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Home My WebLink AboutRe-Elect DA Skip Ebert - 2019 Annual Report . Commonwealth of Pennsylvania Page 1 of l y 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 Report CANDIDATE 1. i COMMITTEE 2. LOBBYIST 3. Number: p' Q4PR99926 Filed By: X 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 PRE-ELECTION POST ELECTION REPORT? YES NO x the right of - , report type) ANNUAL 7. YEAR /// �� FIG METHOD , PAPER X DISKETTE REPORT - X 2019 t/ ( V V CHECK ONE 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 OFFICE USE ONLY Summary of Receipts Op. 11 26 2019 12 31 2019 and Expenditures from: To r . A. Amount Brought Forward From Last Report $ 13,149.94 B. Total Monetary Contributions and Receipts(From Schedule I) $ 0.00 ti C. Total Funds Available(Sum of Lines A and B) $ 13,149.94 C j D. Total Expenditures(From Schedule'III) $ 2,100.00 7 na ---4 E. Ending Cash Balance(Subtract Line D from Line C) $ 11,049.94 , F. Value of In-Kind Contributions Received(From Schedule II) $ 0.00 G. Unpaid Debts and Obligations(From Schedule IV) $ 81,000.00 f 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 t1 ,ealth of Pennsylvania-gyp eal (V��rJ I —7 day of jot h Signature of Person Submitting Report +t)`D M.Tosheff,Note,I P Iw II (� Dauphin County -� /A'n) ,IAi f,o' mission expires May 1,2023 �a /a. . / -iv 7:-- g:ere44..0..41 �/ ) SiOnatur: f ommission number 1290393 Printed Name Member l,Penn�Wta ia,Association of Notaries My commission expires of 'J 7/7 7/'2-- Q'/C 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 belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,No.320)as amended. r . Swofrn(tto jd subscribed reme thisU44-k- 7 7f' day of / /! 20 Signature o andi ate diallai AO .... h L 4K Ill 51,ert Signature 0 ennsyvania-Notary Seal Printed Name Tami L. Stum,Notary Public 'l I 1 210 �„ Q My commission expires • Cumberland County MO. 1V9ffmmission ex�i es November 20,2022 Area Code Daytime Telephone Number Commission nnmhPr 13,a-46 • DSEB-502(7.99) . • ;Department of State • Bureau of Commissions,Elections and Legislation t210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 i i 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 11/26/2019 To 12/31/2019 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS—$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 11110. (1) $ 0.00 2. CONTRIBUTIONS$50.01.TO $250.00(FROM PART A AND PART B) Contributions Received from Pdlitical Committees (Part A) $ 0.00 All Other Contributions (Part B) $ 0.00 TOTAL for the Reporting Period 10. (2) $ 0.00 3. CONTRIBUTIONS OVER$250.00 (FROM PART,C AND PART D) Contributions Received from Political Committees (Part C) $ 0.00 All Other Contributions (Part D); $ 0.00 TOTAL for the Reporting Period 110. (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 totals from Boxes $ 0.00 1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.) :i • ) DSEB•502(7.99) ) PART A Page of t 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 11/26/2019 To 12/31/2019 DATE AMOUNT • { PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 0.00 ) } DSEB-502(7-99) PART B Page 4 of ly • 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 11/26/2019 To 12/31/2019 DATE AMOUNT PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. g 0.00 • DSEB-502(7-99) • PART C Page C of 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 11/26/2019 To 12/31/2019 DATE AMOUNT 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 of (1.- 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 11/26/2019 To 12/31/2019 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 V2,.- OTHER yOTHER 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 11/26/2019 To 12/31/2019 PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0.00 $ t DSEB-502(7-99) • SCHEDULE II Page g of IY 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 11/26/2019 To 12/31/2019 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED—VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 11100. (1) $ 0.00 2. IN-KIND CONTRIBUTIONS RECEIVED—VALUE OF $50.01 TO$250.00(FROM PART F) TOTAL for the Reporting Period 11110 (2) $ 0.00 3. IN-KIND CONTRIBUTIONS 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, $ 0.00 and 3;also enter on Page 1, Report Cover Page, Item F.) • DSEB-502(7-99) SCHEDULE II Page f of I7/ 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 11/26/2019 To 12/31/2019 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 /a of y PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER$250.00 Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 11/26/2019 To 12/31/2019 DATE AMOUNT Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 3. $ 0.00 DSEB-502(7-99) SCHEDULE III Page If of 11/ STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Reelect D.A. Skip Ebert From 11/26/2019 To 12/31/2019 To Whom Paid I19101 IDAY1 WEAR] Amount Commonwealth Campaigns, LLC 12 09 2019 $ 700.00 Mailing Address Description of Expenditure 121 State St Commission City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid IM01 EAT/II,YEAR1 Amount Cumberland County Republican Committee 12 17 2019 $ 200.00 Mailing Address Description of Expenditure P.O. Box 1495 Contribution City State Zip Code(Plus 4) Camp Hill PA 17001- To Whom Paid IMO1 WEK't1 Amount Haley Bova 12 17 2019 $ 500.00 Mailing Address Description of Expenditure 211 N Thistledown Dr Fundraising expense City State Zip Code(Plus 4) Palmyra PA 17078- To Whom Paid - IMO1 IDAY1 LYEAR1 Amount PNC Bank 12 31 2019 $ 700.00 Mailing Address fl Description of Expenditure 2 North Second Street Bank correction 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 EX,PENDITURE CODE NUMBERS. $ 2,100.00 5 { DSEB-502(7.99) SCHEDULE IV Page 11— of I y • 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 11/26/2019 To 12/31/2019 Name of Creditor Outstanding Balance of Debt Skip Ebert $ $4, 000.00 Mailing Address DATE MO. DAY YEAR 1885 Lisburn Rd DEBT INCURED 02 26 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 E DATE MO. DAY YEAR 1885 Lisburn Rd ,, DEBT INC04 29 2019 U RED 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 AddressDATE MO. DAY YEAR 1885 Lisburn Rd DEBT INCU RED 05 06 2019 City 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 INC05 23 2019 U REQ City ,_ State Zip Code(Plus 4) Carlisle •- PA 17015- Description of Debt r Loan Name of Creditor . Outstanding Balance of Debt Skip Ebert $ $20, 000.00 Mailing Address . DATE MO. DAY YEAR 1885 Lisburn Rd DEBT INCURED 10 20 2019 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)