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Charlie for Governor - 2021 Annual Report
Commonwealth of Pennsylvania Page 1 of fa CAMPAIGN FINANCE REPORT (COVER PAGE) (NOTE: This report must be clear and legible.It may be typed or printed in blue or black ink.) Filer identification lb,r Report lop. Number: pp 20210224 Filed By: ;.CANDIDATE.• -COMMiTitt'.' :.•i.:OBIEMbT.• Name of Filing Committee,Candidate or Lobbyist:Charlie for Governor Street Address: P.O.Box 11624 City: }Louisburg State: PA -Zip Code- ' 17108"' NNW i TYPE OF .6:11i1.UESDAY..:• ... 1. 4:2NOrniDAv - "12. '..:So'bAY ••' . .- X 3. ''-%:AhlEHOMENT.... .1.,-.... _,;, REPORT ...!gr'•°1,4f.'13s" • - iA,Re,pRirviART' • -.POST PBIMARY, .. REPORT?: • ' - : YES. Wi• ...-.. , ........ ,• . • 1 ..EffilLUESDAY-.1:. ' 4. '-•?ND FRIDAY; • 5. .39 ry,to,-•,..-••••',.•;)• S. -.TPM/NAT.19.0'.7:-r.: •.. •' - - .-..,.. (Place X to PRE ELECTION ••• .'FIRE-ELECTIliN •• • :POSTELECTION":'' ''REPOIM :.•• t:n':' YES NO X the right of :•- ' • ,'' , ._. report type) ' ANNUALi... .• 7. YEAR / .• PAPER ,t.• . ... . -RaPO.RT .... : - X 2021 ',‘•( 0).cHgck ONE ,'- - .. • X DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County MO: DAY .YEAR• Number Code Code Code Governor ' GOV REP 22 11 02 2021 (SEE INSTRUCTIONS FOR CODES) • ':.• •FOR OFFICE.USE.ONLY MO, DAY YEAR:" MO, DAY' •YEAR ,- Summary of Receipts 100. 06 11 2021 12 31 2021 t= (=3 and Expenditures from: Toc_. r-n .1.7. A, Amount Brought Forward From Last Report S 0.00 r-- - co B. Total Total Monetary Contributions and Receipts(From Schedule I) $ 421,667.00 .41 - . C. Total Funds Available(Sum of Lines A and B) S 421,667.00 -17 C") = D. Total Expenditures(From Schedule III) $ 167,577.29 C.) E. Ending Cash Balance(Subtract Line D from Une C) $ 254,089.71 ---t .r• F. Value of In•Kind Contributions Received(From Schedule II) $ 1,693.42 G. Unpaid Debts end Obligations(From Schedule IV) S 85,000.00 -- . . _ . • AFFIDAVIT SECTION -• • :•---..."•,:- .. '.'' '•• • • •' . • ' . t' PART ti .. if this is'a.ComMittie.'rePert;zIreaiiirei•Sign here. If this Is a Candidate• report,candidate-sign here, : •' . '..'• ' •. • •' •'. ... I swear(or affirm)that this report.Including the attached schedules,on paper or computer diskette,are to the b my dee ' bell • e•correct and complete. ....._ Sworn to end subscribed before me this Se , -2 7 day of Cla..0/_•••‘,7 VP i e arson Submitt,i,part :,,,%•0.‘"oRalsi ....../.--,•••• ' . „•!•::-.---------- -,1``-‘.4•xs •• 2°15 - Ale Arif" .--.7.-1:7--.'-". Sig • c P I- xil‘ KA 9,45 motets Name ...------- , -I .0"tb A-s ,100 e ,a9 my commission mires c"-4- s::',e''- " •,,, .,..% MO. DAY ' xii),0 Area Code Daytime Telephone Number tos' OW A‘I_G° OS t•._ ‘ .e,..._ PART it-If this Is a report of a: a • •ate'SlAutliorliaroMmittee, candidate:shalkeigii here.: . -• . .• .• ''• ' ... " -• •r;- - -* •::1 -.,." I swear(or affirm)that to the best of my knowledge and ballet this political committee has not violated any provis of the Act of June 3,1037(P.L 1333,Na.320)os amended. I Sworn to and subscribed beim me this SO\' iles)0 I dayof ...) .a.4e,4.7 _ Signature of ndidate vit0 —70.m E4 _4'5.11 ltea 1.iikv,0,t1,..,,,0.1.• 7.b.%. My commission expires 15g crifeepste's Ratazirs 12.9 7/7 077.illyi mo. 1(so° ‘09 .... Area Cede Daytime Telephohe Number 10 •cP° ee el'‘ ktti 101` 00 0SE8•502(7•99) Dep ent of State • Bureau of Commissions.Elections and Legislation North Office Building • Harrisburg,PA 17120-0029 - (7177 787-0290 SCHEDULE I Page 2 of �Q> CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 y• t - ;mot,,,.::�.= r•:t�::- ••a,-•., :1;' 11NITEMIZED:C::QNTRIBI`1�TIOI gAND''?REC.EgliS'= 50:00`OR LESS'PERfCQN OWO:07OR: ,;,• .....: . TOTAL for the Reporting Period No. (1) $ 891.00 t... _�- - r - ..w -- - -_i. .r1»,3r l._-•it- '- ' S;in..;y: ;y."`,i° S�•`'o r.c �':' .s1 G Ns Rll3UTlb i 50.011 T.O. 250 Oo FROIVI PARS'A AND-PART B. '� •�2_..,� .yT_,._ :{•�: .Nµ�$- ., .�,�,s..,$.-. ...,-(.:�.�._..1_.. ; .-�, , _._._�r�-_ .......:):��:�raf;::.._ ���•�.... ..:�.��_-':�......,_...._..�'���-_.ar;,:'.^:�::t�•,a:_..,:�_' Contributions Received from Political Committees(Part A) $ 650.00 All Other Contributions(Part B) $ 14,725.00 TOTAL for the Reporting Period Opt. (2) $ 15,375.00 •t @ / r +i �.� ,,,,,,gip.,;-:....yq:-::i:. 3: CONTRrBUTIONS..OV:ER 25000i FRQM`RART. N \ 1. ...._....... Contributions Received from Political Committees(Part C) $ 110,000.00 All Other Contributions(Part D) $ 295,401.00 TOTAL for the Reporting Period Op. (3) $ 405,401.00 1 .-.:: :. 0 - EST MIP RT i'7';• 4 BOTHER.RECIP.TS:—.REFUNDS,r,INTEREST EARNED,' RETURNED'CH ,S�,-,_C:;(FRO ••,A{ ,�E) �, • �-;�;�, ••.,. '�,"• TOTAL for the Reporting Period 1110. (4) $ 0.00 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes $ 421,667.00 1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page,Item B.) DSE3.502(7.99) PART A Page .3 of fig` CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from$50.01 to$250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributing Committee :MCI!!-DAW'!.YEAR.1 I Like Eich 12 08 2021 $ 150.00 Mailing Address :.:MOB?'DAY';EYEAR'; $ 643 Hillside View Dr City State ' Zip Code(Plus 4) MO-:.DAY YEAR,! Duncansville PA 16635— Full Name of Contributing Committee :;MOi: ;DAY: YEAR: Rettew PAC 12 15 2021 $ 250.00 Mailing Address tMO I DAY! YEAR;. $ 3020 Columbia Ave City State Zip Code(Plus 4) MO:n:DAY "_YEAR, $ Lancaster PA 17603- Full Name of Contributing Committee MO!::'DAYi:' EA:' R' $ 250.00 Win With Wurster 12 22 2021 Mailing Address MO:: ^Df4Y :YEAR $ 3593 Cimmeron Rd City State Zip Code(Plus 4) '•'MO,a--DAV.:.:YEAR' $ _York PA 17402— PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Paget Section 2. $ 650.00 DSE9-502(7-99) PART B Page q ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor TMO We:YEW — $ 250.00 William F Reardon 12 31 2021 Mailing Address --"4 MO 721 1:)AW-77.:Y,EMU $ 326 Roberts Ave City State Zip Code(Plus 4) -t MO:::IIIDAr i):YEARI $ Glenside PA 19038- Full Name of Contributor 100.00 Douglas T Rickards -..,;riotigeat-ikiTi: $ 06 15 2021 Mailing Address .:•MO :IDAY1 ;YEAR:- $ 210 Kelker St City State Zip Code(Pfus 4) '-;M 0 1..:1)A.Y".:i,YEAR,: r $ Harrisburg PA 17102- Full Name of Contributor :;itifo-.7 :rDAY:,.i;.8M:: $ 200.00 Brian J Robey 12 22 2021 Mailing Address : MCr.',.•DA`6. WEAflr,. $ 7228 Rock Ridge Ave City - State Zip Code(Plus 4) 7..MO:.:11:),AYr YEAR.: Harrisburg Harrisburg PA 17112- Full Name of Contributor .0MOk.,,DAKYEW. $ 100.00 Jordan Ryan 12 31 2021 Mailing Address NO.,ADAY4:i-.;:YEARi $ 710 12th St, S City State Zip Code(Plus 4) ,MO:-:? YEAR.: Arlington VA 22202- ,t. Full Name of Contributor .'iiildi.;DA567:i:YEilt $ 100.00 Marlene Sanbower 11 30 2021 Mailing Address -MO.: 'DAY'.7,1',EAR $ 1155 Ridgeview Dr City 1 State Zip Code(Plus 4) •MO: i.DAY:TLY,EAR: $ Etters PA 17319- Full!Jame of Contributor ::Tvie.;: 45-Xi&'SVET.Ak $ 250.00 Matt Sembach 07 07 2021 Mailing Address :MO.'IDA:Y: $ 3611 Golfview Dr City State Zip Code(Pius 4) MOt• •DAYYEAR, $ Mechanicsburg , PA 17050- A Full Name of Contributor ..K407 ::DRO'1:EAR.. $ 250.00 Colleen Sheehan 12 29 2021 Mailing Address ..MOADAY0YEAR. $ 3822 N Desert Oasis Cir City State Zip Code(Plus 4) :Ma,--DAY.:•Y.EAR. $ Mesa AZ 85207- Full Name of Contributor i.-MIVAJAY,:lig1", 100.00 Bette J Smith OB 23 2021 Mailing Address *-!:1V10.1.DAM5'NEAR' $ 411 E Irvin Ave City State Zip Code(Plus 4) 't 7 M 0::.DAY,01EAFV, $ State College , PA 16801- DSEEI-502(7-99) PART B Page C of ss ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11n021 To 12/31/2021 DATE AMOUNT Full Name of Contributor r",liilb7. 1!t)IW,•'YEIg:) s 200.00 James A Lease 11 23 2021 Mailing Address 'Ivpi,. tg.DAY.,.YEAR: $ 1318 Wicklow Dr City j State Zip Code(Plus 4) ME.:DAY!, .Y.EARA $ YorkPA , 17404- Full Name of Contributor •ckiti titig6:YEAR'; 250.00 Keefe Long 12 15 2021 Mailing Address ,!MO•i'-:,.IDAY:,e'YEAR: $ 1653 E Thistle Dr _ City State Zip Code(Plus 4) .MOZ siDAY,:-::YEAR!: $ Wyomissing PA 19610- Full Name of Contributor 'MO :WA; --34tdW - $ 100.00 James Love 12 31 2021 Mailing Address .:;MO: %,'DAYf.7.YEAR $ 17000 W Carmel Dr City State Zip Code(Plus 4) !:MO:...-,:DAY.)C.YEAR $ Surprise AZ 85387- , Full Name of Contributor •MO:'4".DAY::rYEAEL $ 100.00 Carolyn A Low 12 21 2021 Mailing Address r.MO.'ADAY, :YEAR $ 31 Morningside Ave City - State ' Zip Code(Plus 4) ;Mt-fi'.DAY: '!--)'EAR::, $ Cleona PA , 17042- Full , Name of Contributor ',WO: DAY;-.,YEAll: $ 100.00 Barbara Lowry 12 31 2021 Mailing Address MO.- YEAR $ 500 Throckmorton St Apt 3601 city State Zip Code(Pius 4) •MO • :DAY; -`t':E.A,Ft', S Fort Worth TX 76102- Full Name of Contributor %11i167,,, .'DAY .WAt'it' - $ 100.00 William B Lynch 10 26 2021 Mailing Address ,M0.,,'DAYT7YEAR. $ 100.00 153 Dakota Dr 12 08 2021 City State Zip Code(PTus 4) .t.MO::.:DAY7'] ER: $ Hazelton PA 18202- Full Name of Contributor ;AOT :175W.::.TetAiFe: v 100.00 Joseph P Maher 12 22 -2021 Mailing Address -MO, DAY,'.•YEAR• $ P.O. Box 552 City State 1 Zip Code(Plus 4) -M0i. DAY.-:YEAFt. $ Emmaus PA 18049- Full Name of Contributor • MO' DAY •,YEAFt.; --' 100.00 Joseph P Mandrusiak 12 14 2021 Mailing Address MO:::7DAYL P2YEAR:.] $ 520 Haines Rd City State Zip Code(Plus 4) 1.,Mat-. .DAY -YEAR.; $ York PA 17402- „--, DSEB-502(7-9 9) PART B Page 6- of 5?) ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor al67,'715AO:t VET A7t3* . $ 250.00 Colleen Dunn 12 14 2021 'Mailing Address •:..MO:'-'::DAY:.:5A1EA111 $ 11015 Reyes Canyons City - State ' Zip Code(Plus 4) 11/1(X.7.;IDAY:i WEAK $ Helotes TX 78023- 1,. Full Name of Contributor :.r1(16 . itigt.ct.N.76.04-t - . S 100..00 Glenn Eckhart 12 31 2021 _ Mailing Address .:11/10.,:.:DA . :; EAR -7,(EAR, 511 E Federal St . City State Zip Code(Plus 4) iiifei:: •DA?g-L3Y,EAR:' s Allentown PA 18103- Full Name of Contributor i'lWitiY15-aTifi,W 250.00 James Edwards 12 31 2021 Mailing Address MICIvr;DAY.:If*YEAF.0 ' $ 801 S Garner St City -- State Zip Code(Plus 4) 'MO.'•;1:010.,::7WEAR'. s State College PA 16801- Full Name of Contributor '.!NT.6.'.-- :DAY.;EyariE] s 100.00 John H Eichelberger, Jr. 10 01 2021 Mailing Address 4110:i. ,i0A4 TkEAFC . $ 643 Hillside View Dr City r State -1 Zip Code(Plus 4) :MO:''i l.DAY.f'1YEAR7 $ Duncansville PA 16635- Full Name of Contributor .jriAti1, "..15AY.i:e,Y.EAte.2 S 100.00 David A Ellis ' ' 12 08 2021 Mailing Address ':114W.'.3:://.0f. •ttYlEAR7. s 120 Hudson Ave City State Zip Code(Plus 4) ,,.7.MO:.: •.DAY.r,:XEARy. $ Altoona PA 16602- Full Name of Contributor ••:MO, ;:DAY...;')1EAR. 200.00 Bruce P. Erb 12 08 2021 Mailing Address ',4MO::iDAY):i..YEAR:: - $ 109 Ajay Ct City State Zip Code(Plus 4) ':-MO.4i.DAY-3,7--YEAR-1 s Hollidaysburg PA 16648- Full Name of Contributor '‘.kflo;:;itiAN;TINF.A7ti: $ 250.00 Arlette Figdore 11 02 2021 Mailing Address :,,MO ;.;.DA-X,r:f.EAR" $ 475 Jug Rd City State Zip Code(Pius 4) 514CV.•DAY: •.YEAR,. s York PA 17404- Full Name of Contributor .YK4-6.ij EYA:rt..:*Liik 250.00 Phillip Figdore 06 17 2021 $ Mailing Address ''.MCV 'DAY r.YEARE. $ 475 Jug Rd City State Zip Code(Plus 4) .,M0 -DAY.r.:YEAR: $ York PA 17409- 1 DSEB-602(7-99) PART B Page 1 of ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor .'4IiTIOT:1:TOW.iYEK.11'. $ 100.00 William T Ward 12 08 2021 Mailing Address -•::M01t;:DAY..`::;c)ilEARI.'.;-s 1534 Sylvan Dr City State Zip Code(Plus 4) ':M0':.:-DAY.1'7.YEAR., $ Hollidaysburg PA 16648- Full Name of Contributor 4;MO: .03AYS t;NIEAR, ' $ 150.00 Andrew L Warren 12 31 2021 Mailing Address AtIOTt tOkeri:i iiYEAR:1 $ 294 Shady Brook Dr _ City - State Zip Code(Plus 4) ''4.MO:-,?:DAY:17:f.YEAR $ Langhorne PA , 19047- Full Name of Contributor Nii5;1:13W 7YegiV $ 200.00 Andy Warren 06 18 2021 Mailing Address fA4Cifi• IDAW.C•YEAR). $ 294 Shady Brook Dr City State Zip Code(Plus 4) zMO., 0AY4i 71',EAR:t $ Langhorne PA , 19047- a Full Name of Contributor T:ra3AZiCiiit iLSFEW 09 12 2021 $ 125.00 Jonathan Watson Mailing Address •.M047.,•DAY.j-:?:.Y.Elkil:' $ 300 N Walnut St City State Zip Code(Plus 4) ;,M0.1" DAV .:.7YEAR:1 $ Lewistown , PA 17044- ,- Full Name of Contributor ;likiii,: I5ASt,' NEAFV! $ 250.00 Steven Wheeler 12 29 2021 Mailing Address 'NO:7;'.13Ar: :Y.E;AR s 407 Clouser Hollow Rd City - State Zip Code(Plus 4) .t,M01:::,:DAY`. lilEAFtt:' $ New Bloomfield PA 17068- Full Name of Contributor :cfkrid:';' TAY,:ft'EAR' S 100.00 Joe Witmer 12 22 2021 Mailing Address 'MU:. ;DAK5 VYEARt" $ 405 St. John's Church Rd Suite 106 City - State Zip Code(Plus 4) f.MO: •DAY:!TAEAFt•' $ Camp Hill PA 17011- Full Name of Contributor n-iild'.:Fifikr: i.si,Egfk; • 100.00 John Wright 12 20 2021 Mailing Address :MO;. .:LTAY.4 rYeAlV. $ 1400 Timber Chase Dr City State Zip Code(Plus 4) ....M0: IDAY.!,..Y.EAR. $ Mechanicsburg PA 17050- Full Name of Contributor :::,M.Of:T'itt :.01EAR: , 200.00 Deborah Yerger 09 17 ' 2021 '2 Mailing Address ';m0:... DAY:::;z:YEAF.0 s 2875 Richlandtown Pk City State Zip Code(Plus 4) .litl0.:7.')DAY:::WAD, $ Coopersburq PA 18036- DSEB-51:12(7-99) PART B Page 0 of ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor i.a5.0 ffAV ffkil , 100.00 Kenneth C Miller 12 21 2021 '7 Mailing Address 0100n .DAY,;YEAR1 $ 2 Creekbottom Cir City State Zip Code(Plus 4) ,ervicm.'AIDAY6.4YEAR',!1 Dillsburg PA 17019- $ ,.. . -., - - ...-. . • Full Name of Contributor ;Iiii5:'!!..DAY.4:t.glki: $ 100.00 John E Nelson 11 09 2021 Mailing Address -MO - D.AY.fi7:.Y.E.ARi° • $ 6269 Glenwood Rd City State Zip Code(Plus 4) t..%Ma,,'DAY•i: :NfEAFI::- S Omaha NE 68132- Full Name of Contributor •!Iiilit)a&ASt7::.St'Aiii`-.1 $ 250.00 Richard Ogg 12 31 2021 Mailing Address . ',;:MO:jf'DAY;? EAR7- $ 464 Locust Ln City State Zip Code(Plus 4) :-:MOI.,1:2‘AY.',.: Littlestown PA 17340- Full Name of Contributor ;Illi...di'r! ifi•AY:;Iffikl,•v $ 150.00 Evangeline M Olson 10 22 2021 Mailing Address !-M0'.%.i.:DAY.;;NEAR_ $ 13 Deer Ford Dr City State Zip Code(Plus 4) -,.,.MO.. DAY.; 'YEAR s Lancaster PA 17601- Full Name of Contributor 616-.:.:. 1.DAYZ:ti'.E;gRT, $ 75.00 Philip Petrina 12 31 2021 Mailing Address MO YEAR.. yEAR.€ $ 2534 Wicklow Dr City - State Zip Code(Plus 4) ,i.mola,DAY1-t,YEARI . $ Harrisburg PA 17112- Full Name of Contributor ;..:iiiid.',Ftfit:;V:•.':YEAF:u.: ,, 250.00 George Petruncio 12 31 2021 '7 Mailing Address -,M0.:•1.1DAY: .YEAR; $ 44 Crescent Hollow Dr City State Zip Code(Plus 4) ::MCV:kDAY- 7,;(;EAR- $ Sewell NJ 08080- Full Name of Contributor 76/1-oif a-Ske.1 NEAli $ 100.00 Vincent M Phillips 10 07 2021 , Malting Address -irACk;: .0AY:. :Y.EAli4.. $ 3610 Kent Dr City State Zip Code(Plus 4) :-vc:•;-. .DAY-7,YEAR?: $ Mechanicsburg PA 17050- Full Name of Contributor Atici:•1:1504 Wg:A1# S 250.00 Robert C Posatko 12 22 2021 Mailing Address i...McW:DAY-:IritY.E'AFX:, $ 21 Waverly Dr . . City State Zip Code(Plus 4) •.;MO.:.•..DAY. 'YEAR% $ 1 Hummelstown PA 17036- D3EB•501(7-99) PART B Page q of .5'g ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor .:IV10 iDaY` ;:YEAR;: 100.00 Stephen A Hubler 12 22 2021 Mailing Address lMO:+'tD;4Y ;YEAR: 1015 Teakwood Ln City - State Zip Code(Plus 4) tfMO r,DAY:, •_YEAR; Enola PA 17025- Full Name of Contributor Mpr:i,:DAY'.°"."YEAR $ 250.00 Amir Iljazi 11 03 2021 Mailing Address MO; "b7 Y .-Y,EAR", $ 750 Port St #1404 City T State Zip Code(Plus 4) ,MQ ,.•DAr._YEAR.; $ Alexandria vA 22314- Full Name of Contributor t;MO":'DAY'.SYEARi $ Marie Q Johnson 10 01 2021 250.00 Mailing Address 'MO:':l"DAYa:::YEAR: 301 Worington Dr City State Zip Code(Plus 4) •MO:: DAY' YEAR.. $ West Chester PA 19382- Full Name of Contributor SDAY l___MQ" �iYEAR $ 100.00 Frederick Judd 11 26 2021 Mailing Address 1100 Business Pky, S - City State Zip Code(Plus 4) •MO;. .DAY.,`YEAR: $ Westminster MD 21157— Full Name of Contributor v10 :?DAY; Ash Khare 12 21 2021 100.00 Mailing Address 'MO:.:=DAY*7.;YEAR7: 5 Leslie Blvd City _ State Zip Code(Plus 4) MO dDAYe'YEAR" Warren PA , 16365— Full Name of Contributor "1VlQia c.DP:Y'.•=YEAR1 $ 250.00 John Kostukovich 12 29 2021 Mailing Address 'M0; '.DAY ::YEAR. 3900 Trindle Rd City - State Zip Code(Plus 4) ,MCX:: DAY. F;YE AR::. $ Camp Hill PA 17011— Full Name of Contributor 'MO:' :•DAY='.�:YEAR` $ Lorraine Kuchmy 06 21 2021 250.00 Mailing Address 1JlO..: DAY".:•.`..YEAR $ 7501 Democracy Blvd #437 City State Zip Code(Plus 4) MQ:_:.;DAY _YEAR:: $ Bethesda MD 20817- Full Name of Contributor L-MOI:'%DAY t;.NYEAR' $ Jeffrey Lacy 11 22 2021 100.00 Mailing Address :'MOe"MAY:. YFJAR $ 849 Rustic Hill Dr City ' State Zip Code(Plus 4) MO ';.DAY:i_YEAR:r $ Chambersburq PA , 17201- DSE8.502(7-99) i 0 Page of .5•8 PART B - ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor WriNOPOW - $ 100.00 Jeffrey Biesecker 12 31 2021 Mailing Address •::MO;;:i,DWI TWEAIV - ' $ 2536 Eastern Blvd City State Zip Code(Plus 4) .:MO';;2t DAY:IT-WEAR:I $ York PA 17402- Full Name of Contributor av1.6:4;YAW..,.,?:Lkti . $ 250.00 Joseph P Brillhart 11 24 2021 Mailing Address :1110:;',.DAY,;!:tYEAIT.,:, $ 566 Owen Rd City State Zip Code(Plus 4) M02,DAY4'. :-:'.X.EAR71 $ York , PA 17403— Full Name of Contributor 17.1AOnibKt,'.T.Yg*-fr ., 200.00 Burnell A Brown, Jr. 11 23 2021 w Mailing Address ..,MG:;: :.DAY, AEAR $ 527 Argyle Rd City State Zip Code(Plus 4) WW1;l4:)AM.1: EAR:i $ Drexel Hill PA 19026— Full Name of Contributor gibOtrAWiWOW - $ 250.00 Raymond Bunt, Jr. 12 27 2021 'Mailing Address '.;:MO i.-•:SAY:!:'.YEAR:. $ 222 Fulmer Rd P.O. Box 1414 City ' State Zip Code(Plus 4) ...MO.: DAY: YEAR s Spring Mount PA 19478- Full Name of Contributor :.:Iiiiti.'5:J5AP f•YEAfk;-, - $ 250.00 Roxanne T Bybel 12 22 2021 Mailing Address .?;m0y.,-DM:--!7YEAR3 $ 110 Mountainstone Dr City ' State Zip Code(Plus 4) '--MO ....DAY. •.',.Y.EAR.:: .. $ Elizabethtown , PA 17022— Full Name of Contributor ,.mi5.; :13'a i:YEAw, 250.00 Christopher Carusone 12 06 2021 $ _ Mailing Address ..MO:. !ow:yEAFt:3 $ 10575 Timber Edge Dr City --- State Zip Code(Plus 4) ..•.,MO.:f;DAY'.4.YEAR. $ Wexford PA , 15090— Full Name of Contributor 1(4617.::DAY:J'.Y:Lt • S 100.00 Stephen Cloud 11 18 2021 Mailing Address -.irviCc. :131Vie'':''AEAR•i $ 8820 Vista Dr City State Zip Cods(Plus 4) .WIT ..DA,e2:7YEAR' s Lenexa , KS 66220— Full Name of Contributor .1f.MO f.7;il-DW:''YgAk. --- - S 100.00 William Costopoulos 12 13 2021 Mailing Address •'.m(:),:l:DAYE..v;YE7.43;• $ 4418 Spring Rd City State Zip Code(Plus 4) .IMO DAYY.EARrf $ Shermans Dale PA 17090— DSEE-502(7-99) Page ii of 58 PART B ALL OTHER CONTRIBUTIONS • • $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 . , DATE AMOUNT Full Name of Contributor Wol,F,jii-A!IfitAV $ 75.00 Thomas C Sommers 12 22 2021 Mailing Address ..,M0r..!IDAY. .•YEAW,, $ 359 Furlong La City State Zip Code(Plus 4) .-.M0:.:. :13AV4AEAR-.J s Camp Hill PA 17011- Full Name of Contributor fiiti.3;;i5ige..-,:W.aiV loo.o0 August C Stickel, IV 12 08 2021 $ Mailing Address .:Mc:/.7:iDAY.2'.:YtEAR:1 ' $ 323 Eveningtide Ave City State Zip Code(Plus 4) 71MO ;r;DAYit!-YEA13:-.1 $ Altoona PA , 16602- Full ,.. . .., . Name of Contributor MO:K;i5W :Y:EAlk,! s loo.00 John Storey 12 28 2021 Mailing Address 1.1M0.::,:DAY Al s 5 Campbell PI City 1- State Zip Code(Plus 4) LI1A0'..1'DVO .1i'kEAR.. $ Camp Hill PA 17011- Full Name of Contributor ..iiiid.:;.,;i5AN%.,.:,:kE"Aa..: 3.00.00 Jere Strittmatter 12 09 2021 $ Mailing Address "a1/1(1_•.,DAW!LIYEAR: $ 920 Shreiner Ave City State Zip Code(Plus 4) ,'MO;::-DAY I T::MAW: s Lancaster PA 17603— Full Name of Contributor :.MG:::4:11W NMI; • - $ 250.00 Joseph F Stynchula 10 12 2021 Mailing Address ''-t::MO .;;DAVi^YEAR:. $ 2810 Silver Maple Dr City State Zip Code(Plus 4) MO;. :DAY :YEAR $ Harrisburg PA 17112- Full Name of Contributor ;:MM.:; ilrYgi:•:..:.gt:AiPt17.; 3.00.00 Terrence E Tomassetti 12 08 2021 $ Mailing Address „WI.; A::1AY:,r YEAR: . $ 1909 Grant Ave City State - Zip Code(Plus 4) :WO.::DAY-6'4'YEAR*.= $ Altoona PA 16602- Full Name of Contributor Tvie FEW''.511,ik; . , - $ 200.00 Deborah R Trephan 07 15 2021 Mailing Address i.:1V10',-;',.'DAY.':'':YEAI+; • $ 5508 Moreland Ct City State Zip Code(Plus 4) ,.MO:. DAY-;YEAR $ Mechanicsburg ( PA 17055- Full Name of Contributor ...litaTbAtaik7 . , • S 100.00 Thomas Urso 12 31 2021 Mailing Address '7,A40::;:• DAY;',NEAR:, s , 5046 Valley Park Rd City -- State - Zip Code(Plus 4) . MO.i..i, DAY.. :1YEAR $ Doylestown PA 18902- DSEB-502(7-98) PART B Page /7" of ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 2-M6,1.16).XVI.:;:_,WAf.f.). .- $ 100.00 Jessica Marshall 10 21 2021 Mailing Address ;.?Mg:V.- 2050 Middle Creek Dr $ City - State Zip Code(Plus 4) 'MO' Y.DAY::i',YEAR•i s Kingwood TX 77339- Full Name of Contributor h*Zi130.:.5ffAi±e.; s imoo James Martin 12 28 2021 Mailing Address '7..M0,;::.:DAY:t.a.Y.-E-AIR:. S 1900 Sppewell Rd City . State Zip Code(Plus 4) :.4k/10!',:i.f:DAY1faYEAIK, s Lancaster PA 17601- Full Name of Contributor AIOz.?:MAX.!4:YEAR.. $ 250.00 Katie Mason 12 31 2021 Mailing Address 12.MO!.. 'DAlfil;'.YEARF S 211 Capitol Hill Rd city State Zip Code(Plus 4) '.1i101: MAY:i;r(EAR-f, $ Dillsburg PA 17019- Full Name of Contributor fiMM.•';DAY:! ,.X:EAR' $ 100.00 Regina Mauro 11 18 2021 Mailing Address ..4/10,... 'DAY; ...Y.EARc.. $ P.O. Box 56 City ' State Zip Code(Plus 4) YMCX,f..'DAY, .:-YEARi' s Devon PA 19333- Full Name of Contributor ;Iik5n5W5WAKT:, $ 250.00 Cathy May 11 10 2021 Mailing Address • --fM0:-.:-..DAYi,:l!EAR., . 4348 N Honeysucj le Ln City - State Zip Code(Plus 4) ;..IMO:: DAY. YEAR $ Jackson MS 39211- Full Name of Contributor MO 'IfiAC .$?7F1t,t .. loo.00 Sean McCauley 12 03 2021 41 -Mailing Address :..M.0i::DAY:,!Y-EAFI $ 100,00 672 Barwick Rd 12 31 2021 City State Zip Code(Plus 4) .'MO$:,13A-Y.-.c-YEAW, s Wayne PA 19087- Full Name of Contributor .A101,:.O.A.-V,.;',NEA-R,: $ 250.00 George T Merovich, Sr. 12 21 2021 Mailing Address .MOi.,'DAY.•7.YEA.R'' $ 155 Mount Zion Rd City State Zip Code(Pius 4) .;;MOZ;•DAY7'..!YEARI s Dillsburq PA EAR.17019- MO. - ---•------.;•'::..*- Full Name of Contributor .I' O'i ohoe::,i:..)1- . $ 100.00 Catherine L Miller 12 01 2021 .. Mailing Address ,.mcp • DAy6:.;,YEAR!, s 19 Meadow St City State Zip Code(Pius 4) MO. .DAY 7.1YEAR! $ Jacobus , ?A 17407- DSEB-502(7-99) • PART B Page i77) of ..5' ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 In the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor .7.ii1E'UV iiWAIE - $ 100.00 Melissa Fisher 11 24 2021 Mailing Address 'M0.7:4DAY -,YEAR • S 121 Foundryville Rd City State Zip Code(Plus 4) E..M0.7."e'DAY'.ilYEAR: S Berwick PA 18603— Full Name of Contributor TiC46't.,45-71k.Ntat:i s 100.00 Louise Gerow 11 10 2021 Mailing Address •MO g t DAY't'••••Y,EAR:1* S 31 Harvest Dr City State Zip Code(Plus 4) _Ur. DAY. YEAR $ Ephrata PA 17522— Full Name of Contributor AiRW::.af.:—.