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Home My WebLink AboutKutz for Lower Allen - 2020 Annual Report Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Statements Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unworn declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu of full reports(form DSEB-503), and Independent Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist Kutz for Lower Allen Reporting Cycle Name El Cycle 1 El Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 m Cycle 7 ❑ Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election Part I — If this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 02/09/2019 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Lauren Kutz Mechanicsburg, PA, USA Printed Name Location (City/State/Country) DSEB-503S Updated 6/24/2020 ** Reset Form t Print Form I Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be dear and legible.It should be typed) Filer Identification Report Fled Si Candidate Dammittee X Lobbyist Number (MarkX) Name of Fling Committee,Candidate or Lobbyist Kutz for Lower Allen Street Address PO Box 3093 City Camp Hill &ate PA 3P°ade 17011-3093 Type of IEport(Race x under report type) l 1-6t"Tuesday 2- 2nd Friday 3-30 Day Post 4-6t"Tuesday 5-2"d Friday 6-30 Day Post 7-Annual 3edal 2na Friday medal 30 Day Pre-Primary Re-Primary Primary Pre-Section Pre-Section section i re-Section Post-Bedion X_ Date a Section Year Amendment Termination (M M/DLY YYYY) Report Report &urinary of Receiptsand From Date To Date For Office Use Only Bcpenditures 01/01/2020 12/31/2020 A.Amount Brought Forward From Last Report $ 2,715.95 13 Total Monetary Qmtributionsand Receipts $ 4,200.91 (� (From S teduleI) is U it B. ?/ C Total FurtdsAvailable $ 6916.86 -/,p' (Sim of LinesA and B) D.Total Expenditures (From 9ftedute III) $ 1,984 'C., r% r E Bdng Cat dance $ '` ` 1 (9tbtract Une D from Une C) 4,932.86 F.Value of In-LGnd CbntributionsReaeived $ e 3it (.`!t f: (From edctle II) 525 (r/r I 1 G.Unpaid Debtsand Obligations $ (From tedule IV) 14,620 Sb Affidavit 52ction Part 1-If this isa Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,induding the attached schedules on paper,isto the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this 9 day of 20 Sgnature of Person Sibmitting report Lauren Kutz Sgnature Printed Name • MyCbmmisson expires 717 350-4948 MO. DAY YR Area Code Daytime Telephone Number Part II-If this isa report of a Canddate'sAuthorized 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 provisonsof the Ad of,Lne 3,1937(P.L 1333,NO.320)as amended. SNorn to and subscribed before me this //r� �- (1-2 ) day of 20 /v Sgnature of Candidate Thomas Kutz Sgnature Rinted Name My Cbmmisson expires 717 602-5741 MO. DAY YR AreaO,de Daytime Telephone Number SCHEDULE! Contributionsand Receipts Detailed Simmary Page Fier Identification Number 1.Unitemized O3ntributionsand Fieoeipts$50.00 or Less per Contributor Total for the reporting period (1) $ 624.47 I 2.Cbntributionsot$50.01 to $250.00(From Part A and Part 13) Contributions Foceived from Political Committees(Part A) $ 175 All Other Cbntributions(Part B) $ 1,100 Total for the reporting period (2) $ 1,275 3.Contributions Over$250.00(From Part Cand Part D)I I ContributionsFooeived from Political Cbmmittees(Part Q $ 300 All Other Cbntributions(Part D) $ 2,000 Total for the reporting period (3) $ 2,300 I4.Other Receipts-Refunds,Interest Earned,Returned Chedcs,ETC(From Part E) Total for the reporting period (4) $ 1.44 Total Monetary thntributions and Pacipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Faport Cbver Page,Item 8) PAR'A Gbntributions 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. Rler Identification Number Amount Full Name of Contributing Date[MM/DD/WYY] $ Committee Duane Morris Government Strategies PAC 10/28/2020 75 House# Street Addresi Date[M M/DIY W WJ $ 30 South 17th St City Sate Zip03de Date[MM/DD'YYYYJ $ Philadelphia PA 19103 Full Name of Contributing Date[MM/DD'YYYYJ $ Committee Taxpayers for Torren PAC 100 09/30/2020 House# greet Add Date[MM/DD/YYYYJ $ 80 Stonybrook Ln City Sate t7ip Cbde Date[MM/DO/YYYYJ $ New Oxford PA 17350 Full Name of Contributing Date[MM/DD'YYYYJ $ (bnunittee House# Street Addresi Date[NI M/DD/YYYYJ $ City Sate Zip rode Date[M M/DD/WYYJ $ Full Name of Contributing Date[MM/DO/MY] $ Gbmmittee House# Street Addresi Date[MM/DO/WYY] $ City Sate Zip Cbde Date[M M/DD/YYYYJ $ Full Name of Contributing Date[MM/DO/YYYYJ $ Cbrnmittee House# areet Addresi Date[M M/DD/YYYYJ $ aty Sate Ziipoode Date[MM/DD/YYYYJ $ Full Name of{bntributing Date(MM/DD/YYYYJ $ Committee House# Sreet Addresi Date[MM/DD/YYYYJ $ City Sate ZlipCode Date[MM/DD/WYYJ $ PARE B All Other Oantributions $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 contributionsfrom political committees reported in Part A) Rler Identlfkation Number: Fill Name of Qxttributor Date[MM/DD/YYYYJ $ Emily Dickow 09/26/2020 150 House# Sreet Date[MM/DIYYYYYJ $ 621 Sandpiper Ln Oty Sate Zip Code Date[MM/DIYYYYYJ $ New Cumberland PA 17070 Full Name d Gbntributor Date[M M/DIY WYYJ $ Nicholas May 09/21/2020 150 House# Street e^d`l Date[M M/DD/YYYYJ $ 1604 (Lowell Ln Oty Sate 21p(bde Date[MM/DD✓YYYY] $ New Cumberland PA 17070 Full Name dQxttributor Date(RA M/DD✓YYYY) $ Joshua Nagy 09/30/2020 80 House# Sri Addressl Date[MM/DD'YYYY] $ 925 Sheffer Ln City Sate Zip Code Date[MM/DD✓WWJ $ Camp Hill PA 17011 Full Named Contributor Date[MM/DO/YYYYJ $ Shawn Fabian 80 09/30/2020 House# SreetAddnel Date[MM/DD✓YYYYJ $ 43 Argali Ln Oty Sate Zip(bde Date[M M/DD'W WJ $ Mechanicsburg PA 17055 Full Name of Qxntributor Date[M M/DD/YYYY] $ Amanda Jenkins 80 09/30/2020 House# Street Address Date[M M/DD'YYYYJ $ 1197 Indian Peg Rd City Sate Zip Dade Date[M M/DD/YYYYJ $ Mechanicsburg PA 17055 Full Name of ntributor Date[MM/DD/YYYYJ $ John Gower 09/30/2020 75 House# greet Addres1 Date[M M/DD/WYYJ $ 922 N 3rd St Apt 409 City Sate Bp Code Date[M M/DD/WYYJ $ Harrisburg PA 17102 PART B All Other Oantributions $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 oontributionsfrom political committees reported in Part A) Rler identification Number: Full Name of Gbntributor Date[MM/DD✓YYYYJ $ Dean Villone 9/30/2020 100 House# greet Address Date[MM/DIY YYYYJ $ 1500 Thompson Ln City Sate p Cbde Date[MM/DDWYYYYJ $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DO✓YYYYJ $ Todd Nyquist 10/13/2020 150 House# Street Addreel Date[MM/DD✓YYYYJ $ 506 Jonagold Cir City Sate Zp Cbde Date[M M/DD✓W WJ $ Mechanicsburg PA • 17055 Full Name of thntributor Date[MM/DD/WYYJ $ Ronny Anderson 10/28/2020 75 House# Streetrel Date[MM/DD/YYYYJ $ 114 E Springville Rd City Sate aipCode Date[MM/DLYMY] $ Boiling Springs PA 17007 Full Name of Contributor Date[MM/DD/WYYJ $ Brian Kutz 10/2/2020 160 House# greetAddree Date[MM/DD'WYYJ $ 1038 (Dogwood Ln City Sate p Code Date[M M/DD✓YYYYJ $ Enola PA 17025 Pull Name of Contributor Date[MM/DD/YYYYJ $ House# greet Addresel Date[MM/DD+YYYYJ $ City Sate Zp Cbde Date[M M/DIY YYYYJ $ Full Name of Contributor Date[M M/DIY YYYYJ $ House# greet Address Date[MM/DD✓YYYY] $ City Sate Zip Cbde Date[MM/DIY YYYYJ $ PART C Q3ntributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Qxmmittees with an aggregate value over$250.00 in the reporting period. Filer Identification Number: Full Named Date[MM/DD/YYYYJ $ ContributingQxrnNttee McNees PAC 300 09/30/2020 House# greet Address Date[MM/DD'WYY] $ 100 Pine St City Sate 21pCode Date[MM/DIY YYYYJ $ Harrisburg PA 17101 Fill Named v Date[MM/DD✓YYYYJ $ Cbntritxdting Committee House# Street Address Date[MM/DD'YYYYJ $ City Sate Zip Code Date[MM/DD+WYYJ $ Full Named Date[MM/DD/YYYYJ $ Contributing Committee House# Street Address Date[MM/DDrYYYYJ $ City Sate 21p03de Date[MM/D[YYYYYJ $ Full Name of Date[M M/DD"YYYYJ $ Contributing Committee House# Snit Addrel Date[MM/DD'YYYYJ $ City Sate Bp Code Date[MM/DD/WYYJ $ Full Named Date[M M/DD'WYYJ $ Contributing Committee House# Sreet Address Date[MM/DD/YYYYJ $ City Sate Zip Cbde Date[M M/DDr YYYYJ $ Full Named Date[M M/DCVYYYYJ $ Contributing Committee House# SreetAddress Date[MM/DD'YYYYJ $ aty State Cbde Date[M M/DD'W W] $ PART D All Other ( ntributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude oontributionsfrom political committees reported in Part q Rler Identification Number: Full Name of Qxttributor Date[MM/DD/YYYYJ $ Wafter Scott Bury 500 09/30/2020 Hasse# greet Date[MM/DO/YYYYJ $ 33 Argali Ln Oty Sate ZipOade Date[MM/DLYWW1 $ Mechanicsburg PA 17055 Bnployer Name • Conservative Environmental Services,Inc. Occupation CEO Employer;Mailing Address/ Pr i pal Place of 33 Argali Ln Mechanicsburg,PA 17055 Full Name of Contributor Date(MM/DD✓WYYJ $ James W.Kutz 09/30/2020 600 Hasse# Steel Add Date(MM/DD'WWI $ 25 Argali Ln City Sate 2ipCbde Date[MM/DCYWYYJ $ Mechanicsburg PA 17055 Employer Name McNees,Wallace,&Nurick LLC Occupation Attorney Employer Mailing Address/ Principal Place of Business 100 Pine St,Harrisburg,PA 17101 Full Name of Qxttributor Date[M M/DLY WYYJ $ John Snoke 09/30/2020 300 Hasse# Sreet Addredl Date[M M/DD/YYYYJ $ 222 Ewe Rd Oty Sate Zip(ode Date[MM/DDYYYYYJ $ Mechanicsburg PA 17055 Employer Name Geisinger Holy Spirit Occupation Doctor Employer Mailing Address/ Prip Ed Place 890 Poplar Church Rd Camp Hill,PA 17011 Full Name of 4: ttributor Date[MM/DD'WYYJ $ Clair Weigle III 09/30/2020 300 Hasse# Street Addresi Date[M M/DD/WYYJ $ 152 Overview Cir E Cir Oty Sate Zip Qxie Date[M M/DD/WYYJ $ Red Lion PA 17356 Bttployer Name PA House of Representatives CIOOIpatlCn Chief of Staff Employer Mailing Address/ Pri pal Place 118 Carlisle St,Suite 300 Hanover,PA 17331 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. (Bcdude aontributionsfrom political committees reported in Part A Rier Identification Number: Full Name of Contributor Date[WI M/DD/YYYYJ $ Raymond J.Stellhom-Tavera 300 09/30/2020 Hasse# Bret Addres1 Date[MM/DD✓YYYYJ $ 401 N Fairview St Oty Sate Zip Code Date[RA M/DD'YYYYJ $ Lock Haven PA 17745 EmPloYer Name New York Life Insurance Company