The URL can be used to link to this page

Home My WebLink AboutNagy, Josh - 2021 2nd Friday Pre-Primary 111 II Reset Form Print Form i Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate X Committee r— Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Josh Nagy Office for:Lower Allen Township Commissioner OTH/REP/21 Street Address 925 Shelter In City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) I 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6u'Tuesday 5-2nd 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 X, , • Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/18/2021 2021 Report Report 1 Summary of Receipts and From Date To Date For Office Use Only Expenditures C) r.,_ 01/01/2021 05/03/2021 w A.Amount Brought Forward From Last Report $ i:.�3 I zr 0 11 . B.Total Monetary Contributions and Receipts $ r -� (From Schedule I) 2,100.00 i C.Total Funds Available $ 2,100.00 (Sum of Lines A and B) (--) - D.Total Expenditures $ C::. (From Schedule Ill) 869.80 -- E.Ending Cash Balance $ 1230.20 -C CtJ (Subtract Line D from Line C) F.Value of In-Kind Contributions Received $ (From Schedule II) 250.00 G.Unpaid Debts and Obligations $ 1196.18 (From Schedule IV) co Affidavit Section Part 1-If this is a Committee report,treasurer si heretig t, 's a Candidate report,candidate sign here. I swear(or affirm)that this report,including t attached 5dh* on paper,is to the st of my kr wledge nd belief tru> correct and complete. Sworn to and subscribed before me this 4i �l Ggf,4ofk i day of 20 qj wit• 6P •4, (kd , 0,4 /0, es" old .4. Si nature o P rsot bmitting report G�.n.��- °o,lG i44rop yA�b Hood Signature P�4/ k d/ Print me tr 7j My Commission expire3Jd(,1.!/L l�{ a�3 6-066-6k, . c 439" 19 de MO. DAY YR. rea Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall s gn 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 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.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 100.00 I2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 100.00 Total for the reporting period (2) $ 100.00 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 1,900.00 Total for the reporting period (3) $ 1,900.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0 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) 2,100.00 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: Full Name of Contributor Date[MM/DD/YYYY] $ Dr.Chin Pham 03/08/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 2200 Page Street City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State ' Zip Code Date[MM/DD/YYYYJ $ 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] $ 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] $ 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: Full Name of Contributor Date[MM/DD/YYYY] $ Josh Nagy 500.00 02/23/2021 House# Street Address Date[MM/DD/YYYY] $ 925 Shetter Ln 03/08/2021 400.00 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Holy Spirit Hospital Occupation Physician Assistant Employer Mailing Address/ 503 N.21st Camp Hill,PA 17011 Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ Vicki Peters 1000.00 04/02/2021 House# Street Address Date[MM/DD/YYYY] $ 319 W High Street City State Zip Code Date[MM/DDJYYYY] $ Hummelstown PA 17036 Employer Name Holy Spirit Hospital Occupation Respiratory Therapist Employer Mailing Address/ 503 N.21st Camp Hill,PA 17011 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 jMMJDDJYYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE II 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: 1 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 50.00 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 200.00 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 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) 250.00 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Katrina Chajkowski 04/24/2021 200.00 House# Street Address Date[MM/DD/YYYY] $ 1602 Wyndham Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Description of Contribution Food&Event Supplies Full Name of Contributor Date[MM/00/YYYYJ $ 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/YYYYJ $ 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/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ 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/YYYYJ $ Description of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number; To Whom Paid Date[MM/DD/YYYY] $ Wix Website 01/28/2021 (47.70)* House# Street Address Description of Expenditure 500 Tery A Francois Bldv FL6 City State Zip San Francisco CA Code 94158 Website-Pd Personal Account.Listed Unpaid Debt To Whom Paid Date[MM/DD/YYYY] $ Wix Website (114.48)' 01/29/2021 House# Street Address Description of Expenditure 500 Tery A Francois Bldv FL6 City State Zip San Francisco CA Code 94158 Website Hosting.Pd Personal Acct.Unpaid Debt To Whom Paid Date[MM/DO/YYYY] $ USPS (134.00)* 02/28/2021 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City Zip Camp Hill State PA Code 17011 PO Box.Pd Personal Acct.Unpaid Debt To Whom Paid Date[MM/DD/YYYY] $ Members 1st FCU 21.95 03/02/2021 House#. Street Address Description of Expenditure 5000 Louise Dr PO Box 40 City State Zip Mechanicsburg PA Code 17055 New Account Opened.Checks To Whom Paid Date[MM/DD/YYYY] $ Red Maverick Media 87.10 03/08/2021 House# Street Address Description of Expenditure 1426 N 3rd Street City State Zip Harrisburg PA Code 17102 Buisness Cards To Whom Paid Date[MM/DD/YYYY] $ Red Maverick Media 192.05 03/08/2021 House#' 'Street Address Description of Expenditure 1426 N 3rd Street City Harrisburg State PA Co Code 17102 Hand Out Cards To Whom Paid Date[MM/DD/YYYY] $ Red Maverick Media 568.70 03/30/2021 House# Street Address Description of Expenditure 1426 N 3rd Street City Zip Harrisburg State PA Code 17102 Yard Signs 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. Ater Identification Number: Name of Creditor Josh Nagy Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 925 Sheffer In IMM/DD/YYYYI 02/28/2021 Crty Camp Hdl State Bp PA 17011 296.18 Code Description of Debt Pre-Campaign Account Expenditures(Website,Website Hosting,&PO Box) Name of Creditor Josh Nagy Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 925 Shetter In [MM/DD/YYYYI 02/23/2021 City Camp Hil State PA �COpde 17011 500 Description of Debt Opening of Seperate Account Loan to Campaign Name of Creditor Josh Nagy Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 925 Sheffer Ln [MM/DD/YYYY] 03/08/2021 aty Camp NM PA PA Cop 400 de 17011 Description of Debt Additional Loan to Campaign Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYI City State Tip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYI City State Tip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ IMM/DD/YYYY] City State Zip Code Description of Debt