---AYEART $ 100.00 David C Gorman 12 08 2021 Mailing Address MC:ii:i,.DAY/]-!:.Y.E.AR' $ 709 Garber St City State Zip Code(Plus 4) ..MO:7;:•DAY *TY.EAR':; $ Hollidaysburg PA 16648- Full Name of Contributor ,1iio,' :th.f.10(EAR ' $ 200.00 Marlene M Gunther 07 15 2021 Mailing Address "-aviCr. DAY,:YEAR.! $ 316 Bald Top Rd City State Zip Code(Plus 4) -.MO:: iDAY, YEAR. s Danville PA 17821— Full Name of Contributor t-MO iiLi.AY..!WEA; $ 100.00 Trish Haight 12 08 2021 Mailing Address ;;MO : •DAY.,MAW S 211 Clubhouse Dr City State Zip Code(Plus 4) WO:l.:IDAY.:,,"YEAR:. $ Holidaysburg PA 16648- Full Name of Contributor -.4ititii._bA-6 i.:YEAkt' e 250.00 Jo—Ann Herling 12 31 2021 ''' -Mailing Address •'.MC(t'i.:DAY..7YEARr: S 2356 Jericho Dr C1ty State Zip Code(Plus 4) ;.MO::,DAY.7 .YEAR $ Jamison PA 18929- Full Name of Contributor sitM011.4::13AY,.:iNEAFki S 250.00 Keith Hite 12 27 2021 Mailing Address .MO :4DAN17:YEAR:i s 2605 Spring Hill Ln City State Zip Code(Plus 4) 4/10.1v IIYANI:,cYEAR., s Enola PA 17025- Full Name of Contributor WOO'DAY'l YEAR•: $ 150.00 Herbert Holsendorff 10 01 2021 Mailing Address ' MOi.r:DAY:'iN'EAFt': $ 1025 East Ave City ' State ' Zip Code(Plus 4) ;,MO:::. DAYS; .'.:11:P.AR, $ Pen'lyn , PA , 19422- * i DSE8•502(7-99) PART B Page 144 of 2 ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor Mi52:TrAVI NtAilk-i: •• - • $ 100.00 Compton & Martini 08 19 2021 Mailing Address .1:M017:'IOW:;::YEAR:i, 711 N 2nd St Suite 2 • ' $ City State Zip Code(Plus 4) 'MO::1,1DAr,nlEAli $ Harrisburg PA 17102- Full Name of Contributor id:;.i:'.",iYAV:- YEAR• • • • $ 100.00 Tomas ko & Koranda 12 20 2021 Mailing Address oN10f 113AY_T,-Y,ERII $ 6 N Frederick St City ' State ' Zip Code(Plus 4) .',M0.1..; ;DAY,',,I-YEARt4; $. Mechanicsburg PA 17055- Full Name of Contributor F105:APIDifii no.00 Ronny Anderson 12 29 2021 $ Mailing Address (5M01.. DA:r 2WEAR. $ 114 E Springville Rd City 1 State Zip Code(Plus 4) :4,M0..:i. :DAY,::1•1Y,EACt; $ Boiling Springs PA 17007- Full Name of Contributor I'm0::-::JIDAY, i.,:i'EAR 250.00 Scott Armstrong 12 22 2021 Mailing Address ,,,M0;;:DA'r,17•YEAR:, $ 1131 Westminster Dr City State Zip Code(Plus 4) , MO.. -,DAY',4.Y,EAR.. $ Breinigsville PA 18031- Full Name of Contributor Ial5ik'.5;:ggi • S 200.00 Daniel K Azeff 10 04 2021 Mailing Address ,'MOi:, .:DAYnX,EAR.:.1 . ' $ P.O. Box 723 City State Zip Code(Plus 4) ..M0i::.:,DAY; : EAR: - $ Gwynedd Valley PA 19437- Full Name of Contributor W521 fffiAt.,,,rEAitt, 250.00 Earl M Baker 12 31 2021 Mailing Address •,.M0;,:.DAY:',:.1...YEAR.: $ 24 Elan Ln City - State Zip Code(Pius 4) ,A4C4:1',',DRiX,. -YEAR, ' $ Wayne PA 19087- Full Name of Contributor .'.;adt:.7 .157A7f;I :YEKir $ 250.00 Douglas L Berman 10 04 2021 Meiling Address YEAR:. - , $ 3950 Ridgewood Rd .. _ City State ' Zip Code(Plus 4) 'WO.. :DAY: EAR. $ York PA 17906- Full Name of Contributor ,`:..M0614YAN 17VPAW.; $ 200.00 Al Bienstock 12 31 2021 Mailing Address :M1:::!;, 63 Old Pioneer Rd City - State Zip Code(Plus 4) ';'MOr,AMY.' YEAR $ Camp Hill PA 17011- USEB-502(7-99) PART B Page /5 of t;$ ALL OTHER CONTRIBUTIONS $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of ContributorDAY;=':YEARj1 $ 250 00 Edward Yevoli 12 31 2021 Mailing Address M©•:;',DAY:1 YEAR:I $ 200 S Andrews Ave City State Zip Code(Plus 4) !MO 'DAY!'YEAR' $ Fort Lauderdale FL 33301- PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page,Section 2. $ 14,725.00 OBE13-902(7-99) PART C Page /fr of cS, 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. Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributing Committee '710115'3.Flit.W ..:N7'7EAW. $ 100,000.00 American Conservative Union PAC 11 22 2021 Mailing Address ,:.MO:::::!1:YAY,4.f'NEAll . . . $ 1199 N Fairfax St Suite 500 City State Zip Code(Plus 4) :MO.: .:DAY,,,'LY.EAR; $ Alexandria ,VA 22314- Full Name of Contributing Committee '.067.?21:irA*1.L'iEAR7; $ 500.00 BIKEPAC 12 22 2021 Mailing Address 1/10.: d"./AY.t; :1',EAF.1.;.1 $ P.O. Box 564 City State Zip Code(Pius 4) -100.:.-.:L!IDNI%i:YEAFO $ Mechanicsburg PA 17055- ___ - Full Name of Contributing Committee t7go.i:!WA7"?.7.--.WEgg $ 2,500.00 Freedom's Defense Fund 11 21 2021 Mailing Address :,:m0_1: '43Ar:;'YEA1Kf $ 29243 St Just Dr City State Zip Code(Plus 4) :,MOil 'DAY;rATAII; _ Unionville VA 22567- Full Name of Contributing Committee :,MO .jr.At NEAlkTi S 2,000.00 Neugebauer Congressional Committee 11 12 2021 Mailing Address ,r\tiol:. :DAY,-.;rY.EAR'i' $ 3823 84th St City State Zip Cade(Plus 4) r:MO.;:,:DAY. $ Lubbock TX 79423- Full Name of Contributing Committee 5k5.it,..VkE ir-.Y5.7iii7. e 2,000.00 PA Future Fund 10 06 2021. Mailing Address -'400:,:.' 'DAY::!YEAR.; $ P.O. Box 6128 City ' State ' Zip Code(Plus 4) 7tN101.,.DAY.;'`,.YEAR.:, $ Harrisburg PA 17112- Full Name of Contributing Committee AlO51a0::Nt.A.AT? $ 2,500.00 Transportation Construction Industries PAC 11 15 2021 Mailing Address .11V10:.,.!:DAYf YEAR $$ 500.00 800 N 3rd St Suite 500 12 22 2021 City - State Zip Code(Plus 4) ::114a, r.DAY'E'YEAR: S Harrisburg PA 17102- PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 110,000.00 DSEB-502(7-99) PART D Page /7 of 56 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 1,000.00 Robert S Walker 11 21 2021 Mailing Address if;YEArlikT $ 609 Willow Green City State Zip Code(Plus 4) MOT DA Lititz PA 17543- Employer Name Occupation Limitless Space Institute Executive Employer Mailing Address/Principal Place of Business 16441 Space Center Blvd, Building D-200, Houston, TX 77058 Full Name of Contributor ii*A*AE:A7R?:: 2,000.00 William C Walters 12 22 2021 Mailing Address • $ 28 Keswick Ln City State Zip Code(Plus 4) NO7.1DAV, YEAIV Carlisle PA 17015- , Employer Name Occupation Information Requested Employer Mailing Address/Principal Place of Business Full Name of Contributor 2,500.00 William Walton 12 27 2021 $ Mailing Address 7Itite:•;.7:DAY: P.O. Box 338 City State I Zip Code(Plus 4) :;Mti;.YOKRiTYEAlt s Washington VA I 22747- Employer Name Occupation Self employed ,Consultant Employer Mailing Address/Principal Place of Business 133 Rush River Ln, Washington, VA 22747 Full Name of Contributor ffEgF6 • $ 500.00 Matthew Wertz 06 28 2021 Mailing Address MØitikic:7)!EAR:; 500.00 526 S Liberty St 07 02 2021 City State Zip Code(Plus 4) z:MCE• 'Mr;7-WEATR-r. 500.00 Waynesboro GA , 30830— 12 13 2021 Employer Name Occupation Noblis Contractor Employer Mailing Address/Principal Place of Business 2002 Edmund Halley Dr, Reston, VA 20191 Full Name of Contributor MO. DAYEPK. S 500.00 William Wheelen 11 16 2021 Mailing Address :',SrEAR7 $ 9662 Worswick Ct City State Zip Code(Plus 4) 'ma.-117-ilr.-..YEA-Ft;. Wellington FL 33414- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business DSE19-502(7-99) PART D Page ig of 5 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 7fi/1&JD*3 $ 500.00 Dan Schneider 12 28 2021 Mailing Address 10Y b EI $ 1771 N Pierce St Apt 1804 City State Zip Code(Plus 4) ';-:mor., DA EAR Arlington VA 22209— Employer Name Occupation ACU Vice President Employer Mailing Address/Principal Place of Business 1199 N Fairfax St, Suite 500, Alexandria, VA 22314 Full Name of Contributor MO : ER $ 500.00 Matthew E Smith 11 21 2021 Mailing Address !:MOT1...:DAY; 6126 Pueblo Ct City ' State ' Zip Code(Plus 4) -11/10.. YEAR': Burke ,VA 22015— Employer Name Occupation Information Requested Employer Mailing Address/Principal Place of Business — . Full Name of Contributor MOi5AY:t• 20,000.00 Mitchell P Snyder 10 25 2021 $ Mailing Address . MO. DAY:. YEAR. 5655 Newhouse Rd City State Zip Code(Plus 4) •M0.. :DP(7.YEAF.17:'$ East Amherst NY 14051— Employer Name Occupation InLighten CEO Employer Mailing Address/Principal Place of Business 9645 Wehrle Dr, Clarence, NY 14031 Full Name of Contributor YEW S 100.00 Jerry Spangler 06 18 2021 Mailing Address triscVFNEATC: 100.00 2114 Beacon Cir 11 18 2021 ' City State Zip Code(Plus 4) .M013.5Y 100 00 Mechanicsburg PA 17055— 12 31 2021 Employer Name Occupation ,Retired Employer Mailing Address/Prinapal Place of Business Full Name of Contributor q5AY.47CAIRT, 500.00 Charles Spies 11 21 2021 Mailing Address 7?E'KFT ' S 3030 K St, NW City State Zip Code(Plus 4) :MO.;',1:)-AY7; YEAR.: Washington DC 20007— Employer Name Occupation Dickson Wright, PLLC Attorney Employer Mailing Address/Principal Place of Business 1825 I St, NW, Washington, DC 20006 osee-5oz(7-99) PART D Page re> / of .-.J.a ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor ,i OR i5gi'PftAik:i . $ 250.00 Richard 0'Flynn 08 20 2021 Mailing Address TNItV 7$CAW EYEAIV: $ 500.00 10 White Pine Ln 12 22 2021 City . - State Zip Code(Plus 4) .4003.;t f Tb-A76:.-28AR7. $ Rose Valley PA 19063— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business - .- _____..... „.. .... Full Name of Contributor .'MO:::,DAY7,';.T.EAR.: ' $ 5,000.00 Gerald E 0'Shaughnessy 11 21 2021 Mailing Address :140.C7DAN'..•,'...5?:F.:AIT.! ' $ 8301 E 21st St, N Suite 420 City ' State Zip Code(Plus 4) :105T,7;',13;s:W.::'-q:EicR":. $ Wichita KS 67206— Employer Name Occupation ' Edog Logistics Attorney Employer Mailing Address/Principal Place of Business 8301 E 21st St, N, Suite 420, Wichita, KS 67206 Full Name of Contributor ikfl: li'M':. 'i'.EW. - $ 500.00 • Brent Pasquinelli 12 09 2021 Mailing Address ::1‘/10 . •;110-AY. LEAF. . $ 3089 Shingletown Rd City State Zip Code(Plus 4) .:M01;•:.'!'0AY.Y.:YEAR': $ State College PA 16801— Employer Name 'Occupation Friends of Glenn Thompson ,Finance Director Employer Mailing Address/Principal Place of Business 400 N Michael St, Saint Marys, PA 15857 Full Name of Contributor ,TRY,AW. Ekk:: ' 500.00 David B Pasquinelli 12 31 2021 Mailing Address .E;rcolcx.'..;15-AY•WEARt• $ 3089 Shingletown Rd City State Zip Code(Plus 4) .•MO:''. .i:SAY:..711.-AR7 $ State College i PA 16801- Employer Name Occupation Friends of GT Thompson Finance Director Employer Mailing Address/Principal Place of Business 400 N Michael St, Saint Marys, PA 15857 Full Name of Contributor !!,:iiitY:Cbg5P..