HomeMy WebLinkAboutCitizens for Hertzler and Rovegno - 2015 2nd Friday Pre-Primary �I IIII Reset Form 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 I Candidate ❑ CommitteeIX-1
Lobbyist
Number (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Citizens for Hertzler and Rovegno
Street Address P.O.Box 8
City Enola State PA Zip Code 17025
Type of Report(Place x under report type)
1-6`" Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5_Ind 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) 05/19/2015 2015 Report ❑ Report ❑
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
01/01/2015 os/oa/zols
A.Amount Brought Forward From Last Report $ 0
B.Total Monetary Contributions and Receipts $ 12,691.61 -
(From Schedule 1)
C.Total Funds available $ -
(Sum of Lines A and B) 12,691.61 _
D.Total Expenditures $ 6,815.24
(From Schedule III)
E.Ending Cash Balance $ 5,876.37 -
(Subtract Line D from Line C)F.Value of In-Kind Contributions Received $
(From Schedule II) 0
G.Unpaid Debts and Obligations $ 0 ,
(From Schedule IV)
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 true,correct and complete.
Sworn to and subscribed before me this
y day of 2 NWEALTH F PENN YLV
ff
NOT' SEAL L-sSi nature of Person Submitting ria
ato rL&t. Christopher A.G Notary Public 1C �YIaL
Signature East snnsb0ro Twp. Cum bedand Coun Printed Name
on ' si0n E Tres Sept 4,2018 q
My Commission expires M S VAN A A330 IATION 0 NOTARI 90Q -cc L�
MO. DAY YR. Area Code IJ 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 vi aced 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� II I q kj`'�,Ueyr+u
`JC 1 Z/�2.tt'gn�J nd�.'JG�iQ /< Gcc
r �oVBy.Vcr7
Nxnaturqj Printed Name
COMMDRWEALIH OP PENNSYLVNM
SEA-
BETHANY MZARULVVY YR. Area Code Daytime Telephone Number
Notary Public
LE BORO:.CUMBERLAND CNTY
My Commission Expires Oct
SCHEDULE
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
15
2.Contributions o 50.01 to $250.00 From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $ 175
Total for the reporting period (2) $ 175
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 500
All Other Contributions(Part D) $ 12,000
Total for the reporting period (3) $
12,500
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $ 1.61
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
Cover Page,Item B) 12,691-61
PART A
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.
Filer Identification Number
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
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.)
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
Jeff Fox 01/27/2015 75
House# Street Address Date[MM/DD/YYYY] $
59 Drexel Place
City State Zip Code Date[MM/DD/YYYY] $
New Cumbeddnd PA 17070
Full Name of Contributor Date[MM/DD/YYYY] $
Matthew Franchak 05/04/2015 100
LC,ou # Street Address Date[MM/DD/YYYY] $
t7 Logans Run
State Zip Code Date[MM/DD/YYYY] $
Eiiola PA 17025
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
city State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date IMM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
LHouse# Street Address Date[MM/DD/YYYY] $
State Zip Code Date[MM/DD/YYYY] $
F�
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.
Filer Identification Number:
Full Name of Date[MM/DD/YYYY] $
Contributing Committee Greater Harrisburg Association of Realtors 05/01/2015 500
House# Street Address Date[MM/DD/YYYY] $
424 North Enola Drive,Suite 1
City State Zip Code Date[MM/DD/YYYY] $
Enola PA 17025
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
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 Q
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
Richard Rovegno 5,00001/14/2015
17carl"Ie
Street Address Date[MM/DD/YYYY] $
112 Spring Farm Circle S'000
04/16/2015State Zip Code Date[MM/DD/YYYY] $
PA 17015
Employer Name Self Employed Occupation eusinessman
Employer Mailing Address/ 401 East Louther Street,Carlisle,PA 17013
Principal Place of Business
Full Name of Contributor Date[MM/DD/YY1'Y] $
James Hertzler2,000
04/16/2015
Ll
Street Address Date[MM/DD/YYYY] $
920 South Homer Street
ip Code Date[MM/DD/YYYY] $
17025
Cumberland County Occupation County Commissioner
g Address/ 1 Courthouse Square,Room 200,Carlisle,PA 17013
f Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
city State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
PART E
Other Receipts
REFUNDS, INTREST INCOME, RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number:
Full Name Americhoice Federal Credit Union
House# 2175 Street Address I Rumble Bee Hollow Road
CityZip Date[MM/DD/YYYY] $
17F
Mechanicsburg Code 17055 01/31/2015 0.25
Receipt Description
Interest Income
Full Name Americhoice Federal Credit Union
House# 2175 Street Address Bumble Bee Hollow Road
city State Zip Date[MM/DD/YYYYJ $
Mechanicsburg PA Code 17055 02/28/2015 0.38
Receipt Description
Interest Income
Full Name Americhoice Federal Credit Union
House# 2175 Street Address Bumble Bee Hallow Road
CityState Zip Date[MM/DD/YYYY] $
Mechanicsburg pq Code 17055 0.42
03/31/2015
Receipt Description
Interest Income
Full Name Americhoice Federal Credit Union
House# 2175 Street Address Rumble Bee Hollow Road
City State Zip Date[MM/DD/Y" $
Mechanicsburg PA Code 17055 04/30/2015 0.56
Receipt Description
Interest Income
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
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Filer Identification Number:
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1, Report Cover Page,Item F)
r
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
7C ",#
Street Address Date[MM/DD/YYYY] $
State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
city State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
House If Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business Of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
lHoule# Street Address Date[MM/DD/YYYY]State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
To Whom Paid Date[MM/DD/YYYY] $
Americhoice Federal Credit Union 02/03/2015 24.2
House# Street Address Bumble Bee Hollow Road Description of Expenditure
2175
City State Zip
Mechanicsburg PA Code 17055 hecks
To Whom Paid Date[Millil WY] $
Key Legal Video 150
02/03/15
House# 904 Burr Avenue Street Address Description of Expenditure
City Carlisle State PA Code 17013 Video Recording and Production
To Whom Paid Date[MM/DD/YYYY] $
Konhaus Marketing 04/02/2015 774.39
House#1
3544 Gettysburg Road Street Address Description of Expenditure
City State Zip
Camp Hill PA 17011 Letterhead and Envelopes
Code
To Whom Paid Date[MM/DD/YYYY] $
Cumberland County Democratic Committee 204
04/02/2015
House# 46 W.Lauther Street Street Address Description of Expenditure
City State Zip
Carlisle PA Code 17013 Votebuilder Access
To Whom Paid Date[MM/DD/YYYY] $
Konhaus Marketing 933.7
04/14/2015
House# 3544 Gettysburg Road Street Address Description of Expenditure
City State Zip
camp rlw PA Code you Flyers
To Whom Paid Date[MM/DD/YYYY] $
Cumberland County Democratic Committee300
04/14/2015
L
Street Address Description of Expenditure
West Louther Street
State Zip PA Code 17013 Pring Dinner Advertisement
To Whom Paid Date[MM/DD/YYYY] $
Shearer Advertising 05/01/2015 4,425.95
IL
Street Address Desaiption of Expenditure
East Louther Street
StateZipYard Si ns
PA Code 17013 B
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
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 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# Street Address DATE DEBT INCURRED $
[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# Street Address DATE DEBT INCURRED $
[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# Street Address DATE DEB-INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt