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HomeMy WebLinkAboutFriends of Jake Miller - 2019 30-Day Post Election II II IReset Form 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 (Mark X) n .Name of Filing Committee,Candidate or Lobbyist Friends of Jake Miller Street Address P.O.Box 872 City Mechanicsburg State PA Zip Code 17055 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday S-2nd Friday 6-30 Day Post 7-Annual Special 2nd Friday Special 30 Day Pre Primary Pre Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year l Amendment Termination (MM/DD/YYYY) 11/5/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/22/2019 11/25/2019 A.Amount Brought Forward From Last Report $ 5246.03 B.Total Monetary Contributions and Receipts $ (From Schedule I) 1192.27 C) r. C.Total Funds Available $ c (Sum of Lines A and B) 6438.30 co t=7 D.Total Expenditures $ C77 I-n (From Schedule III) 4847.50 :I•!r I E.Ending Cash Balance $ C.J (Subtract Line D from Line C) 1590.80 Q —0 F.Value of In-Kind Contributions Received $ C) 3 (From Schedule II) 0.00 () G.Unpaid Debts and Obligations $ C .C"' (From Schedule IV) 654.04 0 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 th- : hed schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn tq and subsc'bed before me thisCcm�orh,, / day of 20 MfOl'ir �HO%� d RPr rig t��i .! a, _ , > s'•ei�d d°p Nom' �fSature of Persop ubmitting'�po �c/y/ �isstenkJoi. ory vb�ic 'J 4-d/ /'itCis i�- 13 Signature )I %a. 47 4 Printed Name a My Commission expirej&K /4/ c20,23jd�d6 DZ� 1 1'1 5/ / 7'/—c 16-7 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 •lief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. C rn toand subscribed before me this c� `'4,� ,�'v/r/ day of��IYJ 0 ( �`0. ''ar f )J �y 4r� 0,4 '+ °�Co Gi.%4� Sig azure of Can idate Signature)I ~4'' �v,>'�A'44``'y Printed Name My Commission expires J'it4i ill ;D�� rr-�d6�0�3 �( � *I mq)- MO. DAY YR. Area Code Daytime Telephone Number a SCHEDULE Contributions and Receipts Detailed Summary Page Filer Identification Number I 1 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 225.00 2.Contributions of$50.01 to $250.00(From I Part A and.Part B) Contributions Received from Political Committees(Part A) $ 0.00 All Other Contributions(Part B) $ 950.00 Total for the reporting period (2) $ 950.00 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 17.27 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) 1192.27 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.) IFiler Identification Number: I Full Name of Contributor Date[MM/DD/YYYY] $ Judith Heh 10/22/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 408 • Orrs Bridge Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Michael Lipschutz 100.00 10/29/2019 House# Street Address Date[MM/DD/YYYY] $ 14 Martin Ct City State Zip Code Date[MM/DD/YYYY] $ Newtown PA 18940 Full Name of Contributor Date[MM/DD/YYYY] $ Michael Gilbert 10/30/2019 250.00 House# 'Street Address Date[MM/DD/YYYY] $ 6311 Stephens Crossing City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Kim Kenawell 10/31/2019 100.00 House# Street Address Date[MM/DD/YYYY] $ 1019 1 N.Waterford Way City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ William Harney 150.00 10/31/2019 House# Street Address Date[MM/DD/YYYY] $ 6 1 Farmhouse Lane City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Deanne Potalivo 100.00 10/31/2019 House# Street Address Date[MM/DD/YYYY] $ 6100 Run Cross Lane City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 gm) ,Do 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.) IFiler Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Dara Kluger 11/1/2019 150.00 House# Street Address Date[MM/DD/YYYY] $ 1105 Tiverton Rd City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 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] $ PART E Other Receipts REFUNDS,INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: Full Name Staples House# 128 Street Address 32nd Street City State Zip Date[MM/DD/YYYY] $ Camp Hill PA Code 17011 17.27 10/24/2019 Receipt Description Refund for cardstock Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description )_7, 17 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Artistic Imprints 212.00 11/4/2019 House# Street Address Description of Expenditure 823 St.Johns Rd City State Zip Camp Hill PA Code 17011 Banners To Whom Paid Date[MM/DD/YYYY] $ Westy's Beer Distributor Inc 95.48 11/4/19 House# Street Address Description of Expenditure 420 St.Johns Church Rd City State Zip Camp Hill PA Code 17011 Volunteer party To Whom Paid Date[MM/DD/YYYY] $ Al's of Hampden 94.86 11/4/2019 House# Street Address Description of Expenditure 2240 Millennium Way City ' State Zip Enola PA 17025 Volunteer dinner Code To Whom Paid Date[MM/DD/YYYY] $ Facebook 125.00 11/4/2019 House# Street Address Description of Expenditure City State Zip Code Ads To Whom Paid Date[MM/DD/YYYY] $ Facebook 175.00 11/4/2019 House# Street Address Description of Expenditure City State Zip Code Ads To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Democratic Committee 1750.00 11/5/2019 House# Street Address Description of Expenditure 46 W.Louther Street City State Zip Joint mailer Carlisle PA Code 17013 To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Democratic Committee 232.11 11/5/19 House# Street Address Description of Expenditure 46 W.Louther Street City State Zip Carlisle PA Code 17013 Joint mailer To Whom Paid Date[MM/DD/YYYY] $ Facebook 250.00 11/6/2019 House# Street Address Description of Expenditure City State Zip Ads Code ag31' 1S SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Lowes 75.05 10/23/2019 House# Street Address Description of Expenditure 5500 Carlisle Pike City State Zip Mechanicsburg PA Code 17050 hardware for banners To Whom Paid Date[MM/DD/YYYY] $ Facebook 75.00 • 10/24/2019 House# Street Address Description of Expenditure City State Zip Code Ads To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Democratic Committee 350.00 10/25/2019 House# Street Address Description of Expenditure 46 W.Louther Street City State Zip Fall Dinner/Ad Carlisle PA Code 17013 To Whom Paid Date[MM/DD/YYYY] $ Joey's Chicken Shack 17.12 10/28/2019 House# Street Address Description of Expenditure 1104 Carlisle Rd City State Zip Camp Hill PA Code 17011 Lunch after canvassing To Whom Paid Date[MM/DD/YYYY] $ Gannett Fleming 430.36 10/29/2019 House# Street Address Description of Expenditure 209 Senate Ave City State Zip Camp Hill PA Code 17011 Post Card Mailing To Whom Paid Date[MM/DD/YYYY] $ Lowes 36.99 10/31/2019 House# Street Address Description of Expenditure 5500 Carlisle Pike City ' State Zip Mechanicsburg PA Code 17050 Hardware for banners To Whom Paid Date[MM/DD/YYYY] $ Security Savings Systems 820.02 11/1/2019 House# Street Address Description of Expenditure 901 Market Street City State Zip Mailers New Cumberland PA Code 17070 To Whom Paid Date[MM/DD/YYYY] $ Facebook 53.37 11/1/2019 House# Street Address Description of Expenditure City State Zip Code Ads / gs7,'9l SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Act Blue 18.05 11/6/2019 House# Street Address Description of Expenditure City State Zip Code Oct 2019 Fees To Whom Paid Date[MM/DD/YYYY] $ Vantiv 37.09 11/12/2019 House# Street Address Description of Expenditure City State Zip Code Oct 2019 Fees 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 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 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 35-, If 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: Name of Creditor Jake Miller ,Outstanding Balance of Debt House# Street Address_ . DATE-DEBT INCURRED - $ 3824 Carriage House Drive (MM/DD/YYYY] 02/11/2019 City State 'Zip 500.00 Camp Hill PA Code. 17011 Description of Debt Open PNC Bank Account for Friends of Jake Miller Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED" • $ 3824 Carriage House Drive IMM/DD/YYYY] 02/05/2019 citY ` State Zip Camp Hill PA Code 17011 5 Description of Debt BOE CD Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED .. $ 3824 [MM/DD/YYYY] Carriage House Drive 03/08/2019 city Camp Hill State Zip PA Code 17011 100.00 Description of Debt BOE Filing Fee Name of Creditor Jake Miller Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 3824 Carriage House Drive [MM/DD/YYYY] 03/25/2019 Camp Hill State PA Zip 17011 49.04 Code . Description of Debt Team Meeting-Dinner Name of Creditor' . Outstanding Balance of Debt House it Street Address DATE DEBT INCURRED $ IMM/DD/YYYY]' city. State Zip Code : Description of Debt Name of Creditor Outstanding Balance of Debt• " House# Street Address DATE DEBT INCURRED $. IMM/DD/YYYY] City State Zip Code Description of Debt