HomeMy WebLinkAboutCamp Hill Republican Committee - 2022 2nd Friday Pre-Primary fifPennsylvania Department of State
Bureau of Campaign Finance&Lobbying Disclosure
500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Reports
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements in lieu
of full reports (form DSEB-503), Non-Bid Contract Reporting Form (DSEB-504) and Independent
Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each
report or statement the corresponding version of this form signed by the required individual(s).
This particular form is to be used only for Campaign Finance Reports. This form must be signed
by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
6t1,44,p 41/ ithtiC'an i au -
Reporting Cycle Name
0 Cycle 1 ® Cycle 2 0 Cycle 3 ❑ Cycle 4 ❑ Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
❑ Cycle 6 0 Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election
Part I-If this form is submitted with a Committee report, the treasurer must sign here. If
this form is submitted with a Candidate report, the candidate must sign here. If this report
is submitted with a report by a contributing lobbyist, the lobbyist must sign here.
I declare under penalty of , • '. , nder the law of the Commonwealth of Pennsylvania
tha - = compan '- : Campaig inance Report' e and correct.
0 Slq2,0 Lgti
Signar - •f Treasurer, Can.•'ate, or Li •byist Date (MM/DD/YYYY)
J (-e, Mtilt)-(1- --• A-.
Printed Na'%e Loca ion (City/ C n r
t Y/ tate/ ou tY)
DSEB-502R
Updated 1/5/2022
1 Reset Form f Print Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
IFiler identification Report Filed By Candidate Committee Lobbyist
Number (Mari;X) •
I X
Name of Filing Committee;Candidate or
Lobbyist Camp Hit GOP Committee
Street Address P.O.Box 224
City. Camp Hill State PA ZIP Code 17011
{ Type of Report(Place x under report type)
1-6th Tuesday 2--2"d Friday 3-30 Day Post 4-6111 Tuesday 5-.2i1 Friday 6-30 Day Post 7-Annual Special 2' Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election • Pre-Election Post-Election.
Date Of Election Year • Amendment Termination
(MM/DD/YYYY) Report Report 11
Summary.of Receipts and From Date To Date For Office Use Only
Expenditures
1/1/2022 5/2/2022
A.Amount Brought Forward From Last Report $ 299.17
B.Total Monetary Contributions and Receipts $
(From Schedule I) 3,818.29
nt
C.Total Funds Available $ t
(Sum of lines A and B) 4,117.46 t 23 i'P " •C
/-D.Total Expenditures $ r--- i
(From Schedule Ill), 0 a-1
E.Ending Cash Balance $ t: "U
(Subtract Line D from Line C) 4,117.46 ( 'S
cp
F.Value of In-Kind Contributions Received $
1,925
(From Schedule II) ?
G.Unpaid Debts and Obligations $ .C'
(From Schedule IV) • 2,860.96
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief . `....complete.
Sworn to and subscribed before me this
day of 20 I /
ignature of Person .ml . eport
Juli owery Young
Signature r Printed Name
•
My Commission expires 717 579-9199
MO. DAY YR. Area Code Daytime Telephone Number
Part II-if this is a report of a Candidate's Authorized Committee,candidate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended.
Sworn to and subscribed before me this
•
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code •Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Flier Identification Number
Camp Hill GOP Committee
1t(Th!temlied Con-tributions.and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
337.90
2.Contributions of$50.01 to $250.00!From
Pact A and Part B)
Contributions Received from Political Committees(Part A) $
0.00
All Other Contributions(Part B) $
992.49
Total for the reporting period (2) $ 993.49
3.Contributions Over$250.00(From Part C and Part 0)
Contributions Received from Political Committees(Part C) $
500.00
All Other Contributions(Part D) $ 1,986.90
Total for the reporting period (3) $
2,486.90
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
3,818.29
Cover Page,Item B)
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
flier Identiliatton Number.
Camp Hil GOP Committee
Full Name of Contributor Date(MM/DD/TYyy] $
Jennifer Sarff 03/242022 100.00
Nouse# Street Address Date(MM/OD/YYYY] $
City State Zip Code Date IMM/DD/YYYY] $
Full Name of Contributor Date(MM/DD/YYYY] $
David&Vicki Werner • 03/24/2022 100.00
Mouse# Street Address pate IMM/DD/YYYY)., $
City State Zip Code Date(MM/DD/YYYY] $•
F ll Name of Contributor Date(MM/DD/YYYYJ' $
Scott&Betsy Gaynor 03/24/2022 100.00
H4 t! Street Address bate(MM/DD/YYYYI $
City State Zip Cade Date IMM/DD/YYYY] • $
full Name of Contributor. Date(MM/DD/YYYY] $
Richard&Michele Skinner 03/24/2022 100.00
House# Street Address Date(MM/DD/YYYY] $
City State. Zip Code Date IMM/DD/YYYY] $
Full Name of Contributor Date IMM/DD/YYYY] $A
J.Scott Massie 100.00
03/24/2022•
Hauss I Street Address Date(MM/DD/YYYY] $
AtY Stab Zip Code Date(MM/DD/YYYY] $
Full Name of Contributor Date tMM/DD/YYYY] $
Julie Young 03/24/2022 100.00
House I Street Address Date{MMIOD/YYYYI $
City State Zip Code Date(MM/OD/YYM $
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Flier identification Number:
• Camp Hil GOP Committee
Full Name of Contributor Date(MM/DD/YYYV. $
Rich&Alison Guerin 03/24/2022 100.00
House p ' Street Address Date(MM/DD/YYYYj $„
City State Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor Date(MMJDD/YYYY) $
House N Street Address Date(MMIDD/YYYY) $
City State Zip Code Date(MM/DD/YYYY) $
Full Nee of Contributor Date(MM/OD/YYYYJ $
House p. Street Address 'Date(MM/DD/YYYYJ 4
City • State Zip Code Date jMM/DD/YYYYj ,$
Full Naive of Contributor -Date(MM/DD/YYYY) . $
House A Street Address Date(MM/DD/YYYYJ $
city 'State• :Zip COde Date(MM/DD/YYYY) $
Full Name of Contributor Data(MM/DD/YYYrj.' $
House N Street Address Date(MM/DD/YYYYI $
city State Zip YY Code. Date(MM/DD/YY) $
-Fell Name of Contributor Date(MM/DD/YYYY( $
Haase l Street Address Date(MM/DD/YYYY1 $
State Zip Code Date(MM/DD/YYYY) $
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
Ftier ldentIRptton Number:
Camp Hil GOP Committee
Full Name of Date IMM/DD/YYYYJ $•
Contr1buting'Committee Friends of Greg Rothman 04/25/2022 500.00
House N Street Address Date(MMIDD/YYYYJ $
P.O Box 1471
City State' Zlp.Code Date(MM/DD/YYYYJ $
Camp Hill PA i., 17011
Full Name of Date(MM/DD/YYYffJ $
Contributing Committee
House I Street Address Date IMM/DD/YYYYJ. $
City State Zip Code Date(MM/DD/YYYY) $
r ,
full Name of Date JMM/DD/YYYYJ $
Contributing Committee
House p- Street Address Date{MM/DD/YYYYJ. $
City State Zip Code Date(MM/DDJYYYY) 3
Full Name of Date(MM/DDMYYj $
Contributing Committee
House N Street Address Date[MM/DD/YYYYJ
City State Zip Code Date IMM/DDJYYY'YJ "$
full Name of Date IMM/DD/YYYYJ $
Contributing Cottunittee
House N Street Address Date IMM/DDJYYY11 $
City State Zip Code Date(MM/DD/YYYYJ
Full Name af. • Date IMM/DD/YY,YYJ $
Contributing Committee
House f! Street Address bate(MM/DD/YYYYJ $
City -. State Zip'Code Date JMM/DD/YYYYJ $
PART D
All Other Contributions
Over$250.00
Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
FilerldeMtfagon Number:
• Camp Hil GOP Committee
Full Name of ContMWrtot Date LMM/DD/YYVYJ $
Greg Rothman 500.00
03/24/2022
House I Street Address bate(MM/D/YY:,YY), $
City State Zip Code ,pate(MM/DD/YYYY) .` $.
Employer Name •dccupaiion
•
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date(MM/DD/YYYY)
Mark Toigo 03/24/2022 " 486.90
House I Street Address Date[MNf/DDMYYYI $
State Zip Code Date[MM/DD/YYYY,). $2
Employer Name _ Occupation
Employer Melting Address/ -
Principal Plane of Business
full Name.of Contributor Date[MM/DO/YYYY) $
Robert&Kelly Shuster 500.00
03/24/2022
House 1i . Street Address bate[MM/DD/YYYY) $
City State Zip Code. Date(MM/DD/YYYY) $
Employee Name Occupation
Employer Mailing Address/
Principal Piece of Business
uil Name of Contributor. . Date(MM/DD/YY,YN). : $
Rick&Liz Jordan 03/24/2022 500.00
House,tl Street Address Date(MM/DD/YYYYJ,. . $
_aCty•y State Zip Code Oate(MM/DD/YVYY4
Naune Occupation
Employer MallingAddress
Principal Place of Business
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Her Identification Number.
Camp Hil GOP Committee
, 1..; UNITEMIZED IN KINO,CONTR,BUTIONS RECEIVEp VALUE OF_$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
2.., -IN,KIND.CONTRIBUTIONS RECEIVED-VALUE OF$50.G1 to$250.00(fftOM PART F) ' - . •
TOTAL for the reporting period (2) $
3. INKIND CONTRIBUTION RECEIVED-VALUE OVER$25O.O01FROM PART G)
TOTAL for the reporting period (3) $
1.925.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Report Cover Page,Item F) 1.925.00
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
.Filer identl ication Number.
Camp Hil GOP Committee
Full Name of Contributor -Date(MM/OD/YYY1ff $'
. Matthew Flinchbaugh $1,575.00
03/2412022
,House ii Street Address •Date[MM/OD/YYYY] $
1833 • Hummel Ave 350.00
04/26/2022
City 'State Zip Code Date.[MM/OD/YYYYJ•
$
Camp Hill • ~•• PA -• 17011
Employer Name - • Flinchy's Restaurant Occupation Owner
'Employer Mailing Address/'Prindpal Description
Place of Business 1833 Hummel Ave,Camp Hill,PA 17011 of food
Contribution
Full Name of Contributor '.Dati MN DD/YYYYr- • $
House I Street Address Date•tMM/b.D/Y ry,: $
City State' Zip Code Date'(MM/OO/YVW1 .f, $
r F
Employer Name , • Occupation
Employer Melting Ad&Tress/Principal 'Description -
Place of liuslness: of
•
Contribution
Full Name of Contributor Date(MM/DD/YYYYI $.
Hasse M Street Address Date1MM/DD/YYYY3 • 6-
Ckv. State Zip Code 'Date(MM/DD/YYYY] $
Employer Name -.Occupation
Employer Mailing Address/Principal Description'
Place of Business of
.Contributfon
FuU Name of Contributor ,Date(MM/DDIYYYYJ $
Howe* Street Address Date(MM/DD/YYYY) ' . $
City - State 2lp Cbde" Date(MM/DD/YYYYj_ . $
,Employer.Neale • •Occupation.
fmplayer Malting Address/Principal Description
Place of Business of
Contribution
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Fier identification Number
• Camp Hil GOP Committee
.Name of Creditor , Red Maverick Outstanding Balance of Debt
House* Street Addtts`s ' DATE DEBT INCURRED •$
1426 • N.3rd Street (MM/DD/YYYY; •
10/21/2019
City Vp Harrisburg State" PA Code 17102 2860.96
Description of Debt -
• Election material 2019
'Name of Creditor Outstanding Balance of Debt
• David Buell
House N Street Address '.DATE DEBT INCURRED $
'NW/DO/Mil
•
City State Zip:
Code
Des ton of Debt
.Name of Creditor - • - Outstanding Balance of Debt
House it Stet Address DATE DEBT INCURRED S.
(MM/DO!VYYY]
City . . - State Zip
Code .
Desciptionof Debt
Name of Credits Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
(MM/OD/YYYY;
City State, Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
Hot+se g Street Address DATE DEBT INCURRED` $
IMM/DD/YYY111
,C ty . - State Zip
. ° ' Code- '
"Description of Debt j
Name of Creditor - Outstanding Balance of Debt
House it Street Address BATE DEBt INCURRED'
(MtMt/DD/MrY1t1 •
city _ state :Z -
Code
Description of Debt