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HomeMy WebLinkAboutFriends of Rob Kline - 2019 2nd Friday Pre-Election Reset Form Print Form Iii I .. . 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 (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Rob Kline Street Address 714 Bridge Street City New Cumberland State PA Zip Code 17070 Type of Report(Place x under report type) 1-6th Tuesday 2- 2n4 Friday 3-30 Day Post 4-6t^Tuesday 5-2"1 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) ( I S�lZVI Z at q Report Report I . 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 $ 1,457.32 C) B.Total Monetary Contributions and Receipts $ 100.00 vl" .c+ (From Schedule I) C.Total Funds Available $ 1,557.32 m c, (Sum of Lines A and B) r-- D.Total Expenditures $ 0.00 C11 (From Schedule III) CED E.Ending Cash Balance $ 1,557.32 Q 3 (Subtract Line D from Line C) 0 _ F.Value of In-Kind Contributions Received $ 0.00 .N (From Schedule II) p G.Unpaid Debts and Obligations $ 1,055.62 (From Schedule IV) 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 and subscribed before me this 211-__gueday of 5''f-l)be9-- 209 ' I I� S /7e Signature of Person Submitting report ( , r ahn S Kostukovich Sigr59tureI Printed Name My Commission expires 09 26, 2oz7 717 730-0820 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. 1 .<13)L— R ‘422'JZ-\ . Sworn to and subscribed before me this `/ • � dayof t1/ ,!i i.�.' 20 / f /�7�0 , L-L . Signature of Candidate iG1YGc` !h'tAJQ Robert P Kline Signature Printed Name 717 770-2540 My Commission expires p?. 2 1' o7/ o MO. DAY YR. Area Code Daytime Telephone Number COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL LeslieA.Jones,Notary Public Franklin Twp.,York County My Commission Expires Feb.21,2021 MEMBER,PENNSYL'NIA SSOCIATION OF NOTARIES9 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer identification Number I 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0.00 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0.00 All Other Contributions(Part B) $ 100.00 Total for the reporting period (2) $ 100.00 13.Contributions Over$250.00(From Part C and Part 0) Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part 0) $ 0.00 Total for the reporting period (3) $ 0.00 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0.00 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 100.00 Cover Page,Item B) 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] $ Amanda N Hasemeier 09/20/2019 100.00 House# Street Address Date[MM/DD/YYYYj $ 1612 Bridge St City State Zip Code Date(MM/DD/YYYY) $ New Cumberland PA 17070 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/OD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/OD/YYYY] $ House# Street Address Date[MM/DD/YYYYj $ 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] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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: I Name of Creditor Robert P Kline Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 414 Poplar Ave [MM/DD/YYYY) 04/12/2019 City New Cumberland State PA Zip 17070 785.62 Code Description of Debt Initial opening bank balance transfer Name of Creditor Robert P Kline Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 414 Poplar Ave [MM/DD/YYYY) 03/12/2019 City New Cumberland State PA Code 17070Zip 105.00 Description of Debt Petition filing fees Name of Creditor Robert P Kline Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 414 Poplar Ave [MM/DD/YYYY] 05/03/2019 City New Cumberland State PA CZode 17070 165.00 Description of Debt Stamps 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