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Home My WebLink AboutGurgiolo, Melanie - 2021 2nd Friday Pre-Election Reset Form Print Form I il . , 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 (Mark X) Name of Filing Committee,Candidate or Lobbyist Melanie Gurgiolo Street Address 430 Arlington Road City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5.Znd 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) 11/02/2021 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 07/24/2021 10/18/2021 A.Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ . . (From Schedule I) '* 0 C.Total Funds Available $ C"? *YON(Sum of Lines A and B) ' Q G D.Total Expenditures $ LID rrl Cm (From Schedule III) 185.84 E;Ending Cash Balance $ I-"' (Subtract Line D from Line C) 0 N.) G7 F.Value of In-Kind Contributions Received $ ;. (From Schedule II) 196.70 t:"O D G.Unpaid Debts and Obligations $ 0 C7 (From Schedule IV) --.� ,-- . - Affidavit Section -"I O- 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,correct and complete. Sworn to and subscribed before me this �1/0�,// , / to 2a of �C b e�20 Y.( vim` �� c v t o Wanlyign ure of Per.sonSub witting report �^� 5' Lure Printed Name / commonwealth of Pennsylvania•Notary eal My Commission expires 0 7Collin ves Pdr Public -7 "-] (f - b 7 ...MO.._ .Culjrland. ounty Area Code Daytime Telephone Number My commission expires July 24.2023 Part II-If this is a rep)rt of a CatttidtWixrtuthattikel Ci FhfiMfi8d,candidate shall sign here. I swear(or affirm)that to the nest of my Knowledge and belief his 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 • a 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: I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ I2. 1N-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ 196.70 I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I 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) 196.70 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer identification Number: • Full Name of Contributor Date[MM/DD/YYYYJ $ Camp Hill Democrats 09/02/2021 196.70 House# Street Address Date[MIA/DO/MY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Candidate Recognized by Name on Campaign Materials(Fliers,Postcards,Sticky Notes) 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/OD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/OD/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/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 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Staples 20.11 07/24/2021 House# Street Address Description of Expenditure 128 South 32nd Street City State Zip Camp Hill PA Code 17011 Card Stock To Whom Paid Date[MM/DDJYYYY] $ Staples 8.98 07/25/2021 House# Street Address Description of Expenditure 128 South 32nd Street City Camp Hill State PA CoZip de 17011 Envelopes To Whom Paid Date[MM/DD/YYYY] $ Smedley Works(amazon.com) 11.95 08/26/2021 House# Street Address Description of Expenditure 16751128 Pyrites Way,Suite A City State Zip Ink Stamp To Whom Paid Date[MM/DD/YYYY] $ United States Postal Service 110.00 08/26/2021 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City Zip Camp Hill State PA de 17011 Postage Stamps Co To Whom Paid Date[MM/DD/YYYY] $ United States Postal Service 23.20 10/06/2021 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City Zip Camp Hill State PA de 17011 Postage Stamps Co To Whom Paid Date[MM/DD/YYYY] $ United States Postal Service 11.60 10/14/2021 House# Street Address Description of Expenditure 1675 Camp Hill Bypass City State Zip Camp Hill PA Code 17011 Postage Stamps 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