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HomeMy WebLinkAboutRe-Elect DA Skip Ebert - 2019 30-Day Post Election Commonwealth of Pennsylvania Page 1 of A CAMPAIGN FINANCE REPORT (COVER PAGE) (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification lb, Report1. 2. 3. Number: Q4PR99926 Filed By: . CANDIDATE COMMITTEE ` x LOBBYIST Name of Filing Committee,Candidate or Lobbyist:Reelect D.A. Skip Ebert Street Address: P.O.Box 1584 City: Camp Hill State: PA Zip Code: 17001- TYPE OF 6TH TUESDAY 1. 2ND FRIDAY . 2. `30 DAY . 3. AMENDMENT ` REPORT PRE-PRIMARY PRE-PRIMARY . , POST PRIMARY REPORT? YES NO x 6TH TUESDAY ` 4. . 2ND FRIDAY.' 5, 30 DAY 6. TERMINATION (place X to PRE-ELECTION PREELECTION POST ELECTION x REPORT? YE$; NO X the right of , report type) ANNUAL 7. YEAR FILING METHOD REPORT 2019 �� ( b/ )CHECK ONE , PAPER X DISKETTE Name of Office Sought by Candidate:" DATE OF ELECTION District Office Party County '? MO. DAY' YEAR Number Code Code Code 11 05 2019 21 REP 21 (SEE INSTRUCTIONS FOR CODES) • MO. DAY YEAR MO. DAY YEAR FOR OFF!ICE USE ONLY Summary of Receipts 10, 10 22 2019 11 25 2019 C) a and Expenditures from: To ;c� ET; c i A. Amount Brought Forward From Last Report $ 25,677.13 B. Total Monetary Contributions and Receipts(From Schedule I) $ 0.00 ?>• 1 C71 C. Total Funds Available(Sum of Lines A and B) $ 25,677.13 D. Total Expenditures(From Schedule III) $ 12 527.19 C) = E. Ending Cash Balance(Subtract Line D from Line C) $ 13,149.94N ?. O F. Value of In-Kind Contributions Received(From Schedule II) $ 10,703.79 —< to G. Unpaid Debts and Obligations(From Schedule IV) $ 81,000.00 I AFFIDAVIT SECTION PART I —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'e attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this t 3 day of )eet4Yt.,.LA1 !Cnmmnnwaalfh of Pen .}'fl:- .otaryi.eal Signature of Person Submitting Report Lisa M.Tosheff,Notary Public _ 17Yi Dauphin County _c�c/./.....ie T Qr Signature M)-cumnriaEiofrt,tpires May 1,20 / printed Na � Cor�;i�,1fission number 1290393 My commission expires ember,PRI ania Association of No :ries 7/, 7/2_"f' i'77 MO. DAY YR. Area Code Daytime Telephone Number PART II —If this is a report of a Candidate's Authorized Comthittee,'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. 4kL Sworn to and subscribed before me this I lot Z day of �L,....+•..4.4..✓' 20 /7 Signature Candidate `7� tea! K L E b�.rr 1" Signature la..•.-,:t 9 ;g- Printed Name !! 1 ,1� �I ,r :a 'of pant ' ry PLOW `7 1 '.1 d �P W 1 6 My commission expires t/g *:%„ . _ .� l J MO. DAbpug:- Da•ion Coun' 06 „ Area Code Daytime Telephone Number corn DSEB-502(7-99) De l .• g- t..: e•Bureau of Commissions,Elections and Legislation • h Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 ( 411 1 SCHEDULE I Page 2 of `✓ CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS—$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 1100 (1) $ 0.00 2. CONTRIBUTIONS $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 D) Contributions Received from P-olitical Committees (Part C) $ 0.00 All Other Contributions (Part D), $ 0.00 TOTAL for the Reporting Period II10, (3) $ 0.00 4. OTHER RECEIPTS—REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period O. (4) $ 0.00 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD :Odd and enter amount totals from Boxes $ 0.00 1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.) • •DSEB-502(7-99) • PART A Page 3 of 11-- CONTRIBUTIONS I— CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES • $50.01 TO $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 0.00 • 1 i} ) DSEB-502(7-99) • PART B Page 21 of ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 0.00 is DSEB-502(7-99) • PART C Page 5 of lit 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. Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT i PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 0.00 • DSEB-502(7-99) PART D Page 4- of ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 0.00 DSEB-502(7-99) • • PARTE Page 7 of II— 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. Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0.00 • DSEB-502(7-99) • SCHEDULE II Page of 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 Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED—VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 1010. (1) $ 0.00 2. IN-KIND CONTRIBUTIONS RECEIVED—VALUE OF $50.01 TO $250.00 (FROM PART F) TOTAL for the Reporting Period Opp. (2) $ 0.00 3. IN-KIND CONTRIBUTIONSRECEIVED—VALUE OVER$250.00 (FROM PART G) TOTAL for the Reporting Period 1000 (3) $ 10,703.79 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, 110' $ 10,703.79 and 3;also enter on Page 1, Report Cover Page, Item F.) DSEB-502(7-99) • • SCHEDULE II Page 9 of v PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO$250.00 Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 2. $ 0.00 • • • • DSEB-502(7-99) SCHEDULE II Page )G of 12 PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER$250.00 Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 DATE AMOUNT Full Name of Contributor MO:DAY YEAR $ 3, 517 .21 Republican Party of Pennsylvania 11 04 2019 Mailing Address MO7TAY—YEArr $ 5,530.28 112 State Street 11 04 2019 City State Zip Code(Plus 4) 'MO. DAY` YEAR- . $ 1, 656.30 Harrisburg PA 17101- 11 04 2019 Employer Name of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Printing Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 3. $ 10,703.79 • i • DSEB-502(7-99) SCHEDULE III Page d of 1^ STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 To Whom Paid IM01I IIDAV7 L EAR1 Amount Quantum Communications 10 23 2019 347. 41 Mailing Address Description of Expenditure 123 State St Printing City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid IMO1I IDAI?]I EAR1 Amount Cumberland County Republican Committee 10 24 2019 7, 000.00 Mailing Address Description of Expenditure P.O. Box 1495 _ Contribution City State Zip Code(Plus 4) Camp Hill PA 17001- To Whom Paid I001 IEEAR1 Amount Quantum Communications 10 24 2019 5, 179.78 Mailing Address - Description of Expenditure 123 State St Printing and postage City - State Zip Code(Plus 4) Harrisburg PA 17101- Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL 'REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. $ 12,527.19 • • DSEB-502(7-99) SCHEDULE IV Page Ph. of j- STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations : which are outstanding at the end of the reporting period. Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 10/22/2019 To 11/25/2019 Name of Creditor Outstanding Balance of Debt Skip Ebert $ $4, 000.00 Mailing Address DATE MO. DAY YEAR 1885 Lisburn Rd DEBT 02 26 2019 Cit INCU RED Y State Zip Code(Plus 4) Carlisle PA 17015- Description of Debt • Loan Name of Creditor Outstanding Balance of Debt Skip Ebert $ $20, 000.00 Mailing Address DATEMO. DAY YEAR 1885 Lisburn Rd DEBT �' 04 29 2019 Cit INCU RED Y State Zip Code(Plus 4) Carlisle PA 17015- Description of Debt Loan Name of Creditor • Outstanding Balance of Debt Skip Ebert $ $20,000.00 Mailing Address ... DATE MO. DAY YEAR 1885 Lisburn Rd DEBT `' 05 06 2019 CityINCU RED , State Zip Code(Plus 4) Carlisle PA 17015- Description of Debt Loan Name of Creditor Outstanding Balance of Debt Skip Ebert $ $17, 000.00 Mailing Address DATE MO. DAY YEAR 1885 Lisburn Rd DEBT INCURED 05 23 2019 • City State Zip Code(Plus 4) Carlisle PA 17015- Description of Debt Loan Name of Creditor .. Outstanding Balance of Debt Skip Ebert $ $20,000.00 Mailing Address DATEMO. DAY YEAR 1885 Lisburn Rd DEBT INC ► 10 20 2019 U RED City State Zip Code(Plus 4) Carlisle PA 17015- Description of Debt Loan PAGE TOTAL Enter Grand Total of Unpaid-Debts on Page 1, Report Cover Page, Item G. $ 81,000.00 • • • DSEB-502(7-99)