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Home My WebLink AboutWestern Cumberland County Republican Club - 2021 6th Tuesday Pre-Election I II _ Reset Form I 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 83-4721310 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Western Cumberland County Republican Club Street Address 1383 Mountain Road City Newburg • State PA Zip Code 17240 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2na 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) 11/02/2021 • 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 60/08/2021 09/13/2021 ' A.Amount Brought Forward From Last Report $ 2293.45 - B.Total Monetary Contributions and Receipts $ 530.06 (From Schedule I) r� C.Total Funds Available $ (Sum of Lines A and B) 2823.51 Cti D.Total Expenditures $ 839.78 (From Schedule III) r IV - E.Ending Cash Balance $ (Subtract Line D from Line C) 1983.73 ! CD F.Value of In-Kind Contributions Received $ �,.,� (From Schedule II) 43.53 C7 G.Unpaid Debts and Obligations $ C» 'A (From Schedule IV) 0 * tjj *--i d Affidavit Section -< — Part 1-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 the attached schedules on paper,is to the best of my knowledge and belief true,c rrect and complete. Sworn o and subscribed before me t�hiss qq day ofSt19 ��11Y42,-'20 C7r ios . P Signa re of Per Su itti orb t Ce"%R/r. ram/ �a`% �'� ! �'FS!(/ • Sign e4b ��'Yp1 Nip. Printed Name My Commission expirejet kt /4 Po N4�- jor 7/G �� L ( �� MO. DAY YR. a6 J Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate s all 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 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 83-4721310- • 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 530.06 12.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ I3.Contributions Over$250.00(From Part C and Part D) I 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) I Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ enter omount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 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: 83-4721310 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ 43.53 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ I3. 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) SCHEDULE III Statement of Expenditures Filer identification Number: 83-4721310 To Whom Paid Date[MM/DD/YYYY] $ Jay Swisher 100 08/18/2021 House# Street Address Description of Expenditure 323 Touchstone Drive City State Zip Carlisle PA Code 17013 Reimbursement for Shippensburg Fair Livestock Sale To Whom Paid Date[MM/DD/YYYY] $ PayPal 4.94 08/11/21&09/10/2021 House# Street Address Description of Expenditure www.Paypal.com City State Zip Code Fee for New Members To Whom Paid Date[MM/DD/YYYY] $ Dollar Tree 30.26 08/12/2021 House# Street Address Description of Expenditure 254 Westminster Dr. City State Zip Carlisle PA 17013 For Summer Social Code To Whom Paid Date[MM/DO/YYYY] $ Walmart 19.21 O8/12/2021 House# Street Address Description of Expenditure 60 Noble Dlvs City State Zip Carlisle PA Code 17013 For Summer Social To Whom Paid Date[MM/DD/YYYY] $ Weis Markets 15.81 08/13/2021 House# Street Address Description of Expenditure City State Zip Carlisle PA Code 17013 For Summer Social To Whom Paid Date[MM/DD/YYYY] $ Don Saylors Markets 136.36 08/13/2021 House# Street Address Description of Expenditure 37 Carlisle Road City State Zip Newville PA Code 17241 For Summer Social To Whom Paid Date[MM/DD/YYYY] $ Dollare General 13.72 08/13/2021 House# Street Address Description of Expenditure 100 East Main Street City State Zip Carlisle PA Code 17013 For Summer Social To Whom Paid Date[MM/DD/YYYY] $ Aldi 19.48 08/14/2021 House# Street Address Description of Expenditure 250 Westminster Dr. City State Zip Carlisle PA Code 17013 For Summer Social SCHEDULE III Statement of Expenditures Filer Identification Number: 83-4721310 To Whom Paid Date[MM/DD/YYYY] $ Friends of Stacy Wallace 500 09/06/2021 House# Street Address Description of Expenditure 248 Stardust Drive City State Zip Johnstown PA Code 15904 Campaign Funds 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 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 To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code