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HomeMy WebLinkAboutBurton, Bryan - 2021 2nd Friday Pre-Election II II Reset Form Print Form 1 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 Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Bryan Burton Street Address 2312 Logan St City Camp Hill State PA Zip Code 17011 • 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 2ntl 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) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/01/2021 10/18/2021 A.Amount Brought Forward From Last Report $ 0.00 B.Total Monetary Contributions and Receipts $ r.3 (From Schedule I) 0.00 .,.,,. C.Total Funds Available $ • t (Sum of Lines A and B) 0.00 f rI Cna D.Total Expenditures $ 1....... —4 (From Schedule III) 0.00 > N) E.Ending Cash Balance $ (Subtract Line 0 from Line C) 0.00 G r) D F.Value of In-Kind Contributions Received $ C) (From Schedule II) 603.05 C Q 7' G.Unpaid Debts and Obligations $ -1 (From Schedule IV) 0.00 -< -- • . 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 m knowle e and belief true,correct and complete. Sworrt,tp and subscribed before me this 910j �day of 0 CIO 20 a I . i Sign re of Person Submitting report (" BR BURTON Commonwealth of Pennsyb �lgmatveotary.Seal I Printed Name A an McCullough,Notary Public. • MYTArmlni5slarnizWitetr14 d7 a CA-3 717 614-57413 My eorlmisslon expires.Decempa.7,202b Y YR. Area Code Daytime Telephone Number Commission number 1295073 K,i-I n r. 1 rs I do Asepoittite GbNdMNt3i@%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 a d�-, day of O C?D eoe 20 a- 1 07-2e4'1Th 2),1 e BR N URTON a re of Candidate Signature �J/ Printed Name My Commission expires rg;K al l?aer 32 717 614-5742 ` . MO. DAY YR. Area Code Daytime Telephone Number - -.r Commonwealth of Pennsylvania-Notary Seal - . Alan McCullough.Notary Public -- . Cumberland County My commission expires December 7,2023 , Commission number 1295073 • Mernbar,hollltsylvpnla Association of Notaries 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) $ I2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 0.00 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part D) $ 0.00 Total for the reporting period (3) $ 0.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0.00 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 0.00 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: Bryan Burton 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 0.00 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 129.95 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 473.11 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) 603.05 SCHEDULE 11 PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Bryan Burton Full Name of Contributor Date[MM/DD/YYYY] $ Camp Hill GOP Committee 07/22/2021 129.95 House# Street Address Date[MM/DD/YYYYJ $ 105 N.21st St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Description of Contribution Literature 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/DO/YYYY] $ City State Zip Code Date[MM/OD/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/DO/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Bryan Burton Full Name of Contributor Date(MM/DD/YYYYJ $ Camp Hil GOP Committee 473.11 • 10/18/2021 House# Street Address Date[MM/DD/YYYYJ $ 105 N.21 st St. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Signs and delivery Contribution 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/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ 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/YYYYJ $ City State Zip Code Date(MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution