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HomeMy WebLinkAboutFriends of Alissa Packer - 2019 30-Day Post Election • Reset Form f Print Form 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 842144630 (Mark X) n 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 6t1Tuesday 5-2nd 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 • I X Date Of Election Year [ Amendment Termination (MM/DD/YYYY) 11/5/2019 2019 Report X Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/22/19 11/25/19 A.Amount Brought Forward From Last Report $ 1666.89 C7 ry B.Total Monetary Contributions and Receipts $ tis c=, 700.00 (From Schedule I) CO t:... C.Total Funds Available $ rri 3n 2366.89` (Sum of Lines A and B) r- C ,� D.Total Expenditures $ a) (From Schedule III) 144x.35 C) E.Ending Cash Balance $ C) = • (Subtract Line D from Line C) 922.54 G .- F.Value of In-Kind Contributions Received ' $ C�I (From Schedule II) 326.85 -< Iv • G.Unpaid Debts and Obligations $ 101.12 (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 an belief true,correct and complete. -..=.....-...3-• Swornrn to and subsc.-bd before me this Commonwealth of Pennsylvania-Note'y SeAI .1. dayo _ led ��, A . 20 Brittany Jacobs,Notary Public VOA Signa re of P on S miffing reunrt Yvi k County 1 .,1 �! A Kathryn Yorkievitz 'My commission expires July 18,2322 krer "V'!!!!il V"rsr ' _ Printed Name number 133812 –Member,Pennsylvania A6800letton of Natafies' My Commission expir*_ ,,A ' t• • Oa (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.L.1333,NO.320)as amended. Sworn to and subscribed before me this !` • I dayo 20 2U 'GSC/ ./` Signature of Candidate 3r��,-/'S��, ./ � Alissa Packer Commonwealth of Pennsylvania-Nota y Seal �'�����f.•; Printed Name Brittany Jacobs;Notary Public My Commission expir C A_I /E,26,R.3-- (570) 259-6105 York County rj Mycommission expires July 18,2022 MO. f AY YR. Area Code Daytime—elephoceoionnumber 1338125 • __. Member,Pennsylvania Association of Notaries • • 6 SCHEDULE Contributions and Receipts Detailed Summary Page • Filer Identification Number • '842144630 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 50.00 2.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) $ 0 Total for the reporting period (2) $ 0 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 650.00 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 650.00 14.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) 700 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: 842144630 Full Name of Date[MM/DD/YYYY] $ Contributing Committee Tri-County Federation of Democratic Women PAC 11/06/2019 650.00 House# 1 Street Address Date[MM/DD/YYYY] $ 136 Linglestown Road City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City • State Zip Code Date[MM/DD/YYYY] $ • Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date]MM/DD/YYYY] $ Full Name of Date(MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date(MM/DD/YYYY] $ City State Zip Code 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: 842144630 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 18.35 2. 1N-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I TOTAL for the reporting period (3) $ 308.50 f ' 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) 326.85 SCHEDULE II Part 6 • In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Tony Bateman 308.50 11/02/19 House# Street Address Date[MM/DD/YYYY] $ 501 Arlington Road City State Zip Code Date IMM/DD/YYYY] $ Camp Hill PA 17011 Employer Name The George Washington University Occupation professor Employer Mailing Address/Principal Description Place of Business 2121 I St.NW,Washington,D.C.20052 of Food for campaign event Contribution 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 Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ • City State Zip Code Date IMM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business 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] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures I Filer Identification Number: I 842144630 To Whom Paid Date[MM/DD/YYYY] $ Zippity Print 820.26 10/24/2019 House It Street Address Description of Expenditure 1600 E.23rd St. City State Zip Cleveland OH Code 44114 Mailing To Whom Paid Date[MM/DD/YYYYJ $ Emily Smith 100.00 10/28/2019 House if Street Address Description of Expenditure 2002 Columbia Ave • . City State Zip . Camp Hill PA Code 17011 Brochure Design To Whom Paid Date[MM/DD/YYYY] $ Cornerstone 200 11/02/2019 House# Street Address . Description of Expenditure 2133 Market Street City State Zip Camp Hill PA Code 17011 Campaign Event . To Whom Paid Date[MM/DD/YYYY] $ BrownPaperTickets 53.49 11/17/2019 House if Street Address Description of Expenditure 220 Nickerson Street City State Zip • Seattle WA Code 98109 Ticket for PA Federation of Dem Women's Brunch To Whom Paid Date[MM/DD/YYYY] $ Facebook 263.85 11/20/2019 House it Street Address Description of Expenditure 1601 Willow Road City State Zip Menlo Park CA Code 94025 Ads To Whom Paid Date[MM/DD/YYYY] $ PayPal 1.75 11/1/2019 House# Street Address Description of Expenditure 2211 North First Street City State Zip San Jose CA Code 95131 Transaction Fee To Whom Paid Date[MM/DD/YYYY] $ Fulton Bank 