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Home My WebLink AboutKutz for Lower Allen - 2020 2nd Friday Pre-Election igPennsylvania 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 unsworn 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 z for (�ojex AI I e—r) Reporting Cycle Name 0 Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ® Cycle 5 6th Tuesday 2"d Friday 30 Day 6t Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 A 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. 02/24/2020 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 , Print Form Oammonwealth of Pennsylvania-( mpaign Rnanoe Report (Note:This report must be dear and legible.It should be typed) Fier Identification Report Rled By► Candidate Committee Lobbyist Number (Mark)Q Name of Rling Committee,Candidate or Lobbyist Kutz for Lower Allen greet AddressPO Box 3093 City Camp Hill gate PA Code 17011-3093 Type of Feport(Race x under report type) 1-6'"Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 5-2 d Friday 6-30 Day Post 7-Annual ,ecial 2na Friday medal 30 Day Pre-Primary Pre-Primary Primary Pre-Section Pre-Section Section Pre-Bedion Post-Bedion X Date Of Section Year Amendment Termination (MM/DD✓YYYY) Report Report SLmrrtary of Reeeiptsand From Date To Date For Office Use only Bcperditures 06/23/2020 10/19/2020 A Amount Brought Forward Rom Last Report $ 2,715.95 B Total Monetary Contributions and Receipts $ (From Schedule I) 4,124.80 C Total FrdsAvailable $ (Shin of UnesAand El) 6640.75 D.Total Expenditures $ (Rom Schedule I II) 1,915.45 E Bhctng Cash Balance $ (&rbtract Line D from Une A 4,925.30 F.Value of In-tend Contributions Received $ (From 3fhedule II) 525 G.Unpaid Debts and Obligations $ (From hedule IV) 14,620 Affidavit 9:dion Part 1-If this is a Cbmmittee report,treasurer sign here.If this is a astir:Wats report,candidate sign here. I swear(or affirm)that this report,induding the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this 9C4A. day of 20 9gnature of Person 3ibmitting report Lauren Kutz 9gnature Printed Name • My Commission expires 717 3504948 MO. DAY YR Area Cbde Daytime Telephone Number Part II-If this is a report of atnd1date's Authorized 0bmmittee,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 day of 20 • /v✓ G V Sgnature of Candidate Thomas Kutz 9gnature Printed Name My Commission expires_ _ • 717 602-5741 MO. DAY YR Area Cbde Daytime Telephone Number 9CN®ULEI Oantributions and Receipts Detailed Summary Page Rler Identification Number 1.Unitemiaed Cbntributionsand Receipts$50.00 or Less per Contributor I Total for the reporting period (1) $ 624.47 2.Contributionsof$50.01 to$250.00(From Part A and Part B) I CbntributionsFboeivedfrom Fblitical Committees(Part A) $ 100 All Other Contributions(Fort $ 1,100 Total for the reporting period (2) $ 1,200 3.Contributions Over$250.00(From Part Cand Part D) CbntributionsFboeivedfrom Fblitical Cbmmittees(Part C) $ 300 All Other Contributions(Part D) $ 2,000 Total for the reporting period (3) $ 2,300 I4.Other Floeipt&Refunds;Interest Earned,Returned O>ed ETC(Flom Part E) I Total for the reporting period (4) $ 0.33 Total Monetary Contributions and Fboeipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;aim enter this amount on Page 1,Feport 4124.80 Cbver Page,Item B) PARTA Contribution Received From Political Gbmmittees $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. Hier Identification Number Amount Full Name of Contributing Date[MM/DD'YYYYJ $ Committee House# greet Addresi Date[M M/DD/YYYYJ $ City Sate by Code Date[MM/DD(YYYYJ $ Full Name of Contributing Date[MM/DD✓YYYYJ $ C mmittee Taxpayers for Torren PAC 100 09/30/2020 House# greet Address Date[M M/DD/YYYYJ $ 80 Stonybrook Ln City Sate Zip Code Date[MM/DO/YYWJ $ New Oxford PA 17350 Rill Name of Contributing Date[M M/DO/YYYYJ $ Committee House# greet Addresi Date[MM/DD'YYYYJ $ City Sate Zip 03de Date[M M/DD/YYYYJ $ Full Name of Contributing Date[MM/DD"YYYYJ $ Committee House# greetAddresi Date[MM/DD'YYYYJ $ aty Sate bp Code Date[MM/DDYYYYYJ $ Full Name ofCtxttributing Date[MM/DD'YYYYJ $ Committee House# greet Ackiresi Date[MM/DD/YYYYJ $ City Sate by Cbde Date[MM/DD'YYYY] $ Full Name of Contributing Date[MMI DO/WWI $ Committee House# greet Addresi Date[MM/DO/YYYYJ $ City Sate by(ode Date[MM/DD/YYYYJ $ PART B All Other Gbntributions $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. (Bcdudecontributionsfrom political committees reported in Part A.) Hier Identification Number: Full Name of Contributor Date[MM/DD(YYYYJ $ Emily Dickow 09/26/2020 150 Haase# Street Address Date[MM/DD/WYYJ $ 621 Sandpiper Ln Oty Sate Zip Code Date[MM/DCYYYYYJ $ New Cumberland PA 17070 Full Name ofCbntributor Date[MM/DDYYYYYJ $ Nicholas May 09/21/2020 150 Hasse# Street Add Date(MM/DD'YYYYJ $ 1604 Lowell Ln (ay Sate Zip Gbde Date[MM/DD'YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date(MM/DD/YYYYJ $ Joshua Nagy 09/30/2020 80 Hasse# Street Address Date[MM/DO/WYYJ $ 925 Shetter Ln City Sate zip(bde Date[MM/DD'WYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[M M/DD'YYYYJ $ Shawn Fabian 09/30/2020 80 House# greet Addre Date[MM/CID/WW] $ 43 Argali Ln City Sate Zip(bde Date[MM/DO/WYYJ $ Mechanicsburg PA 17055 Full Name of(ontributor Date[MM/DDrYYYY] $ Amanda Jenkins 80 09/30/2020 House# Street Addresel Date[MM/DD YYYYJ $ 1197 Indian Peg Rd City Sate bp Code Date[MM/DD'YYYYJ $ Mechanicsburg PA 17055 Full Name of Contributor Date[M M/DD YYYYJ $ John Gower 75 09/30/2020 House# Street Address Date[M M/DD'YYYYJ $ 922 N 3rd St Apt 409 City Sate MipCode Date[MM/DIYWYY] $ Harrisburg PA 17102 PART C thntributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Qxnmittees with an aggegate value over$250.00 in the reporting period. Rier Identification Number: Full Name of Date[MM/DD/YYYYJ $ Contributing0anrTYttee McNees PAC 300 09/30/2020 Hasse# greet Address Date[MM/DD'YYYYJ $ 100 Pine St City gate Zip Code Date[M M/DO/YYYYJ $ Harrisburg PA 17101 Full Named Date[MM/DDfYYYYJ $ contributing committee House# greet Address Date[MM/DD/YYYYJ $ City gate Zip Code Date[MM/DQ'YYYYJ $ Full Name of Date[MM/DD'WYYJ $ Contributing Committee Haase# greet Address Date[M M/DDr W WJ $ City gate 21p Cbde Date[MM/DD'WYYJ $ Full Name of Date[MM/DD'WYY] $ contributing committee Hasse# Street Addresi Date[M M/DO/WYYJ $ City gate Zip(ode Date(MM/DD'YYYYJ $ Full Name of Date[MM/DD/YYYYJ $ Contributing Committee Hoge# greet Address Date[M M/DD/YYYY] $ City gate Zip 03de Date[M M/DD'YYYYJ $ Full Name of Date[MM/DDfYYYYJ $ Contributing committee House# Street Add Date[MM/DD/YYYYJ $ City Sate Zip code Date[NI M/DD✓YYYYJ $ PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributionswith an aggregate value over$250.00 in the reporting period. (Bcdude oontributionsfrom political committees reported in Part q Rler Identification Number: Full Name of Contributor Date[MM/DD/YYYYJ $ Walter Scott Bury 500 09/30/2020 House# SrestAddress Date[MM/DD'WWJ $ 33 Argali Ln City Sate aip03de Date[MM/DD/WYYJ $ Mechanicsburg PA 17055 Bnployer Name OampatConservative Environmental Services,Inc. �� CEO Employer Mailing Address/ pai Raoeaf 33 Argali Ln Mechanicsburg,PA 17055 Full Name of 03ntributor Date[M M/DO/W W] $ James W.Kutz 09/30/2020 600 House# Sreet Address Date[M M/DO/WYYJ $ 25 Argali Ln City Sate Zp Code Date[M M/DO/YWYJ $ Mechanicsburg PA 17055 Btoyere McNees,Wallace,&Nurick LLC �� Attorney Employer Mailing Address/ Principal Place of Business100 Pine St,Harrisburg,PA 17101 Full Name of Contributor Date[MM/DD'YYYYJ $ John Snoke 09/30/2020 300 House# greet Address Date[MM/DIY YYYYJ $ 222 Ewe Rd City Sate zip Cbde Date[M M/DDr WYYJ $ Mechanicsburg PA 17055 Employer Name Geisinger Holy Spirit ODotg7attOn Doctor Employer Mailing Address/ Principal Place of 890 Poplar Church Rd Camp Hill,PA 17011 Full Name of Contributor Date[M M/DD'YYYYJ $ Clair Weigle III 09/30/2020 300 House# areet Addresi Date[MM/DD/YYYYJ $ 152 Overview Cir E Cir City Sate Zp 03de Date[M M/DD YYYYJ $ Red Lion PA 17356 Enployfer Name PA House of Representatives Occupation Chief of Staff Bnployer Mailing Address/ i pa Place 118 Carlisle St,Suite 300 Hanover,PA 17331 PART E Other Receipts R@RJND4 WIRES!'INCOM E RETURNED CFI y ETC Use this Part to report refunds received,interest earned,returned chedcs and prior expenditures that were returned to the filer. Rler identification Number: Full Name Member's First FCU House# 5000 greet AddresslLouise Dr City Rate by Date[MM/DD/YWYJ $ Mechanicsburg PA Code 17055 9/30/2020 0.33 Receipt Description Interest Fun Name House# Street Address' City Rate by Date[MM/Dal YYYYJ $ 03de Receipt Description Full Name House# greet AddregI City Rate Zip Date[MM/DD✓YYYYJ $ C de Receipt Description Full Name House# Street Addre I City State Zip Date(MM/DD'YWYJ $ Dede Receipt Description Fun Name House# greet Address' City Rate by Date[PA M/DD✓YYYYJ $ Ct de Receipt Description Full Name House# Sreet AddresI City gate Zip Date[MM/DDfYYYYJ $ Code Receipt Description SCHEDULE II I N-KI ND OONT1IBUTTONSAND VAWABLENINGSF]EV® USETHISSCH®ULETO REPORT ALL.IN-KIND CONTRI BUTIONSOF VAUJABLETHINGS DURING THE FORTING PERIOD DETAI LID SJM M ARY PAGE Rler Identification Number: I1. UNITEMIZEDIN-IaND00NTRIBU110NSRBEVED-VALUEOF$50.000RLIMPERCON'TRIBUTOR TOTALfor the reporting period (1) $ 50 I2. 1N-I NDCONTF1BUT10NSR MIVED-VAWEOF$50.01 TO$250.00(FAOM PART F) I TOTALfor the reporting period (2) $ 475 I3. IN-14ND CONTRIBUTION FB.HVW-VAWEOVBR$250.00(ICM PARTG) TOTALfor the reporting period (3) $ 0 TOTAL VAWEOFIN-IINDC NTRIBUTIONSDURINGTHISFEPORTING $ REFIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Feport(over Page,Item F) 525 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Full Name of Contributor Date[MM/DDrYYYYJ $ Brian Dubas 9/26/2020 75 House# areet Adder Date[MM/DO/WYYJ $ 137 Ewe Rd aty State Zip Code Date[MM/DDr WYYJ $ Mechanicsburg PA 17055 Description of Contribution Prizes Full Name of Qxrtributor Date[MM/DDr WYYJ $ Walter Scott Bury 09/26/2020 200 House# Street Addrel Date[MM/DDrWYYJ $ 33 Argali Ln Oty Sate Zp Cbde Date[MM/DD/W WJ $ Mechanicsburg PA 17055 Description of Contribution Prize Full Name of Contributor Date[MM/DD'WYYJ $ Owen P.Shenk 09/26/2020 200 House# Street Address! Date[MM/DD✓WYYJ $ 129 Wheatland Rd City Sate aip Dade Date[MM/DD'WYYJ $ Lewisberry PA 17339 Description of Contribution Prize Full Name of Contributor Date[MM/DLYYYYYJ $ House# Street Addresi Date[MM/DD YYYYJ $ City State Zip(ode Date[M M/DD✓WWI $ Description of Contribution Full Name of Contributor Date[MM/DDrWYYJ $ House# Street Addresi Date[MM/DD/YYYY] $ City Sate ZpCbde Date[MM/DEW WYY] $ Description of Contribution SO I®ULE II Part G In-Kind Contributions Received VALUE OVER$250 Rler identification Number: Full Name of tntributor Date[M M/DD'YYYY] $ Hasse# Street Address Date[M M/DO/YYYY] $ Oty Rate 21pCode Date[MM/DD'YYYY] $ Bnployer Name Occupation Employer Mailing Address/Principal Description Race of Business of 0Ontribution Full Name of Contributor Date[MM/DO/YYYY] $ House# Street Address Date[M M/DOf YYYYJ $ City Rate 2ipCode Date[MM/DD'YYYYJ $ Employer Name Occupation Bnployer Mailing Address/Principal Description Race of Business of Qxntribution Full Name of Contributor Date[MM/DD✓YYYYJ $ House# Rreet Addreei Date[MM/DD/YYYYJ $ City Rate Zip Code Date[MM/DD'YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Race of Business of Contribution Full Name of Contributor Date[MM/DD'YYYYJ $ House# Rreet Address Date[MM/DD'YYYYJ $ City Sate apCaie Date[MM/DD'YYYYJ $ Employer Name Occupation Bnployer Mailing Address/Principal Description Race of Business of Contribution SCHEDULE!!! Statement of Expenditures Rler identification Number: To Whom Paid Date[MM/DDfYYYY] $ House# greet Addri3s1 Description of Expenditure City gate Zip Code To Whom Paid Date[MM/DD'YYYYJ $ Wix.com Inc 63.60 08/31/2020 House# greet Address Description of B penditure 500 Terry A.Francois Blvd,6th Floor aty Zip San Francisco Sate CA 03de 94158 Website To Whom Paid Date[MM/DLYYYYYJ $ Vice Sporting Goods,Inc. 186.51 09/09/2020 House# greet Address' Description of Expenditure 28 Paul-Heyse Street City Sate Zip Munich,Germany 03de ' 80336 Fundraiser Expenses To Whom Paid Date NM/DDrYYYYJ $ Michael's 29.44 09/26/2020 House# greet Address Description of Etgrend'iture 3415 Simpson Ferry Rd,Ste 1 City Sate Zip Camp Hill PA code 17011 Fundraising Expenses To Whom Paid Date[MM/DIY YYYYJ $ PayPal 6.40 9/28/2020 House# greet Address Description of Ecpenditure 2211 I North First St City Zip San Jose Sate CA 03de 95131 Fees To Whom Paid Date[MM/DD'YYYYJ $ Signs By Tomorrow 91.16 9/29/2020 House# greet Address Description of Expenditure 333 IS Front St City Sate Zip Signs PA Cade 17043 To Whom Paid Date NM/Dal YYYY] $ Liberty Forge 9/29/2020 1,483.14 House# greet Addresi Description of Bcpenditure 3804 I Lisburn Rd City Sate by Event costs Mechanicsburg PA code 17055 To Whom Paid Date[MM/DD/YYYY] $ US Postal Service 55.00 10/14/2020 House# greet Addressl Description of Scpendlture 10 W Main St City Sate Zip s Stam Camp Hill PA nvk, 17011 P 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. Fier Identification Number: Name Of()editor Thomas Kutz Outstanding Balan0e of Debt House# Sreet Addres1 DATE DB:1TINCURRED $ 25 Argali Ln [MM/DIYYYYYJ 1/04/2019 City Mechanicsburg StatePA Code 17055 Zip 14,620 Description of Debt Loan to Campaign Name of()editor Outstanding Balance of Debt House# Street Addrel DATE DBBTINCURRED $ [MM/DIY YYYYJ Oty Sate Zip Code Description of Debt Name of()editor Outstanding Balance of Debt House# Street Address DATEDBBTINCURRED $ [MM/DLYYYYYJ Oty Sate 23p Code Description of Debt Name of()editor Outstanding Balance of Debt House# Ste{Adder DATE DEBT INCURRED $ [M M/DIYYYYYJ City Sate Zip Cbde Description of Debt Name of()editor Outstanding Balance of Debt House!! 9r Addrel DATE DEBT INCURRED $ [MM/DD/YYYYl City Sate Zip Code Description of Debt Name of()editor Outstanding Balance of Debt House# Street Addrel DATE DBBT INCURRED $ [M M/DD/YYYYJ City gate Zip Cbde Description of Debt