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Home My WebLink AboutVroman, Erin - 2019 2nd Friday Pre-Election Reset Form Print Form III Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be dear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist — Number (Mark X) Name of Filing Committee,Candidate or Erin Vroman Lobbyist Street Address 132 S 30th Street City Camp Nil State PA Zip Code 17011 j Type of Report(Place x under report type) 1-6th Tuesday 2- rd Friday 3-30 Day Post 4-642Tuesday 5.ri Friday 6-30 Day Post 7-Annual Special 2n°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pm-Election Election Pre-Election Post-Election ri n n n n n n Date Of Election 11J05/2019 Year 2019 Amendment Termination (MM/DD/YYYY) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 08/22/2019 10/23/2019 . A.Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ 1331.00 C7 (From Schedule I) C -... C.Total Funds Available $ 115t100 W 03 (Sum of Lines A and B) r ra D.Total Expenditures $ 5. ' (From Schedule no r""" N • C31 E.Ending Cash Balance $ 34,89 1 (Subtract Line D from Line C) F.Value of In-Kind Contributions Received $ 250.00 t'D (From Schedule II) C IT G.Unpaid Debts and Obligations $ 0 ."L EV (From Schedule IV) ,� ' davit Section Part 1-if this b a Committee report,treasurer sign here.If this is a , candidate sign here. I swear(or affirm)that this report including the attached ached paper,is,. , best of my knowledge and belief true,correctand complete. Sworn to and subscribed before me this ,ac:a��_ Otis /) 23 day f October 20 19 Nom`��c��1`)'�y q _ - I/ - 'le 26(�pZ`'„�a'\ Signature of Perso Submitting report +ALO��a� ` Erin Vroman �'� s l�`� Printed Name Signature 9C4?..ct 004 a :` AO hop 717 919-8604 My Commission expires 10 ..• o �,5 MO. DA YIk.� Lov° Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Autho . . .miner,candidate shall sign here. ' I swear(or affirm)that to the best of my knowled:' and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as amended. a� e Sworn to and subscribed before me this a6S 23 October 19 ?°.r, 14: -..---...,1/44/ p.......7 __._._._._-=:___— da of ° 20 c�a'r -- ErinVroman SignaturePrinted Name ,l e + ro717 919-8604 My Commission expires )0 Z sf pt,�+s)F MO. r Go�F�l t. „.,y\yy�oo Area Code Daytime Telephone Number 0 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per ContributorI I Total for the reporting period (1) $ 181 I2.Contributions of$50.01 to $250.00(From Part A and Part B) I Contributions Received from Political Committees(Part A) $ 250 All Other Contributions(Part B) $ 900 Total for the reporting period (2) $ 1150 3.Contributions Over$250.00(From Part C and Part D)I I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part 0) $ 0 Total for the reporting period (3) $ 0 1 4.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 1,2,3 and 4;also enter this amount on Page 1,Report 1331 Cover Page,Item B) i 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 Camp Hill Democrats Date[MM/DD/YYYY] $ 250 Committee 08/22/2019 House# Street Address PO Box 582 Date[MM/DD/YYYY] $ City Camp Hill State PA Tip Code 17011 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 it Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House ti Street Address Date[MM/DO/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House 7t Street Address Date[MM/DD/YYYY] $ City State Tip 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. ' Full Name of Contributor Date[MM/DD/YYYY] $ G.David Smith 250 09/26/2019 House# Street Address Fairway Dr Date[MM/DD/YYYY] $ City Camp Hill State PA Zip Code 17011 Date[MM/DD/YYYY] $ Full Name of Contributor Mary Smith Date[MM/DD/YYYY] $ 100 09/26/2019 House ft Street Address Saddleridge Dr Date[MM/DD/YYYY] $ City Harrisburg State PA Zip Code 17110 Date[MM/DD/YYYY] $ Full Name of Contributor Bernadette Miller Date[MM/DD/YYYY] $ 100 09/26/2019 House# Street Address Wynnewood Dr Date[MM/DD/YYYY] $ City Camp Hill State pp Zip Code 17011 Date[MM/DD/YYYY] $ • Full Name of Contributor Jeffrey Helm Date[MM/DD/YYYY] $ 100 09/30/2019 House# Street Address S.30Th Street Date[MM/DD/YYYY] $ City Camp Hill State PA Zip Code 17011 Date[MM/DD/YYYY] $ Full Name of Contributor Corey Deibler Date[MM/DD/YYYYJ $ 250 10/03/2019 House# Street Address Europeana Way Date[MM/DD/YYYY] $ City Camp Hill State PA Zip Code 17011 Date[MM/DD/YYYY] $ Full Name of Contributor Thomas Fink Date[MM/DD/YYYY] $ 100 10/07/2019 House# Street Address Benton Dr Date[MM/DD/YYYY] $ City Camp Hill State PA Zip Code 17011 Date[MM/DD/YYYY] $ SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE Filer Identification Number: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL 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) $ 250 l3. 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 250 on Page 1,Report Cover Page,Item F) SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number. Full Name of Contributor Date[MM/DD/YYYY] $ Christopher Vroman 250.00 08/23/2019 House# Street Address 5.30th Street Date[MM/DD/YYYY] $ City Camp Hill State PA Zip Code 17011 Date[MM/DD/YYYY) $ Description of Contribution Logo and materials design Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYj $ 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/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE 111 Statement of Expenditures %/ I _, /\I 1 /.1 \ I Filer Identification Number. � n To Whom Paid Signs.com Date[MM/DD/YYYY] $ 224.39 09/18/2019 House# Street Address 1550 S Gladiola St Description of Expenditure City Salt Lake City State UT Zip 84104 yard signs Code To Whom Paid Signs.com Date[MM/DD/YYYY] $ 311.06 09/28/2019 House# !Street Address 1550 S Gladiola St Description of Expenditure City Salt Lake City State U' Zip 84104 postcards Code To Whom Paid Signs.com Date[MM/DD/YYYY] $ 441.66 09/29/2019 House# Street Address 1550 S Gladiola St Description of Expenditure City Salt Lake City State UT Bp 84104 yard signs Code To Whom Paid StickerYeti Date[MM/DD/YYYY] $ 138.00 10/06/2019 House# Street Address 1-305-901-1460 Description of Expenditure City Miami State FL Tip die-cut stickers 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 Tip Code To Whom Paid Date[MM/DD/MY] $ House# Street Address Description of Expenditure City State Tip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Tip Code