5.00 10/31/2019 House it Street Address Description of Expenditure 3344 Trindle Rd. City State Zip Camp Hill PA Code 17011 Fee for Bank Statement To Whom Paid Date[MM/DD/YYYY] $ House# 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: 842144630 Name of CreditorFacebook Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1601 Willow Rd. [MM/DD/YYYY] 11/04 and 05/2019 City State Zip 101.12 Menlo Park Code 94025 Description of Debt Ads purchased 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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] • City State Zip Code Description of Debt 111 Reset Form C 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 842144630 (Mark X) n Name of Filing Committee,Candidate or ' Lobbyist Friends of Alissa Packer Street Address 501 Arlington Rd. aty Camp Hill State PA Zip Code 17011 1 Type of Report(Place x under report type) 1-6n'Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2n"Friday 6-30 Day Post 7-Annual Special 2"d 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) 11/05/2417 20/7 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/22/19 11/25/19 A.Amount Brought Forward From Last Report $ 1666.89 B.Total Monetary Contributions and Receipts $ (From Schedule I) 700.00C7 C.Total Funds Available $ ..c+ (Sum of Lines A and B) 2366.89 CO D.Total Expenditures $ 73 n ' (From Schedule Ill) 1444.35 T 1 r— 3� LUE.Ending Cash Balance $ 2 N (Subtract Line D from Line C) 922'54 © ""1" at .. F.Value of In-Kind Contributions Received $ C) = !Y (From Schedule II) 326.85 N . G.Unpaid Debts and Obligations $ 11' 86.95 W (From Schedule IV) W . Affidavit Section cc Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 0 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 subscr'b•d befor me this </te •1 CaA. ,'re'. :alth of Ptllr la•Notary Seal da of /u rl): J.BIM NOtafyPub1i0 • `/ �j Signature of Person S miffing report `!//�� � 1 41 Kathryn Yorkievitz r Si;l ure September�'2023 Printed Name 9 ',(,A7�irsion nu her 1357299 Commission expires i yf y jx71 395-0119 MO. D• 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,N0.320)as O. Gii'lroy Sworn to and subscr'.,d befor=me this ?�ila- ' 0ozqd. .f, /,L/Ir 4 20 0 ` (��Signature of Candidate C `: �/ � / / Alissa Packerr Signat Printed Name p09 Zo (570) 259-6105 VMy Commission expires MO. D•Y YR. Area Code Daytime Telephone Number Commonweaim of Pennsylvania'Notary Sea Stephen J.BIN,Notary Public Cumberland County . My commission expires September 26,2023 Commission number 1357299 • SCHEDULE Contributions and Receipts Detailed Summary Page Filer Identification Number 842144630 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 50.00 12.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) $ 0 Total for the reporting period (2) $ 0 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from.Political Committees(Part C) $ 650.00 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 650.00 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 Cover Page,Item B) 700 • 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. Filer Identification Number. I 842144630 I Full Name of Date[MM/DD/YYYY] $ Contributing Committee Tri-County Federation of Democratic Women PAC 11/06/2019 650.00 House# Street Address Date[MM/DD/YYYY] $ 136 Linglestown Road City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DO/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee • House# ' Street Address Date[MM/OD/YYYY] $ • City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Tip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City ' State Zip Code 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: 842144630 1 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ . 18.35 • 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) 1 0 f . TOTAL for the reporting period (3) $ 308.50 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) 326.85 • 1 • SCHEDULE Part G • • In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: • 842144630 Full Name of Contributor Date[MM/DD/YYYY] $ Tony Bateman 308.50 • 11/02/19 House# Street Address Date[MM/DD/YYYY] $ 501 Arlington Road City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 ' Employer Name The George Washington University Occupation professor • Employer Mailing Address/Principal Description Place of Business 2121 1St.NW,Washington,D.C.20052 of Food for campaign event Contribution 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 Description Place of Business of • Contribution Full Name of Contributor Date[MM/DD/YYYY] $ • House# Street Address Date[MM/DD/YYYY] $ City State Tap Code Date[MM/DD/YYYY]• $ • Employer Name Occupation Employer Mailing Address/Principal Description • Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Tap Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of • Contribution • 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. 842144630 Name of CreditorFacebook Outstanding Balance of Debt House# Street Address DATE.DEBT INCURRED $ 1601 Willow Rd. [MM/DD/YYYY] 11/04 and 05/2019 City State Zip 86.95 Menlo Park CA Code 94025 Description of Debt Ads purchased • 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 Tip 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