HomeMy WebLinkAboutKutz for Lower Allen - 2022 2nd Friday Pre-Primary I Reset Form T__Print.Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or Lobbyist Kutz for Lower Allen
Street Address P.O.Box 3093
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2h6 Friday 6-30 Day Post 7-Annual Special 2fla Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
® r
[late Of Election Year Amendment Termination
(M M/DDIYYYY) Report Report
• i I
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
1/01/2022 5/2/2022 e`
A.Amount Brought Forward From Last Report S -'
7,917.64 .i
B.Total Monetary Contributions and Receipts S
(From Schedule I) 5.57
.
C.Total Funds Available S y
(Sum of Lines A and 8) 7,923.21
D.Total Expenditures S c D
(From Schedule III) 7,502 C,
E.Ending Cash Balance S
(Subtract Line D from Line C) a21.21 - ---
Commontvealtlqf Pennsylvania-Notary Seal
'T.Value of In-Kind Contributions Received S Alexandra M.Vaccaro,Notary Public
(From Schedule II) 0 Cumberland County
G.Unpaid Debts and Obligations S My commission expires July 17,2023
,(From Schedule IV) 7,120 Commission number 1351757
Affidavit Section Member, ennsy van a Association of Notaries
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribefore me this
• si_ZtM2oZ2
o ` � 1
tu I Signature of Person Submit wort
f.aUcer, v,U-t-z
Signature - I Printed Name
My Commission expires
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
O5 d y of 20 22 :dt
CCa a ( /
Signature Printed Name
•
My Commission expires 7/7 6' 12'-579/
MO. DAY YR. Area Code Daytime Telephone Number
Commonwealth of Pennsylvania-Notary Seal
Alexandra M.Vaccaro,Notary Public
Cumberland County
My commission expires July 17,2023
Commission number 1351757
Member,Pennsylvania Association of Notaries
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-8 50.00 or Less per Contributor
Total for the reporting period (1) S
5
2.Contributions of 150.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) 8
0
All Other Contributions(Part B) S
0
Total for the reporting period (2) . S
0
I3.Contributions Over 8 250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) S
0
All Other Contributions(Part D) 8
0
Total for the reporting period (3) 8
0
I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
I
Total for the reporting period (4) 8
0.57
Total Monetary Contributions and Receipts during this reporting period (Add and S
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
5.57
Cover Page,Item B)
PART E
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.
Her Identification Number:
Ft1N8m8 MEMBERS FIRST FCU
House# 5000 Street Address MARKETPLACE WAY
City State Zip Date[MM/DD/YYYY] $
ENOLA PA Code 17025 1/31/2022
0.34
Receipt Description INTEREST
full MEMBERS FIRST FCU
House# 5000 Street Address MARKETPLACE WAY
City State Zip Date[MM/DD/YYYYJ S
ENOLA PA Code 17025 0.23
2/28/2022
Receipt Description INTEREST
Full Name
House# Street Address
City Slate Zip •Date[MM/DD/YYYY] S
Code
Receipt Description
Full Name
House# 'Street Address
City State Zip Date[MM/DD/YYYYJ $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY]
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MMIDD/YYYY] $
Code
Receipt Description
SCHEDULE III '
• Statement of Expenditures
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lei"MECHANICSBURG 'Ei ^"cEl�`r.PA r 0` Bc» 17055 REPAYMENT OF LOAN
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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.
Filer Identification Number:
Name of Creditor THOMAS KUTZ Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED 8
3207A DUNLAP LN (MM/DD/YYYY]
1/7/2019
City MECHANICSBURG State PA Copde 17055 7,120
Description of Debt
LOAN TO CAMPAIGN
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
(MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
(MM/DD/YYYY)
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House if- Street Address DATE DEBTTNCURRED S
(MM/DD/YYYY]
City State Zip
Code
Description of Debt
•
Name of reditor •utstanding Balance of i ebt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt