HomeMy WebLinkAboutBloom for the 199th - 2019 Annual Report Commonwealth of Pennsylvania 1111111111111111110111111111111111111111111
Campaign Finance Report 317998
(NOTE:This report must be clear and legible. It may be typed or printed in blue or black Ink.)
Filer Identification 2010108 Report CANDIDATE COMMITTEE .4/ 'LOBBYIST
Number: Flied By:
Name of Filing Committee,Candidate or Lobbyist: BLOOM, STEPHEN FOR THE 199TH COM
Street Address: 2100 LONG GAP ROAD
City: CARLISLE State: PA Zip Code: 17013-8651
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3. AMENDMENT . Yes ye No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT?
6TH TUESDAY 4. 2ND.FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No
(place X to PRE-ELECTION ELECTION ELECTION REPORT?
the right of
report type) ANNUAL REPORT 7.X Year 2019 FILING METHOD PAPER yed DISKETTE
( )CHECK ONE •
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR' REP 21
11 5 2019 (SEE INSTRUCTIONS FOR CODES)
DAY YEAR MO DAY YEAR. FOR OFFICE USE ONLY
Summary of Receipts and MO
Expenditures from: 1 1 2019 TO 12 31 2019
C7 =
c
r'7.-1A.Amount Brought Forward From Last Report $ 1,529.58 -
(JJ (_
B.Total Monetary Contributions And Receipts(From Schedule I) $ 0.00 m a
C.Total Funds Available(Sum Of Lines A and B) $ 1,529.58 .--"
D.Total Expenditures(From Schedule III) 900.00 O =
E. Ending Cash Balance(Subtract Line D From Line C) $ 629.58 C: CO
F.Value Of In-Kind Contributions Received (From Schedule II) $ 0.00 Q
t0
G. Unpaid Debts And Obligations(From Schedule IV) $ 0.00
AFFIDAVIT SECTION
-come NW OH ' .'S EVA. —
' f ARIAL SEAL_.. - • - _per-_L.__ sign here. ----i
PART I-If this is a Committee report a ARIAL1tlEAL- ere ort candidate _____ ____w__ _ ___..
I swear(or affirm)that this report,Includi ' the attache n paper or by lectronic e um,a to e b st f my knowledge and belief,true
correct and complete. Nolary Public .
Sworn to anticsubscrlbed before me this CARLISLE 80R0i CUMBERLAND COUNTY
`}t'` S nat a of Person Submitting Report
MV Com n Expires Feb 14. 2021
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MO �u 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 p v of , e, of June 3,1937(P.L.1333,
No 320)as amended.
Sworn to and cribed before me this
Signature fo Candidata
day of�r 1( 1(1!' 20 _ �� iJ1t�j'a M
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Signature IA ao ev•,q cv-k-1,cp ^,..,7 , Cur"
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MO DAY YR Area Code Daytime Telephone Number
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NOTARIAL
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Notaryy Public 1/24/2020 4:17:44 AM
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SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2019 To: - 12/31/2019
. .UnitemixedContributions Received-$50.00 or Less,Per Contributor
TOTAL for the Reporting Period (1) $ 0.00
2.Contributions Received.- $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 Received Over$250:00(From Part C and Part D)
Contributions Received From Political Committees(Part C) $ 0.00
Ali Other Contributions (Part a) $ 0.00
TOTAL for the Reporting Period (3) $ 0.00
4.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 $ 0.00
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
1/24/2020 4:17:44 AM
PART A
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.
4
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY YEAR h 1
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00
1/24/2020 4:17:44 AM
• PART B
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 Flung Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00
1/24/2020 4:17:44 AM
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 from Over $250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY YEAR
Mailing Address
$ 0.00
City State 21p Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3.
$ ^ 0.00
1/24/2020 4:17:44 AM
PART D
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
From: To:
DATE AMOUNT
Full Name of Contributor
MO !DAY YEAR
Mailing
Address $ 0.00
City State Zip Code(Plus 4)
Employer Name Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3.
$ 0.00
1/24/2020 4:17:44 AM
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.
Name of Filing Committee or Candidate Reporting Period
From: To:
{
DATE AMOUNT
Full Name
MO DAY' YEAR
Mailing Address $ 0.00
City State Zip Code(Plus 4)
1
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4.
$ 0.00
1/24/2020 4:17:44 AM
• 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
Name of Filing Committee or Candidate Reporting Period
BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2019 To: 12/31/2019
1.UNITEMIZED IN=KIND,CONTRIBUTIONS RECEIVED-VALUE OF$50.00,OR LESS PER CONTRIBUTOR.
TOTAL for the Reporting Period (1) $ 0.00
N.S RECEIVED.-VALUE,OF'$50.01,TO$250.00`(FROM]PART F)
2.IN-KIND CONTRIBUTIO
TOTAL for the Reporting Period (2) $ 0.00
3.IN=KIND CONTRIBUTION RECIEVED VALUE OVER$250.00(FROMIIIPARTG)
TOTAL for the Reporting Period (3) $ 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter $ 0.00
amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
•
1/24/2020 4:17:44 AM
SCHEDULE II
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY f YEAR
Mailing Address $ 0.00
City State Zip Code(Plus 4) ,
Description of Contribution:
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, PAGE TOTAL
Section 2.
0.00
1/24/2020 4:17:44 AM
SCHEDULE II •
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE + AMOUNT
Full Name of Contributor
MO• DAY YEAR
Mailing Address
0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution
Business 4)
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL
Summary Page,Section 3. 0.00
1/24/2020 4:17:44 AM
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
BLOOM,STEPHEN FOR THE 199TH COM From 1/1/2019 To: 12/31/2019
DATE AMOUNT
To Whom Paid I
MO DAY .YEAR
Friends of Alex Enger
Mailing Address 223 Millersville Road 1 10 2019
$ 125.00
City Lancaster State Zip Code(Plus 4) Description of Expenditure
PA 17603 Contribution
To Whom Paid
MO; DAY -YEAR,
Committee to Elect Shelly Capozzi
Mailing Address 1655 Holly Pike 2 6 2019
$ 125.00
City Carlisle State Zip Code(Pius 4) Description of Expenditure
PA 17015 Contribution
To Whom PaidY
Friends of Greg Rothman MO DAY iliEAR
Mailing Address PO Box 412 11 20 2019
$ 250.00
City Harrisburg State Zip Code(Plus 4) Description of Expenditure
PA 17108 Contribution
To Whom Paid
MO DAY YEAR
HRCC
Mailing Address PO Box 11787 6 3 2019
$ 400.00
City Harrisburg State Zip Code(Plus 4) Description of Expenditure
PA 17108 Republican Roundup
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
900.00
1/24/2020 4:17:44 AM