Occupation Financial Advisor Employer Mailing Address/ Pr i pal Place 801 N Brand Rd 14th Floor Glendale,CA 91203 Full Name of Contributor Date[MM/DD/YYYYJ $ Hasse# Sreet Address D3te[MM/DD/YYYYJ $ City Sate apCode Date[MM/DLYYYYYJ $ Employe!Name Ocaipation Employer MailingAddress/ Prindpal Race of Business Full Name of Obntributor Date[MM/DD/YYYYJ $ Hasse# Sreet Address Date[M M/DCY YYYYJ $ Oty Sate aptode Date[MM/DD/WWI $ Employer Name Occupation Employer Mailing Address/ Rindpal Race of Business Full Name of Obntributor Date[MM/DO/YYYYJ $ Haase# Sreet Address Date[MM/DD/YYYY] $ City Sate ap Code Date[MM/DD✓YYYYJ $ Employer Name Occupation 'Employer Mailing Address/ Principal Place of Business PART E Other Receipts RITUNDA IMAM'INCOM E, RETURN®CHECK%ITC Use this Part to report refunds received,interest earned,returned diedcs and prior expenditures that were returned to the filer. Hier Identification Number: Full Name Members First FCU House# 5000 greet Address Louise Dr City State Zip Date[MM/DD/WYYJ $ Mechanicsburg PA Dade 17055 1.44 12/31/2020 Receipt Description Interest Full Name House# greet Addre j City. I Rate Zip Date[MM/DdWYY] $ Code Receipt Description Full Name House# Street Address' City gate Zip Date[MM/DD/WWJ $ Dade Receipt Description Full Name House# get Address' City Sate Zip Date[MM/DD/WWJ $ Dade Receipt Description Full Name House# Street Address' City Sate Zip Date[MM/DD/WYYJ $ Dade Receipt Description Full Name House# Street Address City I gate Zip Date[MM/DD/WWJ $ Dade Receipt Description sa-i®ULEII I N-KI ND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED USETHIS SCHEDULE TO REPORT ALL I N-10 ND OONTI"BUTIONSOFVAWABLETHINGSDUFING THE REPORTING PERIOD DETAIL D SUM M ARY PAGE Rler Identification Number: I1. UNRRA 1213)IN-KIND QONTFIBUTIONSF$BV®-VALUEOF$50.000R LEES FffRCONTRBJ1OR TOTALfor the reporting period (1) $ 50 I2. IN-KIND OONTRIBUF1ONSFBBVED-VALUEOF$50.01 TO$250.00(FRDM PARTF) TOTALfor the reporting period (2) $ 475 I3. IN-FIND CONTRBJI1ON RDBVED-VAL UEOVE $250.00(FFAA PARrG) TOTALfor the reporting period (3) $ 0 TOTAL VALUEOFIN-KIND CONTRIBUTIONS DUR NG THIS FEPORTING $ FERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Fbport Qwer Page,Item I9 525 SCHEDULE I I PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Rler Identification Number: Full Name of Contributor Date[MM/DD✓WWI $ Brian Dubas 9/26/2020 75 Hasse# Street Add Date[MM/CO/WYYJ $ 137 Ewe Rd Oty Sate Ziptbde Date[MM/DD✓WYYJ $ Mechanicsburg PA 17055 Desa'iption of 03ntribution Prizes Full Name of 0ntributor Date[MM/DO/YYYYJ $ Walter Scott Bury 09/26/2020 200 Hasse# Sreet Address Date[MM/DD'WYYJ $ 33 Argali Ln City Sate Zip t de Date[MM/DLYYYWJ $ Mechanicsburg PA 17055 Description of Cb tribution Prize Full Name of Contributor Date[MM/DD/YYWJ $ Owen P.Shenk 09/26/2020 200 Haase# Sreet Address Date[MM/DD'WYY] $ 129 Wheatland Rd City Sate Zip Code Date[M M/DD/WYY] $ Lewisberry PA 17339 Description of Oantribution Prize Full Name of Contributor Date[MM/DD'YYYYJ $ Hasse# Street q r Date[MM/DD/WYYJ $ Oty Sate 21p Code Date[M M/DD/WYY] $ Description of Contribution Full Name ofQxntributor Date[MM/DD✓WYYJ $ Haase# Street add Date[MM/DD'WYYJ $ Oty Sate Bp Code Date[M M/DO/WYY] $ Description of Cmtribution SCHEDULE!! Part G In-Kind Contributions Received VALUE OVER$250 Rler Identification