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Home My WebLink AboutFriends of Jake Miller - 2019 Annual Report Reset FormIl I I 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 Y 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) 1-6t"Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday S-Znd Friday 6-30 Day Post 7-Annual Special 2"a Friday Special 30 Day Pre Primary Pre Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year Amendment ' Termination (MM/DD/YYYY) 11/5/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 11/26/2019 12/31/2019 A.Amount Brought Forward From Last Report $ 1590.80 B.Total Monetary Contributions and Receipts $ (From Schedule I) 5.00 C.Total Funds AvailableCO (Sum of Lines A and B) $ 1595.80 b D.Total Expenditures $ r-- (From Schedule III) 915.89 Ul E.Ending Cash Balance $ O (Subtract Line D from Line C) 679.91 (_) O F.Value of In-Kind Contributions Received $ 7 Ct) (From Schedule II) 0.00 G.Unpaid Debts and Obligations $ CA) (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 subscri.<. •• ore me this - • /3 _. • •.yo .....e.,...-,.. 20 4 Commonv IthofPennsylvan'- :.-.,r,11`/ /. SUSA K PICKFORD-Notary Publ . e of arson : .fitting reports t -,�14—��-Gr� r '0'1 mberland Coun. —Li ...:1 I/ - ',r Sign.ture ' My Com fission Expires Mar 23. er 'IFPrinted Name , /DAY Com ission Number119: '9 S(d a/ 7 MyCommissionexpires 23/�!MO. 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. Commonwealth of Pennsylvania-Notary Seal Sworn to and subscribed before me this SUSAN K PICKFORD-Notary Public 3 VCumberland County ' i d y•_� ' i 20 My Corn 'ssion Expires Mar 23,2023412' Corn ission Number 1198799 i:natur•of .ndidate Signatur• Printed ame My Commission expires -3/ 1 j • /{� g.J 101 MO. DAY YR. Area Code Daytime Telephone Number r, I . 9 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number ' I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 5.00 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 5.00 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 0.00 14.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) 5.00 SCHEDULE III Statement of Expenditures Filer Identification Number: I To Whom Paid Date[MM/DD/YYYY]. $ Facebook 102.59 12/2/2019 House# Street Address Description of Expenditure City State Zip Code Ads To Whom Paid Date(MM/DD/MY) $ Act Blue 2.33 12/4/2019 House# Street Address Description of Expenditure City State Zip November 2019 Fees Code To Whom Paid Date[MMIDDJYYYY] $ Jake Miller 654.04 12/9/2019 House# Street Address Description of Expenditure 3824 Carriage House Drive City State Zip Reimbursepersonal ex enses Camp Hill PA Code 17011 P To Whom Paid Date[MM/DD/YYYYJ $ Vantiv 12/10/2019 2.93 House# Street Address Description of Expenditure CityI State Zip November 2019 Fees Code To Whom Paid Date[MM/DD/YYYYJ $ USPS 99.00 12/20/2019 House# Street Address Description of Expenditure 702 E.Simpson Street City State Zip Mechanicsburg PA Code 17055 Postage To Whom Paid Date[MM/DD/YYYYJ $ Sunoco 55.00 12/23/2019 House# Street Address Description of Expenditure City State Zip Fuel Mechanicsburg PA Code 17050 To Whom Paid Date[MM/DD/YYYYJ $ 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