' Description of Expenditure City State Zip Code rTo Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure i 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/YYVY] $ , House# Street Address Description of Expenditure City , State Zip Code II a ►4. 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. I Filer Identification Number: I Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ . [MM/DD/YYYY] City State , Zip Na tft 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/YYYYJ 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 ( m .c 'a