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Home My WebLink AboutKutz for Lower Allen - 2021 30-Day Post Election Commonwealth of Pennsylvania-( mpaigi Rnance Report (Note:This report must be dear and legible.It should be typed) Fier Identification Report Fled By Candidate Committee \ , Lobbyist Number (Mark),C) n Name of Ruing Committee,Candidate or Kutz for Lower Allen Lobbyist 9reet Address PO Box 3093 my Camp Hill Sate PA Zip Code 17011 Type of Fbport(Race x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Spedal 2na Friday Saedal 30 Day Pre-Primary Re-Primary Primary Fire Bedion Pre-Bedion Bedion Pre Bedion Pbst Bedion X , Date Of Bedion 11/05/2019 Year 2021 Amendment Termination (M M/DD/YYYY) Fbport Fbport ' &immary of Receipts and From Date To Date For Office Use only Bcpenditures 10/20/2021 11/22/2021 A Amount Brought Forward From Last Fport $ 8,105.00 t • M1•1 h.A B Total Monetary Oantributionsand Receipts $ 75.56 __.. (From 3iteduie I) I"' C Total RindsAvailable $ 8,180.56 • , ` (9 m of UnesA and B) . . tv D.Total Bcpenditures $ 263.26 , (From Saheduie Ill) J (--) E Biding Cash Balance $ 7,917.30 (Subtract Line Dfrom UneC) - F.Value of In-FGnd Contributions Received $ 68.55 .Ruhr iisslt f Pennsylvania-Notary Seal 3t(From tedule II) AI@4AnUraM'Vaccaro,Notary Public Cumberland County G.Unpaid Debts and Obligations $ 14,620 My g@mmiselon expires July 17.2023 (From 3 teduie IV) Commission number 1351757 Affidavit Section IMsiittilt,PennsytvaniaAssociation of Notanes 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,induding the attached schedules on paper,is to the best of my knowledge and belief true,corred and complete. Sworn to and subscribed before nmeethis (L " ,, e 'L day. V 0eA 20 2 (G�tr�.,V w G • oliege �] �gnau�rere�n bm]ttjngr�port Sgnature G!/l� ?� �1 l�l Printed Name (� My Commission expires O l 17 2.02 7 I / LI�7-I^q��-I MO. DAY 'R Area Cbde Daytime Telephone Number Part II-If this is a report of a(andidateleAuthoriaed Committee,candidate shall sign here. I swear(or affirm)that to the bed of my knowledge and belief this political committee has not violated any provisonsof the Ad of,Lne 3,1937(P.L 1333,NO.320)as amended. Sworn to and subscribed before me this 2 da E 20 2 9giature of��nnd11'date Sgnature Printed Name My Commission expires 0-71 7 2023 • 7/7-.4 oz-s7+// MO. DAY 1R Area Code Daytime Telephone Number .. Commonwealth of Pennsylvania Notary Seat Alexandra M.Vaccaro,Notary Public Cumberland County My commission expires July 17,2023 8 Commission number 1351757 Member,Pennsylvania Association of Notaries SCHEDULE! Contributionsand Receipts Detailed Summary Page Fier Identification Number I1.Unitemized Cbntribut ions and Fteceipts$50.00 or less per Contributor I Total for the reporting period (1) $ 0 2.C ntributionsof$50.01 to $250.00(from Part A and Part 8) Contributions Fbceived from Political Committees(Part A) $ o All Other Contributions(Part B) $ 75 Total for the reporting period (2) $ 3.Contributions Over$250.00(From Part Cand Part D) I Contributions FLaceived from Political Cbmmittees(Part C) $ 0 All Cher Cbntributions(Part D) $ '0 Total for the reporting period (3) $ 0 14.Other Raeipts.Ftrfunds,Interest Earned,Fbturned Chedc ETC(From Part p I Total for the reporting period (4) $ 0.56 Total Monetary Cbntributionsand iptsduringthis reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Fbport 75.56 Cover Page,Item 8) PARTA Contributions Received From Political Committees $50.01 TO$250.00 Use this Part to itemize only contributions received from Political Cbmmittees with an aggregate value from$50.01 TO$250.00 in the reporting period. Hier Identification Number Amount Full Name of(bntributing Date[MM/DCYYYYY] $ Committee House# SreetAddress Date[MM/DD/YYYY] $ City Rate ZpC)de Date[MM/DD✓YYYYJ $ Full Name of Contributing Date[MM/DCYYYYYJ $ Committee House# reet Adciressi Date[MM/DCYYYYYJ $ City Sate ZpCode Date[MM/DCYYYYYJ $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Sreet Address Date[M M/DCY YYYYJ $ City Sate Zpthde Date[MM/DDVYYYYJ $ Full Name of Contributing Date[MM/DD'YYYY] $ Committee House# Rivet Addreal Date[M M/DD✓YYYY] $ City Rate ZpCode Date[MM/DQfYYYYJ $ Full Name of(bntributing Date[MM/DCYYYYY] $ Committee House# Rr Addresi Date[MM/DD/YYYYJ $ City Sate Zpthde Date[MM/DD✓YYYYJ $ Full Name of Contributing Date[MM/DQfYYYYJ $ Committee House# Rreet Addresi Date[MM/DCYYYYYJ $ City Rate ZpCoie Date[MM/DEW YYYYJ $ PART B All Other Qant ri but i ons $50.01 TO$250 Use this Part to itemize all other contributionswith an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributionsfrom political committees reported in Part A) Fier Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Josh Nagy 75.00 11/1/2021 House# greet Addres1925 Sheller Ln Date[MM/DD/YYYY] $ my Camp Hill sate PA LP Code 17011 Date[MM/DCYYYYY] $ Full Name of Contributor Date[MM/DCYYYYY] $ House# greet Add Date[MM/DIY YYYY] $ aty gate Zp(ode Date[M M/DIY YYYY] $ Full Name of(bntributor Date[MM/DIY YYYY] $ House# greet Address Date[MM/DD'YYYY] $ aty gate ZipCbde Date[MM/DD/YYYY] $ Full.Name of(bntributor Date[MM/DIY YYYY] $ House# greet Addrel Date[MM/DIY YYYY] $ City gate - Bp(ode Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# greet Addressi Date[M M/DIY YYYY] $ City gate BpCbde Date[MM/DCYYYYY] $ Full Name of Contributor Date[MM/DIY YYYY] $ House# greet Addres1 Date[MM/DCYYYYY] $ City gate Zip Cbde Date[MM/DD/YYYY] $ PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. Hier Identification Number: Full Name of Date[M M/DD/YYYYJ $ Contributing Q:immittee House# areet Addresi Date[M M/DDY YYYYJ $ City Sate Bp Code Date[MM/DDtYYYY] $ Full Name of Date[MM/D[YYYYYJ $ Contributing Committee House# Sreet Addresti Date[MM/DCYYYYYJ $ City Sate Bp Code Date[MM/DCY YYYYJ $ Full Name of Date[M M/DCY YYYYJ $ Cottributing Committee House# SreetAddress Date[MM/DCYYYYYJ $ City Sate ZpOode Date[MM/DCYYYYYJ $ Rill Name of Date[MM/DCYMY] $ Cottributing Committee House# Sreet Addresi Date[MM/DCYWWI $ City Sate . ZpCde Date[MM/DLYYYYYJ $ Full Name of Date[MM/DCYYYYYJ $ Contributing Committee House# Sreet Add Addrel Date[MM/DCYYYYYJ $ City Sate ZpCbde Date[MM/DD'YYYYJ $ Full Name of Date[MM/DCYYYYYJ $ Contributing Committee House# greet