Number: Full Name of Contributor Date[MM/DD"YYYYJ $ House# Sreet Addrew Date[MM/DIYYYYYJ $ City gate Zip Code Date[PA M/DD/WW( $ Bnployer Name Occupation 6npioyer Mailing Address/Principal Description Race of Business of Contribution Full Name of Contributor Date[M M/DD/YYYYJ $ House# 9reet Addrel Date(M M/DIY WYYJ $ City gate z;pcbde Date[MM/DD/YYYYJ $ Employer Name Occupation Eloyer Mailing Address/Principal Description Race of Business of Ckxitribution Full Name of Contributor Date[MM/DDIYYYY] $ House# Steel Addrel Date[MM/DD✓YYYY] $ City Sate ap(ode Date[MM/DLYYYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Race of Business of Contribution Full Name of Contributor Date[M M/DIY YYYYJ $ House# 9reetAddrej Date[MM/DD/YYYYJ $ City gate Zip Code Date[MM/DLYWYYJ $ Employer Name Occupation Bnployer Mailing Address/Principal Description Race of Business of Contribution SO-II)ULE III Statement of Expenditures Rler Identification Number: To Whom Paid Date[MM/DD'YYYY] $ Wix.com Inc. 68.55 01/02/2020 House# Description B:pertd' 500 grE t Terry A.Francois Blvd,6th Floor De9Cr1 IOr1 dWe San Francisco Sate CA 94158 Website Code To Whom Paid Date[MM/DIY YYYY] $ ' Wix.com Inc 63.60 08/31/2020 House# Wed eet Address Description of � Terry A.Francois Blvd,6th FloorCity p San Francisco Sate CA 0Cie 94158 Website To Whom Paid' Date[MM/DO/WWI $ Vice Sporting Goods,Inc. 186.51 09/09/2020 House# greet Address Description of Expenditure 28 I Paul-Heyse Street City Sate Zip Munich,Germany Code 80336 Fundraiser Expenses To Whom Paid Date[MM/DDrYYYYJ $ Michael's 29.44 09/26/2020 House# 3415 Street Addres1 Simpson Ferry Rd,Ste 1 Description of � City Camp Hill Sate PA 03d� e 17011 Fundraising Expenses To Whom Paid Date[MM/DD/YYYY] $ PayPal 6.40 9/28/2020 House# rreet Add Description of 6� rtd eture 2211 North First St City San Jose Sate CA �de 95131 Fees To Whom Paid Date[NI M/DD/YYYYJ $ Signs By Tomorrow 91.16 9/29/2020 House# greet Address Description of Bcpenciiture 333 I S Front St City Wormleysburg Sate PA Code 17043 Signs To Whom Paid Date[MM/DO/YYYYJ $ Liberty Forge 9/29/2020 1,483.14 House# greet Address Description of Expenditure 3804 Lisburn Rd City Sate Zip Event costs Mechanicsburg PA Code 17055 To Whom Paid Date[M M/DO/YYYYJ $ US Postal Service 55.00 10/14/2020 House# greet Address Description of Expenditure l W Main St City Sate Camp Hill PA 17011 Stamps SZHEDUIE IV Statement of Unpaid Debts Use this lion to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Rler Identification Number: Name of Creditor Thomas Kutz Outstanding Balance of Debt Hasse# Street Address DATE DEBT INWRRID $ 25 Argali Ln [MM/DDfYYYYJ 1/04/2019 City Mechanicsburg Sate PA 17055 14,620 Description of Debt Loan to Campaign Name of Creditor Outstanding Balance of Debt Haase# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYJ City Sate Zip Description of Debt Name of Creditor Outstanding&lance of Debt House# Sit Address DATEDET INCURRED $ [MM/DD'YYYY] City Sate Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Rivet Addrel DATE DEBT INCURRED $ [M M/DO'WYYJ City Sate Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt Hasse# Street Addrel DATEDEBTINWRRED $ [MM/DDYYYYYJ City Sate Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Se{Addrel DATE DEBT INWRRED $ [M M/DD'YYYYJ City Sate Zip Cbde Description of Debt