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Home My WebLink AboutFriends of Alissa Packer - 2019 2nd Friday Pre-Election Reset Form i Print Form 1111 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 842144630 (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Alissa Packer Street Address 501 Arlington Rd. 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 21th 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 07/01/19 10/21/19 A.Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ C) isa (From Schedule I) 2970.11 C.Total Funds Available $ .c (Sum of Lines A and B) 2970.11 MI CD D.Total Expenditures $ r7 ---I (From Schedule III) 1303.22 N C37 E.Ending Cash Balance $ 1666.89 (Subtract Line D from tine C) 3 F.Value of In-Kind Contributions Received $ 00 (From Schedule II) 200' . G.Unpaid Debts and Obligations $ „",f N (From Schedule IV) 0 —C ""1 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 of my knowledge and belief true,correct and complete. Sworn to a d subscribed before me this day of e( D i,..er 20 N monwealth OH' nnmylvenls-Ngtllry cajytz,,.., • Jessica C.S ith.Notary Public Signature of rson 5 miffing report Cumbe d County Kathryr Yorkievitz Signature My commission exp es September 2i,2u21 Printed Name /�, �1 9444"-d Commission umber 1320698 My Commission expires v of c2 7 ac) 717 395-0119 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.1.1333,NO.320)as amended. Sworn to and subscribed before me this Commonwealth of Pennsylvania•Notary:.al �!_ L � � Jessica C.Smith.NotaryPubli day of d[ 20 �y CumeQeriand County , IF' 0 zZ_- •?....v`W`- r. My commission&spires September 27;2021 Si:nature of Ca •idate 9 4-f7�t�C.C7� Commissi�rrnumber 1320698 Signature Printed ame My Commission expires top( a7 mad/ 5 ';-C/ —6/0 5 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Ater Identification Number 842144630 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 870.11 2.Contributions of 550.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 250.00 All Other Contributions(Part B) $ 1400.00 Total for the reporting period (2) $ 1650.00 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ c) All Other Contributions(Part D) $ 450.00 Total for the reporting period (3) $ 450.00 I4.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 Cover Page,Item B) 2970.11 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 842144630 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Camp Hill Democrats 08/21/2019 250 House# Street Address Date[MM/DD/YYYY] $ PO Box 582 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17001 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/OD/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 it 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. 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Kathy Yorkievitz 07/01/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 251 N 27th Street 09/08/2019 20.00 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Gayle Schiccitano 07/14/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 818 Sycamore Circle City State Zip Code Date(MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Alice J Samsel 07/18/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 3027 Chestnut Street City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Bernadette Miller 08/02/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 847 Wynnewood Drive City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Barbara Byrne 100.00 08/14/2019 House# Street Address Date[MM/DD/YYYY] $ 156 Old Ford Drive City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Lawrence Packer 200.00 07/13/2019 House# Street Address Date[MM/DD/YYYY] $ 2 Graphite Drive City State Zip Code Date[MM/DD/YYYY] $ Woodland Park NJ 07424 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: 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Ann Pehle 07/19/2019 250.00 House# Street Address Date[MM/DD/YYYY] $ 71 Presidents Drive City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Joan Silver 09/15/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 497 Arlington Rd. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Susan Gllius 10/15/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 18 S 27th St City State Zip Code Date[MM/OD/YYYY] $ Camp Hill PA 17011 • Full Name of Contributor Date[MM/DD/YYYY] $ Martha Robertson 10/20/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 3107 Lincoln St. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 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 0 • 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: 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Lou Thiebelmont and Lynn Ahwesh 250 07/13/2019 House# Street Address Date(MM/DD/YYYY] $ 2317 Lincoln St 09/17/2019 200 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Retired 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 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 II PART F in-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Emily Smith 07/15/2019 200 House# Street Address Date[MM/DD/YYYY] $ 2002 Columbia Ave. City I State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Description of Contribution Logo Design 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/YYYYJ $ Description of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number. 842144630 To Whom Paid Date[MM/DD/YYYY] $ Busy Beaver Button Co. 68.50 07/15/2019 House# Street Address Description of Expenditure 3407 W.Armitage Ave. City State Zip Chicago IL Code 60647 Campaign Buttons To Whom Paid Date[MM/DD/YYYY] $ U.S.Post Office 22.00 07/15/2019 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City Zip Camp Hill State PA Code 17011 Stamps To Whom Paid Date[MM/DD/YYYY] $ Zippity Print 268.20 07/11/2019 House# Street Address Description of Expenditure 1600 East 23rd Street City State Zip Door Han ers Cleveland OH Code 44114 g To Whom Paid Date[MM/DD/YYYY] $ Zippity Print 113.24 07/19/2019 House# Street Address Description of Expenditure 1600 East 23rd Street City State Zip Cleveland OH Code 44114 Palm Cards To Whom Paid Date[MM/DD/YYYY] $ Daily Printing 189.00 07/30/2019 House# Street Address Description of Expenditure 2333 Niagara Lane City North Plymouth State MN Codee 55447 T-Shirts To Whom Paid Date[MM/DD/YYYY] $ Facebook 45.26 09/03/2019 House# Street Address Description of Expenditure 1601 Willow Rd. City State Zip Ad Menlo Park CA Code 94025 To Whom Paid Date[MM/DD/YYYY] $ Staples 18.66 08/09/2019 House# Street Address Description of Expenditure 128 South 32nd Street City State Zip Camp Hill PA Code 17011 Pin To Whom Paid Date[MM/DD/YYYY] $ PayPal 31.65 Varioius House# Street Address Description of Expenditure 2211 North First Street City State Zip San Jose CA Code 95131 Transaction Fees SCHEDULE III Statement of Expenditures Filer Identification Number: 842144630 To Whom Paid Date[MM/DD/YYYY] $ Amazon 12.71 09/15/2019 House# Street Address Description of Expenditure PO Box 8226 City State Zip Seattle WA Code 98108-1226 Post Cards To Whom Paid Date[MM/DD/YYYY] $ US Post Office 46.00 10/18/2019 House# Street Address D• escription of Expenditure 1675 Camp Hill Bypass City State Zip Camp Hill PA Code 17011 Stamps To Whom Paid D• ate[MM/DD/YYYY] $ Capitol Promotions 488.00 09.26/2019 House# Street Address D• escription of Expenditure 2362 Oakdale Avenue City State Zip Glenside PA Code 19038 Yard Signs 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 A D• ate[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/YYYYI $ House# Street Address Description of Expenditure City State Zip Code