§efArt; $ 3.,OH_00 James 0 Pickard 10 16 2021 Mailing Address •Itifeil;i iCiA-Yi:!.NE-ATf S 500.00 P.O. Box 4098 12 15 2021 City ' State Zip Code(Plus 4) :171i40:'Y•;I:SAY: ::YEAR' ' Lancaster PA 17604- Employer Name 'Occupation York Saw & Knife Executive Employer Mailing Address/Principal Place of Business 295 Emig Rd, York, PA 17406 , DSEB-502(7-90 . . PART D Page Ea of sg ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/1 1/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 500.00 Joseph R Kopalek 12 15 2021 Mailing Address IAE'AR:3 358 Canter Dr City State Zip Code(Plus 4) ; -YEAFV! Dallas PA 18612— Employer Name Occupation UGI Utilities Vice President Employer Mailing Address/Principal Place of Business 225 Morgantown Rd, Reading, PA 19611 • Full Name of Contributor 71ticV=7,i5AW 1,000.00 Robert P Krieger 12 15 2021 'Marling Address ;':;Mai, a 7042 Tuscany Dr City State Zip Code(Plus 4) ;•M-457-15-AW EARs Macungie , PA 18062— Employer Name Occupation UGI Utilities Executive Employer Mailing Address/Principal Place of Business 225 Morgantown Rd, Reading, PA 19611 Full Name of Contributor $ 2,000.00 Ken Laird 12 31 2021 Mailing Address MO EAW a 230 S 10th St Suite C City State Zip Code(Plus 4) ;1/105.'DAY'INE'ATiT $ Lemoyne PA , 17043- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor $ 1,000.00 Jim Lamon 11 23 2021 Mailing Address •'NW:1507 1975 Westward Ho Rd City State Zip Code(Plus 4) MO.: 15/7X„YEAR:: $ Kamus UT 84036- Employer Name Occupation Self employed Chairman Employer Mailing Address/Principal Place of Business 9185 E Pima Center Pwy, Scottsdale, AZ 85258 Full Name of Contributor MO -DAY 300.00 George W Lewis 12 22 2021 Mailing Address 128 State St City State Zip Code(Plus 4) *M0i'4:DAY:::;-,NEAR s Harrisburg PA 17101- Employer Name Occupation Self employed CPA Employer Mailing Address/Principal Place of Business 128 State St, Harrisburg, PA 17101 LISEB-502(MB) • PART D Page 'Li of cg ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor Mts- tigtPA,,tWIC • s 500.00 Dennis L Grumbine 06 22 2021 Mailing Address .121-Ar 500.00 970 Halfway Dr 09 28 2021 City State Zip Code(Plus 4) s Myers t own PA 17067- Employer Name Occupation Self employed Farmer Employer Mailing Address/Principal Place of Business 970 Halfway Dr, Myerstown, PA 17067 Full Name of Contributor MO DAY7:Y.EAR:! • $ 251.04 Emily Hargan 11 23 2021 Mailing Address I1fjI.n.EAR:i 4510 37th St, N • City - State Zip Code(Plus 4) 7M.CUDAi * $ Arlington VA 22207- Employer Name Occupation Hargan and Associates iConsultant Employer Mailing Address/Principal Place of Business 4510 37th St, N, Arlington, VA 22207 Full Name of Contributor • 500.00 Richard Harper 10 04 2021 Mailing Address rOM_ $ 1942 Monterey Dr City State Zip Code(Plus 4) i'MO:.:•;:13-AV.: EAI $ Mechanicsburg PA , 17050- Employer Name Occupation Self employed ,Financial Advisor . Employer Mailing Address/Principal Place of Business 1942 Monterey Dr, Mechanicsburg, PA 17050 Full Name of Contributor ' EAR 500.00 Sandra Harrison OS 31 2021 Mailing Address ;-.M07 6 Greenway Dr City - State Zip Code(Plus 4) 11/1C):i111.1D'a $ Doylestown PA 18901- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor 5YEZ1/4.R 5,000.00 Julia Hearthway 06 23 2021 Mailing Address Mdi TOW.75.YEAFf $ 2163 Wells Rd City State Zip Code(Plus 4) Pottstown PA 19465- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business 05E9402(7-89) PART D Page of ..ce ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor tag; 750.00 _Terry Davis 11 21 2021 Mailing Address DAif7.YEAFttl- $ 1308 Rhode Island Ave, NW City State Zip Code(Plus 4) ..MO:.,7 ..DAY:i;NEART Washington DC 20005- Employer Name Occupation Self employed Attorney Employer Mailing Address/Principal Place of Business 1308 Rhode Island Ave, NW, Washington, DC 20005 Full Name of Contributor NCA 500.00 Kevin Doss 06 17 2021 Mailing Address ODAtigKI:"YEAFt7; 500.00 P.O. Box 665 12 31 2021 City State Zip Code(Plus 4) Ii4Coi. iAf? EAR $ Camp Hill PA 17011— Employer Name Occupation Level 4 Security Consultant Employer Mailing Address/Principal Place of Business P.O. Box 665, Camp Hill, PA 17011 Full Name of Contributor 500.00 Nevin H Dourte 12 22 2021 'P Mailing Address N1'4 OW.:-`11EAR 217 Meadow Ln City State Zip Code(Plus 4) 7.11/10-..1 .YlAR Manheim PA 17545— Employer Name Occupation Ruhl Insurance President Employer Mailing Address/Principal Place of Business 26-28 Market Sq, Manheim, PA 17545 Full Name of Contributor $ 1,500.00 David Eastburn 12 31 2021 Mailing Address 140.5 7.10.P1::;;YEAK.:1 •• $ 3214 Ash Mill Rd City State Zip Code(Plus 4) 'MOT;iDA`r. ' Doylestown PA 18902- Employer Name Occupation Gro 'n Sell, Inc. Farmer Employer Mailing Address/Principal Place of Business 320 Lower State Rd, Chalfont, PA 18919 Full Name of Contributor c AO:7 73(E7A*i $ 250.00 Nancy E Edwards 06 28 2021 -Mailing Address :71ii1OT.7D7AN-9 50.00 44 E Maple Dr 10 01 2021 City — State I Zip Code(Plus 4) MO :.1DAYI i;YEAR: 50.00 Bloomsburg PA 17815— 12 14 2021 Employer Name Occupation Bloomsburg University Instructor Employer Mailing Address/Principal Place of Business 400 E Second St, Bloomsburg, PA 17815 OSEB-502(7-99) PART D Page '3 of Sg ALL OTHER CONTRIBUTIONS . OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 1 RV .6.-AS,'FlEgit'. ' - $ 1000.00 Scott Staruch 06 19 2021 Mailing Address ',MO .:CiAS17.FSEAW! $ 20 Erford Rd Suite 105 City - State Zip Code(Plus 4) ;10l:W:;DAW::YEAR:i' $ Lemoyne PA 17043- _ Employer Name Occupation Laws, Staruch, & Pisarcik Attorney Employer Mailing Address/Principal Place of Business 20 Erford Rd, Suite 105, Lemoyne, PA 17043 Full Name of Contributor 1/16::.:ETAT 7irrAil:.' $ 1,000.00 Craig A Stein 08 19 2021 Mailing Address 4,401:...,.tigei!7:NEAFf:;• $ 400 Walmere Way City ' State ' Zip Code(Plus 4) .4/16: ':157A1,'''YEAR! $ Blue Bell PA , 19422- Employer Name Occupation Information Requested Employer Mailing Address1Principal Place of Business • . . ... .. ..... . .. Full Name of Contributor . '.MCL•:-DAY,'' EAR- $ 500.00 Gary D Sutton 12 22 2021 Mailing Address '7;k40,. 'DAi'. $ 1619 Condor Ln City State Zip Code(Plus 4) ..10-107..Ni--A`K:.YEAR:, $ Dover PA 17315- Employer Name Occupation Aetired Employer Mailing Address/Principal Place of Business Full Name of Contributor ;MO.: OW& YEAR, 500.00 Lee C Swartz 12 22 2021 $ __... ...... Mailing Address ..MO:7;,.:DAY:. _ , $ 2224 Goose Valley Rd _ City State Zip Code(Plus 4) •.MO .7DAY27 ..YEAR.. $ Harrisburg PA 17110- Employer Name Occupation Tucker Arensberg iAttorney -Employer Mailing Address/Principal Place of Business 2 Lemoyne Dr, Suite 200, Lemoyne, PA 17043 Full Name of Contributor lift5.: TrAt .N.7..EAW.:. ' S 1,000.00 Cheryl Szykman 07 14 2021 Mailing Address -14OF!'ORE,EYEArk, - $ 130 Chapel View Dr City State Zip Code(Plus 4) :WV, 13•"0',nrEAR!.! s Reinholds PA 17569- Employer Name 'occupation Retired Employer Mailing Address/Principal Place of Business osee.soz tT-99l PART D Page 2.g of sp, ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor ?:.-01%,ZiAYJYA: $ 500.00 Donna L Brightbill 10 05 2021 Mailing Address :tie;7YEAW: 212 Ironmaster Rd City State Zip Code(Plus 4) MAY'ZY.EAR7; $ Lebanon PA 17042- Employer Name Occupation S el f employed Attorney Employer Mailing Address/Principal Place of Business 315 S 8th St, Lebanon, PA 17042 Full Name of Contributor ;LMO:..1 MAY., YEARC 1,000.00 Christopher R Brown 12 15 2021 Mailing Address NOT ZDAr::Y.EAR" $ 138 Cobblestone Dr City State Zip Code(Plus 4) MO4 OPiS: Lebanon PA 17042- Employer Name Occupation UGI Utilities Executive Employer Mailing Address/Principal Place of Business 225 Morgantown Rd, Reading, PA 19611 Full Name of Contributor MO..4 DA\' rY.E'Ait 1,000.00 Chris Burne 12 31 2021 Mailing Address MO:.tiAYI YEAR'' 1 N Chamberlain Ct City State Zip Code(Plus 4) NW-"•DAY15.ceeta-TI $ Gettysburg PA 17325- Employer Name Occupation Self employed Consult ant Employer Mailing Address/Principal Place of Business 12 N Chamberlain Ct, Gettysburg, PA 17325 Full Name of Contributor MO:. DA YEAR 1,000.00 Christopher Burne 06 18 2021 Mailing Address 7-.MO. 'MK ilYEA:FIT 1 N Chamberlain Ct City State Zip Code(Pius 4) OA*:?'`-fER:j _Gettysburg PA 17325- Employer Name Occupation Self employed Consultant Employer Mailing Address/Principal Place of Business 1 N Chamberlain Ct, Gettysburg, PA 17325 Full Name of Contributor 1,000.00 Robin Burne 06 18 2021 Mailing Address M DAY.:. EAR S 1 N Chamberlain Ct City State Zip Code(Pius 4) 13A-Y;;i:YEAR.• $ Gettysburg PA 17325- Employer Name Occupation Reared Employer Mailing Address/Principai Place of Business a 0593-502 17-99) PART D Page 2, of ig' ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor m-d:•;..DAY Waki $ 5,000.00 Timothy P Ryan 09 22 2021 Mailing Address T.MOT '.1138'; 1EAR:7. $ 1508 Fox Chase Ln City State Zip Code(Plus 4) rilIC:i '.O'W:5Y.-EAW $ Pittsburgh PA 15241- Employer _...4 _.... Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor '15•Atfti'Mr:,.:7*-E0. $ 5,000.00 Willaim Ryan 06 25 2021 Mailing Address . Mo.:. $ 710 S Roberts Rd City State Zip Code(Pius 4) 4107;7.!triFgei,T,5?-EA-5; $ Bryn Mawr PA 19010- Employer Name Occupatilin Self employed At t orney Employer Mailing Address/Principal Place of Business 710 S Roberts Rd, Bryn Mawr, PA 19010 Full Name of Contributor ieObAY.. tAR:. s 1,000.00 Themi Sacarellos 12 15 2021 Mailing Address -WV -DAW7,71(EAFti.- $ 265 School St City State Zip Code(Plus 4) :W/1077,aigr t.Y.Eikil::: $ York PA 17402- _ Employer Name Occupation Round the Clock Diner Secretary Employer Mailing Address/Principal Place of Business 222 Arsenal Rd, York, PA 17402 Full Name of Contributor :.iinij'i'!RW:.W.gAi.k:' S 250.00 David H Safavian 06 17 2021 Mailing Address '.:=:Kii017 likr nEWBF. $ 200.00 1314 Gatewood Dr 08 19 2021 City State ' Zip Code(Plus 4) ;1V1-0,P.,TETAY.1:1:EAFt; , 250.00 Alexandria VA 22307- 11 21 2021 Employer Name Occupation American Conservative Union Foundation Director Employer Mailing Address/Principal Place of Business 1199 N Fairfax St, Suite 500, Alexandria, VA 22314 Full Name of Contributor ..tVriCi::: ..ti‘ie YEAR $ 500.00 Marc Scaringi 07 12 2021 Mailing Address "-MO:':..WY;.%YEA:W. $ 243 N 27th St City State Zip Code(Plus 4) -MW. ti'AY,!:T-SEAR ' $ Camp Hill PA 17011- Employer Name Occupation Scaringi Law Attorney Employer Mailing Address/Principal Place of Business 2000 Linglestown Rd, Suite 106, Harrisburg, PA 17110 OSE13-502(7-99) PART D Page 24 of 5'Q, ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor . From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor :MO:. DAY:,i:YEAR' Thomas E Martin 08 16 2021 $ 700.00 Mailing Address 1141IQ •VAT.'7f .!'`ART 600.00 201 S Broad St 10 18 2021 $ City State Zip Code(Plus 4) 7MO:;• .'DAY-''YEAR i $ Kennett Square PA , 19348- Employer Name Occupation Self employed Attorney Employer Mailing Address/Principal Place of Business 201 S Broad St, Kennett Square, PA 19348 Full Name of Contributor Scott Miller MO:_. 'DAY, ,YEAR7- 11 11 2021 $ 7,500.00 Mailing Address .MO:::?DAY?`-TEAR; $ 435 Morris Ave City State Zip Code(Plus 4) ':MO : DAY'k- EAR': $ Bryn Mawr PA 19428- Employer Name Occupation Miller Investment Management President Employer Mailing Address/Principal Place of Business 100 Front St, West Conshohocken, PA 19428 Full Name of Contributor Nevin Mindlin MO.' ':D41C i.021 $ 100.00 10 27 2021 Mailing Address ilMO DAY:r?EAR''• 250.00 . 14571 Glen Cove Dr 12 21 2021 $ City State Zip Code(Plus 4) :'MO: sDAr.sYEAR7. $ Fort Myers PA 33919— Employer Name Occupation Retired • • Employer Mailing Address/Principal Place of Business Full Name of Contributor . DAY; f:YEAR? $ 500.00 Council Nedd 06 24 2021 Mailing Address i;MQ:: 'DAV'TE'A-RI S 100.00 146 W Pine Grove Rd 12 31 2021 City State Zip Code(Plus 4) :MO::• '.I A 'YEAR;: $ Pine Grove Mills PA 16868- Employer Name Occupation - St. Albans Anglican Church Pastor Employer Mailing Address/Principal Place of Business 146 W Pine Grove Rd, Pine Grove Mills, PA 16868 Full Name of Contributor 'MO: ':DAY. YEAR; $ 500.00 Kelly K Neiderer 12 22 2021 Mailing Address MO DAY. :.'YEAR, 281 N Old Stonehouse Rd City State Zip Code(Plus 4) MO::: ;OW YEAR $ Carlisle PA 17015— Employer Name Occupation _ Mid Penn Bank Executive Vice President Employer Mailing Address/Principal Place of Business 349 Union Street, Millersburg, PA 17061 DSEB•5o2(7-99) PART D Page 27 of ,55 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor •crib !_DAY Nelid ' $ 1,000.00 Paul Szykman 07 13 2021 Mailing Address 'M0::13AY:;3EAR_ S 130 Chapel View Dr City State Zip Code(Plus 4) :.NIO2i:'DAY:.-sYEAR•:,+ $ Reinholds PA 17569— Employer Name Occupation UGI Executive Employer Mailing Address/Principal Place of Business 1 UGI Dr, Denver, PA 17517 I Full Name of Contributor `;MQ::'.';DAY'. I:EARe:: $ 500.00 Cynthia Tolsma 06 17 2021 Mailing Address ,Mo: JDAY•:;;YEAR:= $'100.00 300 N 28th St 12 14 2021 City State Zip Code(PlUs 4) irib i+•DAY-!YEAR`.: $ 100.00 Camp Hill PA , 17011— 12 _31 .2021 Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor MO::' Dke,:.. .EAR: 250.00 Gordon Tomb 06 23 2021 $ Mailing Address MO: :DAY! YEAR $ 100.00 91 Fairfax Ln 12 22 2021 City State Zip Code(Plus 4) , MO.:;.DAY:;.:'YEAR: Annville PA 17003- Employer Name Occupation Self employed Writer Employer Mailing Address/Principal Place of Business . 