HomeMy WebLinkAboutHampden Township Democratic Club - 2020 2nd Friday Pre-Election 'I Reset Form 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 83-4445500 (Mark X)
Name of Filing Committee,Candidate or --
Lobbyist Hampden Township Democratic Committee
Street Address
888 Mandy Lane
City Camp Hill State PA Zip Code 17011
1 Type of Report(Place x under report type)
1-6d' Tuesday 2- 2nd Friday 3-30 Day Post 4-6d'Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"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) 11/03/2020 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures . .. i
09/42020 10/18/2020 ..
A.Amount Brought Forward From Last Report $
3832.92 C7 ^-'
B.Total Monetary Contributions and Receipts $
(From Schedule I) 792.00 .
C.Total Funds Available _ $ rn C`)
4624.92 .P —4'`
(Sum of Lines A and B) T-. N)
•
D.Total Expenditures $ )'' N
(From Schedule III) 1885.21
E.Ending Cash Balance $ Tom'
(Subtract tine D from Line C) 2739.71 n` --
F.Value of In-Kind Contributions Received $
(From Schedule II) 0
G.Unpaid Debts and Obligations $
(From Schedule IV) 0
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. d
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief tr-,�ommonw�`�hR /elgtrinsylvania-Notary Seal
Sworn to and subscribed before me this Brittany Jacobs,Notary Public
0 dayof S.b •' 20a44 York County
i toe Person ub RtinM commission expires July 18,2022
,� , i/ / i -, - , ��`�{-f�'� ` �' 'commission number 1338125
Si; lit Printed Name Member,,PennsylvanlnAssociation of No
My Commission expires / Is n Y"1 rise.- 13
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.
Sworn to and subscribed before me this
dayof 20 •
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I •
Contributions and Receipts
Detailed Summary Page
Filer Identification Number 1 I
I
83-4445500
1.Unitemized Contributions and Recelpts-$50.00 dr Less per Contributor'
Total for the reporting period (1) $ 792,00
•
I2.Contributions of$50.01 to 5250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $
Total for the reporting period (2) $ • • •
I3.Contributions Over$250.00(From Part C and Part 0)
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $
Total for the reporting period (3) $
I4.Other Receipts-Refunds,interest Earned,Returned Checks,ETC.(From Part E)
- Total for the reporting period (4) $
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)
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.
Filer Identification Number
83-4445500
Amount
Full Name of Contributing Date(MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Contributing Date(MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $ •
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
" 83-4445500
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYY] $.
City State Zip Code Data(MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYYJ . $
City State. Zip Code Date(MM/DD/YYYY] $
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYY] . $
City - State. Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYYJ $
City State• Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date(MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYY] $
City State -Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
z
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 over$250.00 in the reporting period.
Flier identification Number:
83-4445500
Full Name of Date[MM/DD/YYYY) $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date(MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYY) $
Full Name of Date[MM/DD/YYYYJ $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYj $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date(MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYj $
City State Zip Code Date(MM/DD/YYYY] $
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:
83-4445500
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/YYYYj $
House# Street Address Date[MM/DD/YYYY] $-
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address I
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/YYYYj $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
•
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.
Filer Identification Number:
83-4445500
Full Name Members 1st Credit Union
House# Street Address
5000 Louise Drive
City State Zip Date[MM/DD/YYYY] $
Mechanicsburg PA Code 17050 .11
09/30/2020
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
SCHEDULE H
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:
83-4445500
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR J
I ,
TOTAL for the reporting period (1) $
0
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $ 0
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) t - -
i s, 1
TOTAL for the reporting period (3) $ 0
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) 0 •
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
83-4445500
Full Name of Contributor Date[MM/DD/YY(Y) $
n/a
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/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYYJ $
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/YYYYJ $
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
83-4445500
Full Name of Contributor Date[MM/DD/YYYYJ $
n/a
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY]= , $
House# Street Address Date[MM/DD/YYYY] $
rCity State Zip Code Date(MM/DD/YYYY) ' $'
Employer Name Occupation
Employer Mailing Address/Principal • Description
Place of Business of
Contribution
Full Name of Contributor Date IMM/DD/YYYYJ $
House.# Street Address Date[MM/DD/YYYY] $ •
City State Zip Code Date JMM/DD/YYYYJ • $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of _
Contribution
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date LMM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
SCHEDULE ill
Statement of Expenditures
Filer Identification Number:
83-4445500
To Whom Paid Date[MM/DD/YYYY] $
Lamar Advertising 1700.00
1OJ09/2020
House# Street Address Description of Expenditure
308 S.10th Street
City State Zip
Lemoyne PA Code 17011 Billboard to advertise Democratic Candidates
To Whom Paid Date[MM/DD/YYYY] $
ZippityPrint.com 95.55
09/26/2020
House# Street Address Description of Expenditure
1600 E.23rd Street
City Zip
Cleveland State OH Code 44114 Postcards
To Whom Paid Date[MM/DD/YYYYJ $
USPS 35.00
9/29/2020
House# Street Address Description of Expenditure
Market Street
City State Zip s Postcard stamps
Lemoyne PA Code 17043 P
To Whom Paid Date[MM/DD/YYYY] $
ActBlue.com 26.64
10/05/2020
House# Street Address Description of Expenditure
City State Zip Fees
Code
To Whom Paid Date[MM/DD/YYYY] $
Vantive Ecommerce 28.02
10/09/2020
House# Street Address Description of Expenditure
City State Zip
CodeCredit card processing fees
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
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. "
Filer identification Number:
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
]MM/DD/YYYY] ;
City State ' Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
;_ [MM/DD/YYYY]
s. i -
City - State Zip
-Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code ,.
Description of Debt.
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House it Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt