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HomeMy WebLinkAboutFriends of Chris Delozier - 2019 2nd Friday Pre-Election Reset Form 11 Print Form 0 0 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 Friends 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 4-6th Tuesday 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) 11/05/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures • 09/16/2019 10/21/2019 A.Amount Brought Forward From Last Report $ 1449 B.Total Monetary Contributions and Receipts $ 150 C) 0 (From Schedule I) C --» %.o C.Total Funds Available $ __ C (Sum of Lines A and B) 1599 rn CI D.Total Expenditures $ (From Schedule III) 848 ...-- E.Ending Cash Balance $ 715 1 3 "0 (Subtract Line D from Line C) C) F.Value of In-Kind Contributions Received $ ©• (From Schedule II) 0 2 G.Unpaid Debts and Obligations $ OD (From Schedule IV) -8533.60 Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best• • y knowledge an• belief t ue,correct and complete. Sworn to and subscribed before me this Notary Seat I ►vania-Public •/Ll4,i,ii,,- 3C�L_)U 20 _ PennsNry day of eig, MIcha D ph. county ef22 20 Sgnatur of Pe •nSu•mi i greport / expires _9,1. /VIA if . _.��c4 71 Signature My coroculssio en number 129 Commis �9nia Association of Notaries Printed Name My Commission expires i O 2_Z Z 3 p,mbet.Penns' (7tt (-43G MOf (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 before1me this Z5 day of 0C_�U 1 �. 20 ) Comoro wealth of Pennsy) anIa Public Sea' iff f ,Mhael S.Lorah,N 4 itt,_:/S /� Dauphin County Sig <t )e•f;a dida e �`� �� • .•er 22,2023 .'t i P&�L/� \LM0 mission expire- , Signature mmission number 1294062 'Tinted Name alwn,ehNotaries 57) 3 a My Commission expires 10 Z A 3 Member,Pennsylvania Associ lI 11 '' 7 2- (�d MO./ DAY/ YR. Area Code Daytime Telephone Number 9 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 834241240 I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I 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) $ 150. Total for the reporting period (2) $ 150. 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 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) 150. 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] $ Herbert C.Goldstein 9/28/19 150. House# Street Address Date[MM/DD/YYYY] $ 2900 Parkside Ln City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 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] $ SCHEDULE III Statement of Expenditures Filer Identification Number: 834241240 To Whom Paid Date[MM/DD/YYYY] $ Red Mavrick Media 848 10/07/2019 House tt 1426 Street Address N 3rd St Description of Expenditure City State Zip Harrisburg PA Code 17102 Campaing information cards for doors 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 ff Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House ft Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House tt Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House ft 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 tt 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 it 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 •