91 Fairfax Ln, Annville, PA 17003 Full Name of Contributor `MO:;'like;::YEAR',: $ 500.00 Richard Tomredle 09 29 2021 Mailing Address tMOrr.. o—TOd_YEAR. 100.00 23 Crandle Dr 12. 31 2021 City State Zip Code(Plus 4) IVIO:'•:15Ar. YE/: S Carlisle PA 17015— , Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business 77 Full Name of Contributor i1i10:.'s`,DAY .'.;YEAR S 350.00 Teresa R Wagner 10 05 2021 Mailing Address `MO,, X AYE::YEAR: $ 250.00 6611 Richmond Ct 12 22 2021 , City State Zip Code(Plus 4) ::VIM°DAY'; YEARN $ Harrisburg PA 17111— Employer Name 'Occupation PA Office of Small Business Advocate Executive Director Employer Mailing Address/Principal Place of Business 300 N 2nd St, Suite 202, Harrisburg, PA 17101 DSE13v02(7-99) PART D Page V2 of ,;1$ ALL OTHER CONTRIBUTIONS OVER$260.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 715AT6.! 500.00 Michele A Johnson 09 17 2021 Mailing Address iIUIQ +;DAY;3YEAR 6910 Treymore Ct City State Zip Code(Plus 4) (i110i•a:DAY *YEAR': $ Sarasota FL 34243— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor . MO':. ;DAY.'::YEAR; 1,000.00 Myrtle E Jones 07 29 2021 Mailing Address MO.,•:DA1( 'Y.EAlr $ Box 205 City State Zip Code(Plus 4) -;11 O :'.DA. ;YEARa. $ Telford PA 18969— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor MO ;DAY`r`YEAR $ 1,000.00 Roy Jones 08 23 2021 Mailing Andress Ma..'DAY', $ 1331 E Amberlea Dr City State Zip Code(Plus 4) :MO;: °DAY';.'YEAR•: $ Dunedin FL 34698- Employer Name Occupation Eckerd.org CEO Employer Mailing AddresslPrincipal Place of Business 1331 E Amberlea Dr, Dunedin, FL 34698 Full Name of Contributor ° '•' -'•7 David Keene 12 DAY 06 2021;YEAR. $. 1,400.00 2 Mailing Address '•.MO'':DAY :YEAR'.; $ 12208 Candle Light Cir City State Zip Code(Plus 4) -MOs"•s`DAY .YEAR' $ Fort Washington MD 20744— Employer Name 'Occupation Retired Employer Mailing AddresslPrincipal Place of Business Full Name of Contributor 416`':15A `NEAR`' $ James J Kim 11 18 2021 7,500.00 Mailing Address MO;: DAY' YEAR' $ 915 Mount Pleasant Rd City State Zip Code(Plus 4) ''MOk,`DAY'?%YEAR` Bryn Mawr PA 19010— Employer Name Occupation 915 Investments, LP Partner Employer Mailing Address/Principal Place of Business 1500 E Lancaster Ave, Paoli, PA 19301 DSEB-56217.99) PART D Page 2q of s j b ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor :NIO"!DAY.,.:YEAR? S 25,000.00 Charlie Gerow 06 24 2021 Mailing Address `MOl7f RL7i41',' YEAR': S 50,000.00 4725 Charles Rd 12 31 2021 City State Zip Code(Plus 4) tMO::=DAY'..i YEAR,. $ 10,000.00 Mechanicsburg PA 17050- 12 31 2021 Employer Name Occupation Quantum Communications President Employer Mailing Address/Principal Place of Business 123 State St, Harrisburg, PA 17101 Full Name of Contributor .,.:MO. .DAY::4Ei4R' 250.00 Gary Gonsar 11 09 2021 $ Mailing Address i`•MO - DW YYEAR':; 250.00 13 Red Haven Dr 12 17 2021 $ City State Zip Code(Plus 4) :111-0-7 F i-AY. 'YEAR'; $ Selinsgrove PA 17870- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor i;iiiici 47Al(';;YEAR'•.` $ Melania Gooch 07 15 2021 200.00 Mailing Address ::MO ;;`DAY;;<.YEAR': a 100.00 136 Walnut St Apt 3 11 10 2021 City State Zip Code(Plus 4) (i40='TDi4Yr .`lE;4R. $ 100.00 Harrisburg PA 17101— 12 01 2021 Employer Name Occupation Self employed Consultant Employer Mailing Address/Principal Place of Business 136 Walnut St, Harrisburg, PA 17101 Full ame of Contributor 'iMO:;.'DAV i;YEAR': $ 250.00 Melania Gooch 12 17 2021 Mailing Address NMQ:'.'. DAY j.EAR:' $ 136 Walnut St Apt 3 12 31 2021 100.00 City State Zip Code(Plus 4) `MO.=:DAY ,>YEAR' $ Harrisburg PA 17101- Employer Name Occupation Self employed ,Consultant Employer Mailing Address/Principal Place of Business 136 Walnut St, Harrisburg, PA 17101 Full Name of Contributor •r io..=DAY,:'_YEAR:' John C Gross 07 29 2021 $ 250.00 Mailing Address "MO:::I Ai :"YEAit 250.00 450 Mountain Rd 12 22 2021 City State Zip Code(Plus 4) 'MO:',''AVM;"YEAR $ Boiling Springs PA 17007- _ Employer Name Occupation John Gross & Company President Employer Mailing Address/Principal Place of Business 400 Cheryl Ave, Mechanicsburg, PA 17050 DSED-502(7.59) PARTD Page a of .sg ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor " ii"`Iva-,"� Michael Ciccocioppo "MO:, :D;4Y YEAR:; 500.00 09 29 2021 Mailing Address TWO::::l:DAYt• 100.00 12 Victoria Way 12 29 2021 $ City State Zip Code(Plus 4) :MO.>7DAY5'-YEAR': Camp Hill PA 17011— _$ Employer Name Occupation PA Pro—Life Federation, Inc. ,Executive Director Employer Mailing Address/Principal Place of Business 4800 Jonestown Rd, Suite 102, Harrisburg, PA 17109 Full Name of Contributor ''M6.:-cDAY'i_YEAR'. Denise Clelan 12 29 2021 $ 700.00 Mailing Address MO: DAY 949 Siddonsburg Rd Suite 101 =',YEAR: $ City State Zip Code(Plus 4) i MO.=•DAY'.:=YEAR: $ Camp Hill PA 17011— Employer Name Occupation Self employed Consultant Employer Mailing Address/Principal Place of Business 210 Grandview Ave, Suite 101, Camp Hill, PA 17011 Full Name of Contributor -MO: ,'D4i NEAR James Cochran 08 31 2021 $ 100.00 Mailing Address :=MO;• 'DAY:;YEAR': $ 250.00 384 Alison Ave 11 08 2021 City State Zip Code(Plus 4) 'MO_ -DAY:.':YEAR% $ Mechanicsburg PA 17055— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor j "` MO`•`DAY;'''YEAEt.. 250.00 Jacob Dailey 12 22 2021 $ Mailing Address P.O. Box 4 71 ":IVlO:'•DAY °YEAR°°: $ City State Zip Code(Plus 4) ..dill0 "DAY'; EARS $ Gilbertsville PA 19525- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor 'AM... DAY ,YEAR' 750.00 Jacob Dailey 06 23 2021 $ Mailing Address -.MO: ,Di4Y `-:YEAR,,• 200.00 P.O. Box 471 11 21 2021 $ City State Zip Code(Plus 4) : MOB 3DAY ;:YEAR::: 100.00 Gilbertsville PA 19525— 12 22 2021 $ Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business DSEB.502(7-99) PART D Page 3 j of may° ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor R.! M0:•_;DAY YEF2A _ $ 1,000.00 Robert Beauprez 07 01 2021 Mailing Address MO-:;DAY'CYAAR:'. 2770 Arapahoe Rd Suite 132 City State Zip Code(Plus 4) ;sMO: '`DA(i'YEARTi Lafayette CO 80026— Employer Name Occupation Eagles Wing Ranch Ranching Employer Mailing Address/Principal Place of Business 6742 County Rd 424, Coalmont, CO 80430 Full Name of Contributor h/lo:'A7)A1!` YEAR' 500.00 Hans Bell 06 29 2021 S Mailing Address 7wa7;: '.=YEAR 211 Prescott Dr City State Zip Code(Plus 4) NIO, •';DAY':`YEAR` Chester Springs PA 19425- Employer Name Occupation UGI Utilities Executive Employer Mailing Address/Principal Place of Business 1 UGI Dr, Denver, PA 19425 Full Name of Contributor .•MO::."DAYS:WEAR' 1,000.00 Hans Bell 12 31 2021 $ Mailing Address MO°:'DAY'; YEAR? 211 Prescott Dr City State Zip Code(Plus 4) : MO' ''DAY' `YAR, $ Chester Springs PA 19425— Employer Name Occupation UGI Utilities Executive Employer Mailing Address/Principal Place of Business 1 UGI Dr, Denver, PA 19425 Full ame of Contributor r';MO:;'=DAY4 i;YEAR+ $'500.00 Kimberly Bellissimo 06 17 2021 Mailing Address ;4407.;DiS\Y; F:YEP;+R7 2,500.00 1308 Rhode Island Ave, NW 11 21 2021 City State Zip Code(Plus 4) :-MO: !7DAY, Washington DC 20005— Employer Name Occupation ForthRight Strategies Consultant Employer Mailing Address/Principal Place of Business 1155 15th St, NW, Washington, DC 20005 Full Name of Contributor MO,: .DAV 1,000.00 Barbara Bowie—Whitman 11 21 2021 Mailing Address MO;i'.DAYS`YEAR 4326 Upland Dr $ City State Zip Code(Plus 4) ".•MO pr Dq`G% YE19i2; $ Alexandria VA 22310— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business DSEB-502(7.55) PART D Page 3 2_ of ✓tg ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor . DAY.'":YEAEA R, 1,000.00 Robert L Pistor 07 12 2021 $ Mailing Address "Ntb;':•DAY ::YEAR'' 1812 Foxianna Rd City State Zip Code(Plus 4) •MO:- ''.DAY FYEAR Middletown PA 17057— Employer Name Occupation UGI HVAC Enterprises Vice President Employer Mailing Address/Principal Place of Business One Meridian Blvd, Suite 2C01, Wyomissing, PA 19610 Full Name of Contributor ::•:M0: DAY': YEAR:, $ 500.00 Autry J Pruitt 12 08 2021 Mailing Address 101 Plaza Real, S City State Zip Code(Plus 4) ,:MO:".>.DAY;? YEARS $ Boca Raton FL 33432— Employer Name Occupation Self employed Author Employer Mailing Address/Principal Place of Business 101 Plaza Real, S, Boca Raton, FL 33432 Full Name of Contributor Mb::'NW.;'YEAf2 $ Jill Quentzel 11 21 2021 500.00 Mailing Address MO: ^DAY1;.YEAR': 235 Sunrise Ave City State Zip Code(Plus 4) MO.' DAY-:=YEAR^ $ Palm Beach FL 33480- Employer Name 'Occupation Justus Prevalis, LLC Attorney Employer Mailing Address/Principal Place of Business 235 Sunrise Ave, Palm Beach, FL 33480 Full Name of Contributor s: -"-' Thomas R Rippon DAY YEAR; $ 2,500.00 Ppon 10 07 2021 Mailing Address •MOT;;:AY::;'YEAR:. $ 2640 Red Ridge Rd City State Zip Code(Plus 4) Mb: `DAY'.. -YEAR' $ Mifflinburg PA 17844- Employer Name Occupation Rippon Associates President Employer Mailing Address/Principal Place of Business 8 Oak Ave, Mifflinburg, PA 17844 Full Name of Contributor ': .. Patrick Rosenstiel �NIOi' ::DAY:' 1021 $ 1,000.00 10 27 2021 Mailing Address -111107:`DAYi :YEAR-7 $ 1403 McKinley St City State Zip Code(Plus 4) MO:..E Alf::-YEAR $ Saint Paul MN 55108- Employer Name Occupation Ainsley Shea CEO Employer Mailing Address/Principal Place of Business 735 Snelling Ave, N, Saint Paul, MN 55108 DSEB-902(7-99) PART D Page '3.3 of 5p, ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 500.00 Jeffrey A Liebman 06 24 2021 Mailing Address .41102-1:D'AT 180 Crestview Way City State Zip Code(Plus 4) 'OAY.-7.YEAR; $ Yardley PA 19067- Employer Name Occupation • Liebman Family Law Attorney Employer Mailing Address/Principal Place of Business 4 Terry Dr, Suite 4, Newtown, PA 18940 Full Name of Contributor NE-AIV 500.00 Doreen Linder 09 17 2021 Mailing Address : ?ER' • $ 1800 Grandview Ave City State Zip Code(Pius 4) yriiicz:.i'DAW.7Y,UAW Pawhuska OK 74056- Employer Name Occupation Salt Creek Marketplace Owner Employer Mailing Address/Principal Place of Business 523 Kihekah Ave, Pawhuska, OK 74056 Full Name of Contributor 'MO: DEAR 1,000.00 Neville Lord 12 17 2021 Mailing Address '-MO .1-Mr ;)EAR,..•' 57 Circle Dr $ City State Zip Code(Plus 4) :fila:7CAY,NEW: Camp Hill PA 17011- Employer Name Occupation Self employed Consultant • Employer Mailing Address/Principal Place of Business 57 Circle Dr, Camp Hill, PA 17011 Full Name of Contributor *YEARr-. S 150.00 Matthew Manz 08 19 2021 Mailing Address 'Tar i:-YEAR:, 500.00 1940 Elm Ave 12 31 2021 City State ' Zip Code(Plus 4) ...tYEArff Jamison PA 18929- Employer Name Occupation Knobs' n' Knockers Owner • Employer Mailing Address/Principal Place of Business Peddlers Village, Shop 22, Lahaksa, PA 18931 Full Name of Contributor 1,000.00 Linda 2 Marston 06 24 2021 • Mailing Address DAY 'EAw 133 Cornerstone Dr City State Zip Code(Plus 4) 1.40.1"'IDAY .7'YEAFU Newt own Square PA 19073- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business DSEB•502(7-99) PART D Page 24 of v- ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 , DATE AMOUNT Full Name of Contributor .h10.: DAY: `'YEAR' $ 1,000.00 Robert Heckman 06 23 2021 Mailing Address MO•;Ci Y:i YEAR $ 143 Martin Ln City State Zip Code(Plus 4) `MO. :•DAY :YEAR:; $ Alexandria VA 22304- Employer Name Occupation RCH Associates Consultant Employer Mailing Address/Principal Place of Business 143 Martin Ln, Alexandria, VA 22304 Full Name of Contributor ;MO::: 'DW:°YEAR $ 400.00 Douglass C Henry 10 22 2021 Mailing Address :M0:''1:5AY7 YEAR'.: $ 327 Old Mill Rd City State Zip Code(Plus 4) 7I0.:,::.DAY...,;`YEAR:, $ Newmanstown PA 17073- Employer Name Occupation Douglass C Henry Dance Company President Employer Mailing Address/Principal Place of Business 327 Old Mill Rd, Newmanstown, PA 17073 Full Name of Contributor aAO,:: '17AY'1:;.Y,EAFta; $'500.00 Linda Holden 12 29 2021 Mailing Address =MO:`7DAY',"YEAR- $ 25240 Lake Shore Sq City State Zip Code(Plus 4) ':M0:'::DAY,."YEAR- S Chantilly VA 20152- Employer Name Occupation Self employed Author Employer Mailing Address/Principal Place of Business 25240 Lake Shore Sq, Chantilly, VA 20152 Full Name of Contributor iVld':;'.DAY::?'EARRe; $ 1,000.00 Warren S Hudak, Jr. 12 22 2021 Mailing Address •'MO• sDAY"•.'