HomeMy WebLinkAboutWestern Cumberland Co. Republican Club - 2019 30-Day Post Election 111 II Reset Forme 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 Committee \ Lobbyist
Number 83-4721310 (Mark X) • n
Name of Filing Committee,Candidate or
Lobbyist Western Cumberland County Republican Club
Street Address 1383 Mountain Road
City Newburg State PA Zip Code 17240
Type of Report(Place x under report type)
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"d Friday Special 30 Day
t•-----,}-.-•°: 'Pre:-PrimaryPre-Primary Primary Pre-Election , Pre-Election Election Pre-Election Post-Elections, .
Date Of Election Year Amendment Termination
(MM/DD/YYYY) Nov.5 2019 Report Report
Summary of Receipts and From Date To Date For Office Use Only r ,
Expenditures -
06/11/2019 11/25/2019
A.Amount Brought Forward From Last Report $ 628.05 CD �
C
B.Total Monetary Contributions and Receipts $ " = `-o)
(From Schedule I) 1,365.00 CO O
C.Total Funds Available $ 73 Cl
(Sum of Lines A and B) 1,993.05
D.Total Expenditures $
135.88
(From Schedule Ill) .
E.Ending Cash,Balance $ C�,j
(Subtract•Line D from Line C) • 1,857.17 C
F.Value of in=Kind Contributions Received $ 25.00 .....4f1.
CA
Schedule II) "<
G.Unpaid Debts and Obligations $ 0
(From Schedule IV)
Affidavit Section
-• . Part 1-If this is a Committee report,treasurer sign f this is a Candidate report,candidate sign here.
t''` "I swear'(Or affirm)that this report,including the a..c -dules on paper,is to the best of my knowledge and belief true,c.rrect and complete. -- •
-
Svpgrn to and subs bed before me this M6 +4ti /
I /I �yc R�, / 7 .. ,r
day of ��20 / ,N/4' �irk Lam,L_ r ��.1�/sir
Tyrs/opf allo�ayrd•f /
C �ySi•n. re of Per onsybi iin• o
V 40:41m
Signature /.›,50;:/0,?., Printed Name //J)
My Commission expires 1/414.4/1.- iq 9n(/d)J 7/7
7c2g-/5/,5--- -
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
0
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
•
Filer identification Number
I
83-4721310 I
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $ ,
. 265.00
• 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)
Contributions Received from Political Committees(Part C) $ 1,100.00
All Other Contributions(Part D) $ ' •- • -
Total for the reporting period (3) $ 1,100.00
4.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 $ .
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
1,365.00
Cover Page,item B)
._
,
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.
• I Filer identification Number:
83-4721310 •
•
Full Name of Date[MM/OD/YYYY] $ •
Contributing Committee Cumberland County Republican Committee 10/29/2019 1 1,100.00
1
House# Street Address Date[MM/OD/MY] $
.. ... PO Box 1495 I ••
City I1 State' Zip Code Date[MM/DD/YYYY $
Camp Hill 1 PA17001-1495
1 I I
Full Name of Date(MM/DD/YYYYI $
Contributing Committee I
.
House# Street Address ;Date[MM/DD/YYYY] $
City State Zip Code-_.ry I.DatilMa o iyYYY $
;,;):mar;..,
Full Name of Date[MM/DD/YYYY} $
Contributing Committee
House# Street Address -bate MM DD/YYYY1 $ '
I i .
City I S e- Zip Cade J Date[MM/DD/YYM - $
Full Name of 1 Date[MM/DD/YYYYI $ ,
Contributing Committee ' i '
-House-1r Street Address (bale iMMibD/YYYYT 4$
.
City 1 State Zip Code 1 Date[MM/DD/YYYYI $
1
'
Full Name of Date[MM/DD/ Y]
YYY $
Contributing Committee • .
1 •
House# Street Address:, 1 Date[MM/DD/YYYY[ $
City State Zip Code 'bate[MMjbb/YYYY1 . $
1 a
Full Name of Date(MM/DD/YYYY] $
Contributing Committee .
•
House# Street Address -Date[MM/DD/YYYY[ $
City State Zip-Code Date[MM7DDJYYYY) $
{
•
•
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.
v_
i
83-4721310
TOTAL for the reporting period (1) $
25.00
PrIarrEFWgyp: ffi # A . ;:-
arat0 .
•••
• • TOTAL for the reporting period (2) $
gemarkzerirggregrirom7rpliii OVPVIrgailiVWfi'r:tiRE71440.!,:f<Vilagr 11111211? #40.,`;•
RIMMOI
... . - adigaile-. 4, ..�.� t ms,
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
on Page 1,Report Cover Page,Item F)
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
83:4721310
To Whom Paid Date(MM/DD/MY] $
Theresa Myers I 42.00
09/13/2019
House# treat Address Description of Expenditure
r k;;;�;. 1383 Mountain Road
. City Newburg 1 State PA Code 17240 Venue Rental
• To Whom Paid Date(MM/OD/YYYY] $ •
Theresa Myers (13.06
• 10/20/2019
House 41 Street Address Description of Expenditure
1383 Mountain Road
_
I
City Newburg State PA Circle 17240 •
To Whom Paid 1 Date(MM/DD/YYYYJ $ s
Cumberland County Republican Club 50.00 -
10/16/2019
House# Street Address Description of Expenditure
PO Box 1495
i
Clty Camp Hill State PA Cite 17001-1495 Advertising in Booklet
•
To Whom Paid Date(MM/DD/YYYY] I $
- Theresa Myers 30.82
10/22/2019
House it 1383 treet Address Mountain Road ;Description of Expenditure
' City 1 State I Zip
Newburg PACode 17240 Refreshments for WCCRC Meeting
To Whom Paid Date(MM/DD/YYYY] $
+... .. . -
-.House# IStreet Address Description of Expenditure
L 1 _
City j State ' ZIP
Code
. . .
To Whom Paid Date(MM/DD/YYYYJ $ '
House#__ ._ Street Address, Description of Expenditure -_ -
City i State i Zip 4u
i Code
To Whom Paid Date(MM/DD/YYYYJ $
,-
House
-
House# Street Address Description of Expenditure •
City State 1 Zip _
. Code
To Whom Paid Date(MM/DD/YYYYJ $
•
House# Street Address Fi5eiCrilifio-ri Pi Exper►diture - ._---
- —
State
City -x.�- : 1: . . .. .. I-ZiP-
Code -4