Address Date[MM/DCYYYYYJ $ City Sate Zp Q de Date[M M/DD'YYYYJ $ 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 contributionsfrom political committees reported in Part A Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ House# greet Address Date[M M/DD/YYYYJ $ City Sate ZipCbde Date[MM/DCVYYYY] $ Employer Name Occupation Bnployer Mailing Address/ Principal Place of Business Full Name of Oantributor Date[MM/DD/YYYYJ $ House# Street Addr Date[MM/DD/YYYY] $ City Sate Zip Cade D• ate[MM/DD'YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD"YYYYJ $ House# S red Acklrel Date[M M/DO/YYYY] $ I _ City Sate ZipOcde Date[MM/DCYYYYYJ $ Employer Name Occupation Bnployer Mailing Address/ Prindpal Place of Business Full Name of Contributor Date[MM/DCYYYYY] $ House# S reet Address Date[M M/DCY YYYY] $ City Sate Zip0xie ' D• ate[MM/DCYYYYYJ $ Employer Name O• ccupation Employer Mailing Address/ Prmndpal Place of Business PART E Other Receipts RffUND4INDIES'IN00M RETURNED CHECKA ETC Use this Part to report refunds received,interest earned,returned checks and prior expendituresthat were returned to the filer. Filer Identification Number: Rill Name Member's First Federal Credit Union House# greet Address 5000 Louise Dr aty Mechanicsburg gate PA ZP 17055 Date[MM/DD'YYYYJ $ 0.23 Ct de 10/31/2021 Roeipt Description Interest Full Name Members First Federal Credit Union House# greet Addres15000 Louise Dr aty Mechanicsburg gate PA ZP 17055 Date[MM/DD'YYYYJ $ 0.33 Code 11/30/2021 Fbceipt Description Interest Rill Name House# greet Address aty gate Zp Date[MM/DDVYYYY] $ Gbde Receipt Description Rill Name House# greet Address] City I gate Zp Date[MM/DD'YYYY] $ Code Receipt.Description. Rill Name House# greet Addy City gate Zp Date[MM/DLYYYYYJ $ Code Receipt Description Rill Name House# SreetAddress'I City Sate Zp Date[M M/DIY YYYYJ $ Code Feceipt Description SCHEDULE II IN-I ND CONTRI BUTI ONS AND VAWABLETIHINGS FBIEV® USETHIS SCHEDULE TO REPORT ALL IN-KIND OONTRI BUTIONSOF VALUABLE THI NGS DURING THE REPORTING PBIOD DETAIL®SUMMARY PAGE Rler Identification Number: I1. UNITBVIIZED IN-KIND OONTRIBU11a Sf EIVEDVAWEOF$50.000RLESPEROONTFIBUTOR TOTALfor the reporting period (1) $ I2. IN-KIND mONTPoBUTIONSRECHVED-VAWEOF$50.01 TO$250.00(FROM PART F) TOTALfor the reporting period (2) $ 68.55 I3. IN-KINDOONTRIBUTION FiBD3VED-VAWEOVER$250.00(FROM PARTG) TOTALfor the reporting period (3) $ TOTAL VAWEOF IN-KIND OONTRIBUTIONS DURING'MISREPORTING $ PEROD(Add and enter amount totals from boxes 1,2,and 3;also enter 62.55 on Page 1,Fleport Cover Page, Item F) SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Rill Name of Contributor Thomas Kutz Date[M M/DD/YYYYJ $ 68.55 it/6/2021 House# greet Address 3207 Dunlap Ln Apt A Date[M M/DD✓YYYYJ $ my Mechanicsburg gate PA Zp03de 17055 Date[MM/DD/YYYYJ $ Description of Contribution Website Rill Name of ContributorDate[MM/DDrYYYYJ $ House# greet Add Date[M M/DD/YYYYJ $ City gate by code Date[M M/DD/YYYYJ $ Description of Contribution Full Name of ContributorDate[MM/DD/YYYYJ $ House# g AddressDate[MM/DLYYYYYJ $ City Sate ZpCode Date[MM/DLYYYYYJ $ Description of Contribution