.:YEAR:` $ P.O. Box 336 City State Zip Code(Plus 4) .MO•:i. DAY7 YEAR $ New Cumberland PA 17070- . Employer Name Occupation Hudak & Company President Employer Mailing Address/Principal Place of Business P.O. Box 336, New Cumberland, PA 17070 Full Name of Contributor MO:�7 '.-.AY, ,-AR': y 500.00 : _::D :YE Farah Jimenez 10 05 2021 • Mailing Address :.MO-2 l5PiV:YYEAR: $ 500.00 413 W Mermaid Ln 12 31 2021 City State Zip Code(Plus 4) -;MO:.°',DAY.', YE4147.: $ Philadelphia PA 19118- Employer Name Occupation Philadelphia Education Fund CEO Employer Mailing AddresslPrincipal Place of Business 413 W Mermaid Ln, Philadelphia, PA 19118 OSEB•502(7-99) PART D Page 33 of 58 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor ':MOB`.;DAY: YEAR' Louis A Esposito 12 14 2021 25,000.00 Mailing Address 1001 S 9th St MQ :DgY YEARc $ City State Zip Code(Plus 4) '.,MO?i°DAY:`YEAR $ Philadelphia PA 19147- Employer Name Occupation A. Esposito, Inc. Owner Employer Mailing Address/Principal Place of Business 1001 S 9th St, Philadelphia, PA 19147 Full Name of Contributor ":Ma:':'.'.DAY':iY..EAR' Sean M Feller 07 20 2021 $ 20,000.00 Mailing Address 'MO..` DAY'.i. EAAR= $ 301 Tresser Blvd 13th Floor City State Zip Code(Plus 4) 44-0:. ,DAlf:i:YEARs $ Stamford CT 06901- Employer Name Occupation Equinox Partners Executive Employer Mailing Address/Principal Place of Business 623 5th Ave, Suite 2701, New York, NY 10022 Full Name of Contributor '•Md. ::DAY:`..":YEAR:.' 500.00 Michael G Fessler 12 15 2021 $ Mailing Address :;.'Mc. ;DAIr`• YEAR'. $ 280 Rhoda Dr City State Zip Code(Plus 4) MO; _'DAY YEAR;: $ Lancaster _ PA 17601- Employer Name Occupation UGI Utilities Executive Employer Mailing Address/Principal Place of Business 225 Morgantown Rd, Reading, PA 19611 Full Name of Contributor ,.MO: qii41: _YEAR,. Robert Flood, III 06 17 2021 $ 500.00 Mailing Address •:•Md: ,DAY :::SEAR'. $ 1348 Hideaway Cir City • State Zip Code(Plus 4) 'MO".: Dicki(f REAR. $ Fort Washington PA 19034- Employer Name Occupation Self employed Insurance Employer Mailing Address/Principal Place of Business 1348 Hideaway Cir, Fort Washington, PA 19034 Full Name of Contributor "MQ;:;.DAY' -,"''' YEi4R"" L J Foley 11 21 2021 $ 500.00 Mailing Address MOi'.DAYS ?Ei4R 401 E Las Olas Blvd $ City State Zip Code(Plus 4) •MO:+;DAY :NEW Fort Lauderdale FL 33301- $ Employer Name Occupation _ Self employed Consultant Employer Mailing Address/Principal Place of Business 401 E Las 01as Blvd, Fort Lauderdale, FL 33301 DSEB•502(7-99) PART D Page 3 L of .13 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor AK Remo J Butera :MOB:° DAYr YEAR_ 5,000.00 09 28 2021 Mailing Address "MOP:'";DAY"+YEAR;' $ 112 Cambria Ct City State Zip Code(Plus 4) i tO:• DA1'; YEAR' $ Wayne PA 19087- Employer Name Occupation Self employed Attorney Employer Mailing Address/Principal Place of Business 12 S 12th St, Philadelphia, PA 19107 Full Name of Contributor =•MO';:"DAYZ`YEAR•; Alan W Butterbaugh 10 05 2021 1,000.00 Mailing Address .7M =DAYS i IEARF $ 50 Squire Gratz Rd City State Zip Code(Plus 4) ' MO: 'DAY i•t AR+ Wellsville PA 17365— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor IU10i 'DAY`�YEAR';i $ Robert Campbell 11 01 2021 500.00 Mailing Address MO: :DAY•''NEART 3380 W Oak St City State Zip Code(Plus 4) '1VIO.'DAY'::'YEAR Lebanon PA 17042- $ Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor 10,000.00 MOs? .DAY.,'£YFAR•i: $ Randall Cate 07 19 2021 Mailing Address 'MO.:_`DAY 'YEAR'; P.O. Box 8329 City State Zip Code(Plus 4) '%iVMO: fDgY•. »YEAR $ Horseshoe Bay TX 78657- Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor r'MO: 55AY ,:YEAR t Gordon G Chang 07 13 2021 $ 4,000.00 Mailing Address -.•MO:s WY::YEAR. 5 Tory Ct City State Zip Code(Plus 4) MO i`DAY'`.YEAi $ Bedminster NJ 07921- Employer Name Occupation Self employed • Author Employer Mailing Address/Principal Place of Business 5 Tory Ct, Bedminster, NJ 07921 DSea-502(7.99) • PART D Page 37 of 3'5 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor E7.707:71±713WIZ'f'-717,CA V. 500.00 Anne Marie Amundsen 10 01 2021 Mailing Address :Mo 1rifNaFc• lo,000.00 1142 S Pitt St 10 12 2021 City State Zip Code(Plus 4) 7N107! r.DAY71,-F.YEKII171 Carlisle PA 17013— Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor :MO 'DAY. 500.00 Arthur R Amundsen 09 26 2021 Mailing Address MO DAY. YEAR: 1142 S Pitt St City State Zip Code(Plus 4) 'MoCCZ,, Carlisle PA 17013— Employer Name Occupation Edward Jones Financial Advisor Employer Mailing Address/Principal Place of-Business 950 Walnut Bottom Rd, Suite 1, Carlisle, PA 17015 Full Name of Contributor WidYtAWYEAI $ 000.00 Brice D Arndt 08 26 2021 Mailing Address MO .;DAY,"YEAR' 83 Greenwood Cir City State Zip Code(Plus 4) M0. .-YEAR: ' $ Wormleysburg PA 17043— Employer Name Occupation Self employed Dentist Employer Mailing Address/Principal Place of Business 3975 Trindle Rd, Camp Hill, PA 17011 Full Name of Contributor .MO;7.,DAW 11(lEARI. 500.00 Joshua Atkins 12 31 2021 Mailing Address 7tint57:;bAik;'LWEAR 120 Spruce St City State Zip Code(Plus 4) ;;.M.Ori DAY 5‘75A*.. $ Philadelphia PA 19106— Employer Name Occupation University of Pennsylvania Physician Employer Mailing Address/Principal Place of Business 120 Spruce St, Philadelphia, PA 19106 Full Name of Contributor 5745.7a50 500.00 Geoffrey L Beauchamp 11 21 2021 Mailing Address • MO ::13X0 662 Marsten Green Ct City State Zip Code(Plus 4) :NW:, DAV • Ambler PA 19002— Employer Name Occupation Delaware Valley Municipal Management Assoc. General Counsel Employer Mailing Address/Principal Place of Business 719 Dresher Rd, Horsham, PA 19044 DSEE1-502(7.99) PART D Page 3g of 5 ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 'sfiil :-I.'DAY.• ;YEAR; Dale Whittenberger 07 06 2021 $ 1,000.00 Mailing Address 410,: :'DAYi:YEAR^ $ 1,000.00 5050 Applebutter Rd 12 13 2021 City State Zip Code(Plus 4) W.0 7'DAY3 F_YEAR%'i• S 1,000.00 Pipersville PA 18947— 12 31 2021 Employer Name Occupation Retired Employer Mailing Address/Principal Place of Business Full Name of Contributor .W0,; :DAY ft EAR.3 2,000.00 Todd M Witmer 09 17 2021 Mailing Address ...r O !<DAY,s'.YEAW-$ 750.00 1590 Silver Spring Rd 12 15 2021 City State Zip Code(Plus 4) :WIT bAY'';YEAR: $ Mount Joy PA 17552— Employer Name Occupation The Witmer Group Contractor Employer Mailing Address/Principal Place of Business 1003 Cornerstone Dr, Mount Joy, PA 17552 Full Name of Contributor .'MQ ;'DAY'.sYEAR':' Dale Yoder 12 31 2021 $ 1,000.00 Mailing Address MO:; DAY=::.YEAR; $ 1901 Marietta Ave City State Zip Code(Plus 4) 11,10 YEAR; $ Lancaster PA 17603— Employer Name Occupation Cornerstone Design Architect Employer Mailing Address/Principal Place of Business 1901 Marietta Ave, Lancaster, PA 17603 Full Name of Contributor `4&:;,•DAY tYEAR;: $ 500.00 Leroy S Zimmerman 10 05 2021 Mailing Address .Mb.: DAY` ii'ETAR-: $ P.O. Box 789 City State Zip Code(Plus4) .ME . ,;DAYS :YEAR•` $ Harrisburg PA 17108— Employer Name Occupation Eckert Seamans Attorney Employer Mailing Address/Principal Place of Business 213 Market St, Suite 800, Harrisburg, PA 17101 PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page,Section 3. $ 295,401.00 DSEB-502(7-99) PART E Page 3 of ,re OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received,interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. 0.00 DSEB-502(7.99) SCHEDULE II Page `f d of .18 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 Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 1: UNITEMIZEDxIN'KIND''EONTRl1 Uli . t, :( , ..r ..� - :,r,!--5r.: 7:P ,..-._.,. ....... ,. _�.. .:.,.:, _.:.:, �...,,.� ..TLQNS;RECEIVEQ':=�VALUOF'�$50.00 OR.LESS�:PR�CQNTRIBUT�,OR.,.. TOTAL for the Reporting Period pp. (1) $ 0.00 2���IN=KINDC- � �� -��._ - - - - / T - - - :.�-�•-- :r 1 _. . 0NTRIBUTIONS.,RE.GEIVes*tU' '" s.:::.` .�._.. _.. ...._�.,_ ,. ALUE?`Ol r :3001:.`TO' 2540'0'"FROMrPART F1 < ... ....e .a......_.v-...� ,. ��... ..r._..«..4�......� _,..StsL�'_.i... :..r\,.,.. x..Y:� Ne...._ :/��......... ............_... .... .....i.!F'........�.-.._1 TOTAL for the Reporting Period 1110. (2) $ 0.00 • IND;CONTRIB.UTION§ _ ':; :;:�- - _ :;�TOTAL for the Reporting Period O. (3) $ 1,693.42 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1,2, S 1,693.42 and 3;also enter on Page 1, Report Cover Page, Item F.) asE8.502(7-99) SCHEDULE II Page 2/) of $8 PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF$50.01 TO$250.00 Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 2. $ 0.00 • OSE13-5o2(7.99) SCHEDULE II Page LPL, of 50 PART G IN-KIND CONTRIBUTIONS RECEIVED- VALUE OVER$250.00 Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 DATE AMOUNT Full Name of Contributor 'MO 1;:DAt.'4.EiAEt. $ 500.00 Chris Burne 12 31 2021 Mailing Address iGl0D..OPT'-YEAR?; $ 1 N Chamberlain Ct City State Zip Code(Plus 4) ',MO`i bAY'?~YEAR .$ Gettysburg `PA , 17325- Employer Name of Contributor Occupation Self employed Consultant Employer Mailing Address/Principal Place of Business Description of Contribution 12 N Chamberlain Ct, Gettysburg, PA 17325 Food Full Name of Contributor INO '.D4l' 1'EAR: $ 1,193.42 Carla H Tomlinson 09 16 2021 Mailing Address MO ;:DAY" ;YEAR;` 1596 Turkey Trot Rd City State Zip Code(Plus 4) :711;l10: "DAY:':YEAR% $ Jamison PA 18929- Employer Name of Contributor Occupation Self employed Pharmacist Employer Mailing Address/Principal Place of Business Description of Contribution 1596 Turket Trot Rd, Jamison, PA 18929 Fundraising event Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 3. $ 1,693.42 DSEB-502(7-99) O SCHEDULE III Page 3 of �d STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid ;aVIQ::ti.D.06 c'YEARs Amount John Storey 12 06 2021 $ 2,000.00 Mailing Address Description of Expenditure 5 Campbell P1 Consulting City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid `MO:!?fibAY' YEAR Amount Anedot 12 07 2021 �$ 0.62 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ".:-MCC::DAY.i f'YEARs. Amount Anedot 12 08 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid _'_Ni0''s?,'DAY'; :YEARS Amount Haas Printing 12 08 2021 $ 901.00 Mailing Address Description of Expenditure 1000 Hummel Ave Printing City State Zip Code(Plus 4) Lemoyne _PA 17043- To Whom Paid `.MO ;DAY:.:YEAR`S Amount Anedot 12 09 2021 $ 24.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ::11;t0: DAY:•'YEAR' Amount Postmaster 12 10 2021 $ 290.00 Mailing Address Description of Expenditure Federal Square Station Walnut and 2nd St., 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid + fiitil:.DAY :'YEAR" Amount Anedot 12 13 2021 $ 64.90 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid MOtj iDi41w'7:YEARK Amount Postmaster 12 13 2021 �$ 73.00 Mailing Address Description of Expenditure Federal Square Station Walnut and 2nd St., 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid ;MO:'.';:DAY.i 'YEAR Amount Anedot 12 19 2021 $ 2.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- DSEB-50Z(7-99) SCHEDULE III Page 4'1 of 3 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid ;MO`-":::DAY`; rYEARt Amount Round 4, LLC 09 08 I2021J$ 150.00 Mailing Address ' Description o Expenditure 701 Alberta Ave Website City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid ':;Mb i;;DAY? YEAi`2°i Amount Anedot 09 12 2021 $ 5.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City _ State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid :OK*9iDAl7s ',YEAR. Amount Alan Krug 09 13 2021 $ 503.50 Mailing Address Description of Expenditure 229 McBath St Reimbursement City ` State Zip Code(Plus 4) State College PA 16801- To Whom Paid ;:Md.;`DAY'.4,YEAE Amount Haas Printing 09 13 2021 $ 795.00 Mailing Address Description of Expenditure 1000 Hummel Ave Stickers City State Zip Code(Plus 4) Lemoyne PA 17043- To Whom Paid .-15I0:;°'{DA#:-YE:ki Amount Postmaster 09 13 2021 $ 11.60 Mailing Address Description of Expenditure Federal Square Station Walnut and 2nd St., 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid Mb:.:iAAY `;S!EAl2': Amount Anedot 09 15 2021 $ 0.34 Mailing Address Description o Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom PaidM06:`ltiDAX...YEAR'', Amount Haas Printing 09 15 2021 S 345.00 Mailing Address Description of Expenditure 1000 Hummel Ave Shirts City State Zip Code(Pius 4) Lemoyne PA 17043- To Whom Paid .:Mar',_.RAY'tYEAR' Amount Anedot 09 17 2021S 8.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid fMd ''DAY::.`.YEAR i Amount Debbie Keys 09 21 2021 $ 175.83 Mailing Address Description of Expenditure 3 Devonshire Reimbursement • City ' State Zip Code(Plus 4) Mechanicsburg PA 17050- DSEB.602(7-99) SCHEDULE III Page 115' of .3'g STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid ;:IVIO DAY .11EA1171 Amount Lori Baker Pizzarro Design Department 07 06 2021 $ 250.00 Mailing Address Description of Expenditure P.O. Box 480 Design City - State Zip Code(Plus 4) Mechanicsburg PA 17055- To Whom Paid NO) flDAY;iNal7fl< Amount Megan Ruf 07 06 2021 $ 660.00 Mailing Address Description of Expenditure 6452 Lincoln Ct Design City State Zip Code(Pius 4) East Petersburg PA 17520- To Whom Paid :cMO,?'DAY'>^YEAR? Amount Postmaster 07 06 2021j$ 11.00 Mailing Address Description of Expenditure Federal Square Station Walnut and 2nd St., 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid ;MO =`DAY :`;NEAR: Amount Triscari 07 06 2021 $ 2,650.00 Mailing Address Description of Expenditure 59 Central Blvd Photography City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid :MOa: •IDAYt.Y:EAkL Amount Anedot 07 07 2021 $ 10.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ?MO':!.EA* •:YEAR.. Amount Capitol Support Service 07 07 2021 $ 98.89 Mailing Address Description of Expenditure P.O. Box 953 Printing City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid 'MO:':aDAY:i:YEAR.: Amount PNC Bank 07 08 2021 $ 319.63 Mailing Address Description of Expenditure 110 S 32nd St Printing City State - Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid `.MO::';`:DAY,•,.:YEAR:' Amount Anedot 07 12 2021 $ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid :;MO}',..iiT Y;: YEPiR Amount Republican Party of Pennsylvania 07 12 2021 $ 2,500.00 Mailing Address Description of Expenditure 112 State St Contribution City State Zip Code(Plus 4) Harrisburg PA 17101- D5E8-502(7-99) SCHEDULE III Page ye, of 3 8 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid !.MQ:'::DAY''EYEAR Amount Anedot 10 05 2021 s 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee _ City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid :IVIOrit,V,bkei LYEAR_t Amount Lebanon County Republican Committee 10 05 2021 $ 125.00 Mailing Address Description of Expenditure 21 S 9th St Ad City State Zip Code(Plus 4) Lebanon PA 17042- To Whom Paid =:Md;'_' DAY?iAYEAk.1 Amount Montgomery County Republican Committee ' - 10 05 2021 S 125.00 Mailing Address Description of Expenditure 860 Penllyn Blue Bell Pk Suite 240 Ad City State Zip Code(Plus 4) Blue Bell PA _ 19422- To Whom Paid ':IiltiZ tiZ fiiW:YEAR'': Amount Perry County Republican Committee 10 05 2021 $ 150.00 Mailing Address Description of Expenditure P.O. Box 303 Ad City State Zip Code(Plus 4) New Bloomfield PA , 17068-- To Whom Paid i':MO' i'DAYt:';;YEAR'. Amount Republican Party of Luzerne County 10 05 2021 $ 250.00 Mailing Address Description of Expenditure 212 Wyoming Ave Ad City State Zip Code(Plus 4) Kingston PA 18704- To Whom Paid MO::`.DAY:'_YEAR, Amount Lawrence County Republican Committee 10 06 2021 $ 100.00 Mailing Address Description of Expenditure P.O. Box 7333 Ad City State Zip Code(Pius 4) New Castle PA 16107- To Whom Paid aMb:i.:i:bAY:?YEAR; Amount The Country Club of Harrisburg 10 07 2021 $ 1,649.48 Mailing Address Description of Expenditure 401 Fishing Creek Valley Rd Fundraising event City State Zip Code(Plus 4) Harrisburg PA 17112- To Whom Paid _MO t i`:YEAR+ Amount Haas Printing 10 13 2021 S 1,319.40 Mailing Address Description of Expenditure 1000 Hummel Ave Printing City State Zip Code(Plus 4) Lemoyne PA 17043- To Whom Paid MO.E;;DAYS.'YEAR:. Amount Haas Printing 10 13 2021 $ 2,284.15 Mailing Address Description of Expenditure 1000 Hummel Ave Shirts City State Zip Code(Plus 4) Lemoyne PA 17043— DSE0-602(7-99) • SCHEDULE III Page 11 I of 3ro STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid 'M0 NiP8:Tit-AR! Amount Anedot 11 24 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State - Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid 4/10:::AAY7'r'EAFU Amount Anedot 11 26 2021 s 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— T _�.. .. o Whom Paid 'MO:;'DAYS•:AYEAR:! Amount Haas Printing 11 26 2021 $ 837.40 , Mailing Address Description o Expenditure 1000 Hummel Ave Printing City State Zlp Code(Plus 4) Lemoyne PA 17093- To Whom Paid 'MO:'f(DAY'':YEAR: Amount Anedot 11 30 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112— To Whom Paid TAW°bAX:'`leAtf_13 Amount DTR Consulting 12 02 2021J5 1,000.00 Mailing Address Description of Expenditure 210 Kelker St Professional services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid 'r'IU105 i.OAY-; nYEAR• Amount Mentzer Media 12 02 2021 $ 40,520.00 Mailing Address Description of Expen iture 601 Thirteenth St, NW Suite 450N Media buy City State Zip Code(Plus 4) Washington DC 1 20005- To Whom Paid ,;,NMO i f DAY.''YEAR. Amount Round 4, LLC 12 02 2021 $ 346.23 Mailing Address Description of Expenditure 701 Alberta Ave Website City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid :t MOs: i DAYS' :YEAR: Amount Anedot 12 03 2021 $ 4.30 Mailing Address ' Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid 7Mdi:ZAW_"YEAR: Amount Anedot 12 06 2021 $ 50.60 Mailing Address - Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— DSEB-502(7-99J SCHEDULE III Page �Pi of 516 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid MOB`.DAY;:.YEAR:; Amount DTR Consulting 11 01 20211$ 1,000.00 Mailing Address Description of Expenditure 210 Kelker St Professional services City State Zip Code(Plus 4) _ Harrisburg PA , 17102— To Whom Paid =11110f 'D'AY. .'YEAR Amount Round 4, LLC 11 01 2021J$ 121.23 Mailing Address Description of Expenditure 701 Alberta Ave Website City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid ilNikli r'DAY`:',-"YEARi Amount Anedot 11 02 2021 $ 10.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ,it5.:_i tiAY;;NEAR'," Amount Haas Printing 11 02 2021I$ 1,780.80 Mailing Address Description of Expen iture 1000 Hummel Ave Stickers City State Zip Code(Plus 4) Lemoyne PA 17043— To Whom Paid '_MOci:OM::YEAR�': Amount Anedot 11 03 2021 is 10.30 Mailing Address Description o Expenditure 1340 Poydras Street Suite 1770 _Service fee City ' State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid `,IVIO i,DAY YEAR.• Amount Mentzer Media 11 04 2021 $ 29,740.00 Mailing Address Description of Expenditure 601 Thirteenth St, NW Suite 450N Media buy City State Zip Code(Plus 4) Washington DC 20005— To Whom Paid .,1V401, ;DAY' :`YEAR Amount Anedot . 11 09 2021 $ 14.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) ' New Orleans LA 70112— To Whom Paid .Tr?Io ;tiDAY1"`YEAR' Amount Anedot 11 10 2021 $ 10.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid .;46);:DAY;::•YEAR' Amount Anedot 11 11 2021 $ 3.40 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— DSEB-502(7-99) SCHEDULE III Page of of ✓e3 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid ;MO; 'DAYi~.YEAR;--Amount Anedot 12 15 2021 $ 40.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid 4 T:i'::DA1'i.7:??.E.:Arl Amount Lawrence County Republican Committee 12 � 16 20211$ 100.00 Mailing Address Description of Expenditure P.O. Box 7333 Ad City State Zip Code(Plus 4) New Castle PA 16107— To Whom Paid "11A0:':.DAY;FY1=A10. Amount Anedot 12 17 2021 $ 10.88 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid ':'MQ1.DAY :•YEAR Amount Bank of America 12 17 2021 $ 481.16 Mailing Address Description of Expenditure P.O. Box 17237 Transportation City State Zip Code(Plus 4) - Wilmington DE 19886— • To Whom Paid i:.MQii:=DAYi'iYEAKti Amount Haas Printing 12 17 2021 $ 1,003.75 Mailing Address Description of Expenditure 1000 Hummel Ave Shirts City State Zip Code(Pius 4) Lemoyne PA 17043— To Whom Paid :.MO:' MAY '-YENR= Amount John Storey 12 17 2021 $ 2,000.00 Mailing Address Description of Expen iture 5 Campbell P1 Consulting City State Zip Code(Plus 4) Camp Hill PA 17011— To Whom Paid `;MO.i l'iDAY: :YEAR Amount Anedot 12 20 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid ;LMOi :DAY NEAR Amount Haas Printing 12 22 2021 $ 2, 135.90 Mailing Address Description of Expenditure 1000 Hummel Ave Printing City State Zip Code(Plus 4) Lemoyne PA 17043- To Whom Paid :ilViC0 WAY!;:YEAR:: Amount Anedot 12 27 2021 Mailing• Address $ 110.60 Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) ‘New Orleans LA 70112- OSEB.502(7-99) SCHEDULE [II Page Sc) of , 9 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid _;IteiO .bAY0' YEARN Amount Kennett Square Golf Club 08 11 2021 $ 500.00 Mailing Address Description of Expenditure 100 E Locust Ln Deposit City State Zip Code(Plus 4) Kennett Square PA 19348- To Whom Paid :'rMi].. (!DAY!: ;YEARS Amount Anedot 08 19 2021 $ 14.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid :::MO`.:�:1:fia;YEAR Amount Anedot 08 20 2021 $ 10.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ::6/10'`LDAY •:YEAR:; Amount Anedot 08 23 2021 $ 44.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid HMO:';a:JAY=;::YEAR"- Amount Anedot 08 26 2021 $ 40.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112- To Whom Paid HMO:;,•TDAY i'WEAikt Amount Anedot 08 31 2021 $ 24.60 Mailing Address ' Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State " Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid MO`.