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Home My WebLink AboutBosha for State Senate - 2019 30-Day Post Election II II I --ne3etIUInI ,L=„ 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 84-3586616 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Bosha For State Senate Street Address PO Box 12 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-rd Friday 6-30 Day Post 7-Annual Special ea 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 10/22/2019 11/25/2019 A.Amount Brought Forward From Last Report $ 0.00 B.Total Monetary Contributions and Receipts $ C') e (From Schedule I) 869.00 C C.Total Funds Available $ 869.00 COIll c ( Sum of Lines A and B) Xy n D.Total Expenditures $ r— I (From Schedule III) 117.56 CA,-) E.Ending Cash Balance $ L7 -p (Subtract Line D from Line C) 751.44 0 U F.Value of In-Kind Contributions Received $ C (From Schedule II) 134.00 2: — _.-f Cl G.Unpaid Debts and Obligations $ -< • (From Schedule IV) 0.00 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 day of ,e4...3s.er 20 19' ib • At,�.- I Signa u of r 41 bmitting report ^", ftAV COMPIONWCALTf I OF PENNS VANIA a(a� .+ Signature NOTARIAL SEAL Pn ed Name Linda H.Miller,Notary Public 117 $356 • 13e113 My Commission expires Comp kill 8oro,Cumberland County MO.My CoPhYission' xpires May 9,2021 Area Code Daytime Telephone Number MFh4RFR PFNNSYI VANIAA S OVt'flpN OF NoTAIsI@S 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 •0 po. BeA, N 0 day of _A� .�/ 20 i.q • .�� S' naturyf Candidate /� � • JS�� PO S 4 4 OMMONVBIgltdt'pFe OF PENNSYLVANIA Printed Name NOTARIAL SEAL S' '70 Q�, 387 My ommisiiortiatAr�Siller N terry Public Camp Hill Boro,Mf�rnberl 'Countq. Area Code Daytime Telephone Number My Commission Expires May 9,2021 MEMBER,PENNSYLVAIJIAASSAC IAMIQN OF NOT'PIF5 SCHEDULE I Contributions and Receipts ' Detailed Summary Page Filer Identification Number 84-3586616 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I 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) $ 0.00 Total for the reporting period (2) $ 0.00 3.Contributions Over$250.00(From Part C and Part O) Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part D) $ 869.00 Total for the reporting period (3) $ 869.00 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) 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 Cover Page,Item B) 869.00 PART D 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: 84-3586616 Full Name of Contributor Date[MM/DD/YYYY] $ John Bosha 869.00 11/05/2019 House# Street Address Date[MM/DD/YYYY] $ 5 Gale Circle City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name CVS Pharmacy Occupation Pharmacist In Charge Employer Mailing Address/ Principal Place of Business 3201 Market Street 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) $ 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 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: 84-3586616 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 0.00 l2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 134.00 l3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0.00 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) 134.00 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 84-3586616 Full Name of Contributor Date[MM/DD/YYYY] $ John Bosha 11/05/2019 134.00 House# Street Address Date[MM/DD/YYYY] $ 5 Gale Circle City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Description of Contribution PO Box Rental Fee 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 it Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: 84-3586616 To Whom Paid Date[MM/DO/YYYY] $ Collusion Tap Works 76.00 11/20/2019 House# Street Address Description of Expenditure 105 South Howard Street City State Zip York PA Code 17401 Campaign Meeting To Whom Paid Date[MM/OD/YYYY] $ A's Pizza 41.56 11/23/2019 House# Street Address Description of Expenditure 6 Tristan Drive City Dillsburg State PA Code 17019 Campaign Meeting 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/OD/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