Rill Name of Contributor Date[M M/DD/YYYYJ $ House# g A Date[M M/DD/YYYYJ $ si City Sate ZpCode Date[MM/DLYYYYY] $ Description of Contribution Rill Name ofCbntritxltor ; Date[MM/DD✓YYYYJ $ House# 3reet Add Date[M M/DD/YYYYJ $ City gate TpCode Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE II PartG In-Kind 03ntributions Received VALUE OVER$250 Fier Identification Number: Full Name of Contributor Date[MM/DD/YYYYJ $ House# RreetAddress Date[MM/DCYYYYY] $ City I Rate ZpCode Date[MM/D[YYYYY] $ Employer Name Ocapation Employer Mailing Address/Ftindpal Description Place of Business of Contribution Full Name ofCbntributor Date[MM/DIYYYYYJ $ House# R reef Addresi Date[M M/DD/YYYYJ $ City Rate ZpCode Date[MM/DIY YYYY] $ Employer Name Occupation Employer Mailing Address/Prindpal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD'YYYY] $ House# Rreet Adcireel Date[M M/DIY YYYY] $ Oty Rate ZpCode Date[MM/DIYYYYY] $ Employer Name Oampat ion Employer Mailing Address/Prind pal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD'YYYYJ $ House# Rreet Add Date[M M/DDY YYYYJ $ Oty Rate ZiipCbde Date[MM/DD'YYYYJ $ Employer Name occupation Employer Mailing Address/ Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures Hier identification Number: To Whom Paid Wix Date[MM/DO/YYYYJ $ 263.26 11/7/2021 House# areet Addres1500 Terry A Francois Boulevard Sixth Floor Description of Expenditure y San Francisco I gate CA Zp 94158 Website cit Code To Whom Paid Date[MM/DO/YYYYJ $ House# greet Address Description of Expenditure City gate Zp Cbde To Whom Paid Date[MM/DCYYYYYJ $ House# greet AdidressI Description of tycpenditure City gate Zp Code To Whom Paid Date[MM/DD/YYYY] $ House# grit Addresi Description of Expenditure City I Sate Zp Code To Whom Paid Date[MM/DLYYYYYJ $ House# areet Addresi Description of Expenditure City Sate Zp Cbde To Whom Paid Date[MM/DD/YYYYJ $ House# Sreet Addres1 Description of Expenditure City Sate Zp Code To Whom Paid Date[MM/DD'YYYYj $ House# greet gddresi Description of Expenditure City Sate Zp Code To Whom Paid Date[MM/DIY YYYYJ $ House# greet Addrel Description of Expenditure City Sate Zp Code 9CN®ULEIV Statement of Unpaid Debts Use this action to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Rler Identification Number: Name of Qeditor Thomas Kutz Outstanding Balance of Debt House# 3207 Sreet Address DATE DB3TINCUI� $ Dunlap Ln Apt A [MM/DIY WWI 01/04/2019 14,620 Cy Mechanicsburg Sate PA Zip 17055 Code Description of Debt Loan to Campaign Name of Creditor Outstanding Balance of Debt House# greet Address DATE DI33T I NQJ $ [MM/DD/YYYY] City Sate 7p Ode Description of Debt Name of Creditor Outstanding Balance of Debt House# greet Address DATE DEBT INCUR $ [M M/DD/YYYYJ City Sate Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# greet Adder DATE DEBT INCURRED $ [M M/DD/YYYY] City Sate Zip Cbde Description of Debt Name of Creditor Outstanding Balance of Debt House# greet Address DATE DB31-INCU $ [M M/DCYYYYYJ City Sate Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# areet Adder DATE DEBT I NCU $ [M M/DCYYYYY] City Sate Zip Code Description of Debt