` AA't';.YEAR i Amount Haas Printing 08 31 2021 $ 1,849.70 Mailing Address Description of expenditure 1000 Hummel Ave Printing City State Zip Code(Pius 4) Lemoyne PA 17043- To Whom Paid :.:MO: .bA.'t ?:YEAR Amount DTR Consulting 09 01 2021 $ 1,000.00 4 Mailing Address Description of Expenditure 210 Kelker St Professional services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid 4M0_,D`AY`:.=YE4R`i Amount Round 4, LLC 09 02 2021 $ 75.00 Mailing Address Description of Expenditure 701 Alberta Ave website City stoic Zip Code(Plum 4) Mechanicsburg PA 17050- 05EB-502(7-99) SCHEDULE III Page 51 of 5& STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid `MQ;?c.`DAY= ..YEAR•^ Amount Anedot 06 25 2021 1 201.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid RAM Ptrki 7 Y,EAf:i Amount Anedot 06 28 2021 �$ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ;MCS:.)>11:5AY5 .YE4R'' Amount Rally at the Rock 06 28 2021J$ 250.00 Mailing Address Description of Expenditure P.O. Box 599 Registration fee City State - Zip Code(Plus 4) Wysox PA 18854- To Whom Paid :;M0i3'10A1' ;WEAR' Amount Anedot 06 29 2021 $ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid °:lvi aDAY'::YEAR: Amount Anedot 07 01 2021 $ 90.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ::MM 7 DAY' YEAR.'' Amount Anedot 07 02 2021 $ 20.30 Mailing Address Description of-Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112- To Whom Paid :'MO:;Zi5a..i;:YEAR' Amount Capitol Support Service 07 06 2021 $ 66.33 Mailing Address Description of Expenditure P.O. Box 953 Printing City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid ;.`MO.z;DAYS=YEAR^ Amount CPITECH 07 06 2021 is 585.65 Mailing Address Description o Expenditure 3212 Pike St Office supplies City State Zip Code(Plus 4) Harrisburg PA 17111- To Whom Paid ;-qM0:1 ir..tiA:YEARfJ Amount Haas Printing 07 06 2021 $ 848.00 Mailing Address Description of Expenditure 1000 Hummel Ave Printing City State Zip Code(Plus 4) Lemoyne PA 17043- OSEa-502(7.99) SCHEDULE III Page �� of ft • STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid t Mo i_DAY' '.XEAK:, Amount Anedot • 10 14 2021 $ 2.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid c r,.r.-._..,..,..,..., '..M0.�1..DAY,:-*EA. Amount Friends of Josh Parsons 10 15 2021 $ 150.00 Mailing Address ' Description of Expenditure P.O. Box 2487 Contribution City State Zip Code(Plus 4) Lancaster PA 17608- To Whom Paid 74V10, `:bAYi 7:YEAR Amount Anedot 10 16 2021 S 40.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid .:MO:.'!DAY 'fYEARt Amount Kennett Square Golf Club 10 18 2021 $ 580.50 Mailing Address Description of Expenditure 100 E Locust Ln Fundraising event City State Zip Code(Pius 4) Kennett Square PA 19348— To Whom Paid rdMii2Y.DAY`I:_YEAR;' Amount Postmaster 10 19 2021 $ 11.60 Mailing Address Description of Expenditure Federal Square Station Walnut and 2nd St., 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108— To Whom Paid MOr DAK q:EAR'+ Amount Anedot 10 21 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid *fiAO::_°DAXt''FEAR+i Amount Anedot 10 26 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid Ala':=ODAY °,'YEAR- Amount Anedot 10 27 2021 $ 44.60 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112— To Whom Paid Tim a::,: DAY i;YEAR' Amount • Anedot 11 01 2021 $ 203.00 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- OSEa•592(7-99) SCHEDULE III Page of 5 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid 1 MO `'•.t7AY_::;YEAR' Amount Union County Republican Committee 09 21 t2021I$ 100.00 Mailing Address Description of Expenditure P.O. Box 588 Contribution City State Zip Code(Plus 4) Lewisburg PA 17837- To Whom Paid :MOz ;DAY I YEAR1 Amount Anedot 09 22 2021 � u 2.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112- To Whom Paid AVW aDA?.T.YEAR;; Amount Postmaster 09 22 2021 $ 290.00 Mailing Address .Description of Expenditure Federal Square Station Walnut and 2nd St. , 1st Floor Postage City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid "MOs i7DAr`_YEARi Amount Pocono Prayer Leadership 09 28 2021 ,$ 25.00 Mailing Address Description of Expenditure P.O. Box 822 Ticket City State Zip Code(Plus 4) Saylorsburg PA 18353- To Whom Paid :;M-0 i_`.DAY'I`:YEAR:? Amount Anedot 10 01 2021 MailingAddress 20.30 Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid r:MO ; `DAY.;i YEAR;; Amount DTR Consulting 10 02 2021 1,000.00 Mailing Address Description of Expenditure 210 Relker St Professional services City State Zip Code(Pius 4) Harrisburg PA 17102- To Whom Paid " "" MQ� �DiAY 'YEfiR:' Amount Huntingdon County Republican Committee 10 02 2021 $ 100.00 Mailing Address Description o Expenditure 15726 Mefford Rd Contribution City State • Zip Code(Plus 4) East Waterford PA 17021- To Whom Paid P:Mb;'iDAYa%YEAR; Amount Round 4, LLC 10 02 2021 $ 60.00 Mailing Address Description o Expenditure 701 Alberta Ave Website City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid ::*Oi ';DF.1Y ?_YEAR; Amount Anedot 10 04 2021 $ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- OSEB-502(7-99) SCHEDULE III Page pt/ of ! STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid ":NIO' !'0'/W5N-E'Arkli Amount Anedot 11 16 2021 $ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid _:MO:',.;DAY:i.YEAR:; Amount Mentzer Media 11 17 2021I$ 29,740.00 Mailing Address Description of Expenditure 601 Thirteenth St, NW Suite 450N Media buy City State Zip Code(Plus 4) Washington DC 20005- To Whom Paid ':40:'`•%DAY aE/ tf. Amount Anedot 11 18 2021 $ 12.90 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112- To Whom Paid iMO::;:'DAY+'Yi=;4R': Amount Anedot 11 21 2021 $ 69.20 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112-• To Whom Paid MO a:i:bAY. :YEAR; Amount Bank of America 11 21 2021 $ 481.16 Mailing Address Description of Expert iture P.O. Box 17237 Transportation City State Zip Code(Pius 4) Wilmington _ DE 19886- To Whom Paid MO;;DAYS YEAR:. Amount John Storey 11 21 12021 $ 2,000.00 Mailing Address Description o Expenditure 5 Campbell P1 Consulting City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid 4l107,. ;.DAY.�Y,EfCFt32 Amount Anedot 11 22 2021 $ 4.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- ,To Whom Paid .MO:::'[?AY'a•YF_Att.: Amount Triscari 11 22 2021 $ 159.00 Mailing Address Description of Expenditure 59 Central Blvd Production City State - Zip Code(Pius 4) Camp Hil]. PA 17011- To Whom Paid :.MO',DAY':l'EAR` Amount Anedot 11 23 ,2021 $ 50.64 Mailing Address Description of Expenditure 1390 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- DSEa-502(7-99) SCHEDULE Ill Page 5 of ✓"v STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid Livid.S'.'DAY !.:YEAR: Amount Stoneshill Production 07 12 2021 $ 18,000.00 Mailing Address -Description of Expenditure 3810 Buck Tail Ln Production City State Zip Code(Plus 4) Lithia FL 33547- To Whom Paid '''MO:'.JDAY;;'YEAR; Amount Anedot 07 13 2021 $ 40.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City - State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid '.;MO Ii t':, !YEAFV. Amount Anedot 07 14 2021 S 42.20 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA , 70112- To Whom Paid :MNIO `DAY ,YEAR': Amount Haas Printing 07 14 2021 $ 275.60 Mailing Address Description of Expenditure 1000 Hummel Ave Stickers _ City State Zip Code(Plus 4) Lemoyne PA 17043- To Whom Paid MO:; DA1(;;tYEAE; Amount Anedot 07 19 2021 S 400.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid IVIO:':`;DAY:WEAR. Amount , Capitol Support Service 07 21 2021 $ 197.78 Mailing Address ' Description of Expenditure P.O. Box 953 Printing City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid -MQ`.i IDAY Y.EAR:i Amount Haas Printing 07 27 2021 $ 1,266.70 Mailing Address Description of Expenditure 1000 Hummel Ave Stickers City State Zip Code(Plus 4) Lemoyne PA 17043- To Whom Paid :`iMO: DAY ':YEARN Amount DTR Consulting 08 04 2021 S 2,000.00 Mailing Address Description of Expenditure 210 Kelker St Professional services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid •':Mdi: WAX'Iii`e_EA°R; Amount Haas Printing 08 04 2021 $ 1,102.04 Mailing Address Description of Expenditure 1000 Hummel Ave Printing City State Zip Code(Plus 4) Lemoyne IPA 17043- • DSE9.502(7-99) SCHEDULE III Page fit! of ,G STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid 1Vi0: ;DAYS;YEAR<< Amount Anedot 06 17 2021 $ 101.80 Mailing Address 'Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid i N10: DAY: �'E/iR: Amount Anedot 06 18 2021 $ 93.20 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112- To Whom Paid !:MO'w i-DAY1 :YEAR: Amount Anedot 06 19 2021 $ 40.30 • Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid ;aM6i%,DAY':i::Y.E1 R-ti Amount Anedot 06 21 2021 �$ 10.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid '-Mifil aDAY_'::YEAR' Amount Doug Rickards 06 22 2021 $ 173.00 Mailing Address Description of Expenditure 210 Kelker St Reimbursement City State Zip Code(Plus 4) 'Harrisburg PA 17102- To Whom Paid "I ia]L'D4ff.1;:YEARN Amount Round 4, LLC 06 22 2021 $ 2,020.00 • Mailing Address Description of Expenditure 701 Alberta Ave Website City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid .;MO.: .:;DAY.; -YEAR,J Amount Triscari 06 22 2021 $ 795.00 Mailing Address Description of Expenditure 59 Central Blvd _ Photography City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid ":r)IO dike!:NEAit Amount Anedot 06 23 2021 $ 281.20 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid zIiiiCkliDAI!! YEAR< Amount Anedot 06 24 2021 $ 20.30 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Pius 4) New Orleans LA 70112-- OSES-502(7-99) SCHEDULE III Page _l'9 of 5.8 STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 To Whom Paid 4:W1 s Dgl7a nYEAR::' Amount Anedot 12 28 2021 $ 28.90 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid lV c :DAY`'_,YEAR' Amount Anedot 12 29 2021 $ 79.10 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- To Whom Paid f MO::qDAY, 7iYEAW Amount Anedot 12 31 2021 $ 567.80 Mailing Address Description of Expenditure 1340 Poydras Street Suite 1770 Service fee City State Zip Code(Plus 4) New Orleans LA 70112- Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE 'REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. 167,577.29 • OSEB-502(7-99) SCHEDULE IV Page 5d of ,S$ STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of Filing Committee or Candidate Reporting Period Charlie for Governor From 6/11/2021 To 12/31/2021 Name of Creditor Outstanding Balance of Debt Charles Gerow !$ $25,000.00 Mailing Address DATE �--MOk ::DAY :YEAR'1 " ••s-�ti;; 4725 Charles Rd i;.�'= ,�r:` City INCBU REc) 06 24 2021 •: s '.,.'4,y+. :• State Zip Code(Plus 4) '' � '•_1:'- '"f'`t-..':'',t Mechanicsburg " ''�''•' Description of Debt Loan Name of Creditor Outstanding Balance of Debt Charles Gerow MailingAddress A $ $10,OQQ.00 4725 CharlesDEB hi. r.DAX :Y.EiARfJ:: :- :;: ,:,. Rd INC rE9111Pr. 12 31 2021 ' .... .-,. _ .._City State Zip Code(Plus 4) ..4 ,' ' LnMechanicsburg A 17050— ' " 7!.,-..:L Description of Debt Loan Name of Creditor Outstanding Balance of Debt Charles Gerow Mailing Address $ $50,000.00 DATE �.SMO.�,=.DAY:_YEAR• r:a .. •!. .•=�'�' 4725 Charles Rd INCBU REq 12 31 ,2t)21 .: �;t%` ,''.'. " °`'`•-6.•"i City State Zip Code(Plus 4) . ?' -`':+,• :" ,; Mechanicsburg �PA 17050- ^+.'}..?„.1 . .,;..,5:I.,:� ,`..;, •�4. s �-•_.•1:�..:n�s',:��.•....ram ._. Description of Debt Loan PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. s 85,000.00 • DSEa-502(7-99)