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Home My WebLink AboutHolbert, Sally - 2015 2nd Friday Pre-Primary III III 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 Candidate �/ Committee Lobbyist Number (r, X) ['XNI Name of Filing Committee,Candidate or Lobbyist Sally B.Holbert Street Address 424 Wert Main Street City Mechanicsbrug State PA Zip Code 17055 Type of Report(Place x under report type) 1-611 Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2"d 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 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 04/14/15S/y Ups A.Amount Brought Forward From Last Report $ 0.00 B.Total Monetary Contributions and Receipts $ (From Schedule 1) 525 C.Total Funds Available $ 525 rr¢ ti (Sum of Lines A and B) fV D.Total Expenditures $ �/ 38 :-• c.b (From Schedule III) E.Ending Cash Balance $ (Subtract Line D from Line C) F.Value of In-Kind Contributions Received $ c W (From Schedule 11) 'I GJ G.Unpaid Debts and Obligations $ (From Schedule IV) Q D O 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. • Sw&n ,,nd subscr bed before me this dayof 20V Sig a �f3 of Person S j I repory L.J97 -fS -f-•i r,` i atu Printed Name MY COMMON111i OF PENNSYLVANIA �-7 _5Y47 S e1�/ C 7 / BETHAN ALZAiOy YR. Area Code Daytime Telephone Number Pa 1-If t NIliLMM00R(B @ANDOMMed C mittee,candidate shall sign here. Isw ar(or p(�i ypAiEkPiteiKloV RpM6laUge an belief this political committee has not violated any provisions of the Act of lune 3,1937(P.L.1333,NO.320)as am 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 a� 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) $ 125 .Contributions o $50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ 400 Total for the reporting period (2) $ aoo 3.Contributions Over$250.00(From Part C and Part D) • Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0 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) • r i 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] Hank Johnson 04/21/2015 150 House p Street Address Date[MM/DD/YYYY] $ 425 Devon Road City Camp Hill PA state Zip Code Date[MM/DD/YYYY] $ 17011 Full Name of Contributor Date(MM/DD/YYYY] Sally B.Holbert 04/28/2015 150 House N Street Address Date(Mill $ 424 West Main Street City state Zip Code Date[MM/DD/YYYY] $ Merl PA 17055 150 Full Name of Contributor Date(MM/DD/YYYY] $ House t! Street Address Date[MM/DD/YYYY] 0 Cry State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House ti Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House N Street Address Date[MM/DD/YYYY] City state Zip Code Date[MM/DD/YYYY] Full Name of Contributor Date[MM/DD/YYYY] $ House A Street Address Date[MM/DD/YYYY] $ city state Zip Code Date[MM/DD/YM] SCHEDULE III Statement of Expenditures Filer Iden#lotion Number: 7o Whom Paid Date[MM/DD/YYYY) Staples 90.09 House# Street Address Description of Expenditure Camp Hill City Camp Hill State ZIPde ost Cards and Business Cards To Whom Paid Date[MM/DD/YYYY] $ Capital Promotions-Signs 303.36 4/22/2015 House# 4908 treet Address Alpinls Ct,Ste 102 Description of Expenditure City Raleigh State NC Ze 27616 signs To Whom Paid Date[MM/DD/YYYY]S Staples online 1�'/ House# Street Address Description of Expenditure ,540- Liyn�S city State Tip Code To Whom Paid Date[MM/DD/YYYY] $ Giant Food 4/26/2015 8.16 House# Street Address Trindle Road Description of Expenditure Gly Camp Hill State PA Cie 17011 Drinks and Fruit Refreshments To Whom Paid Date[MM/DD/YYYY) House# Street Address Description of Expenditure City State Zip Code • To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Z'IP Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure city State Zip Code To Whom Paid Date[MM/DD/YYYY) 1 $ House# Street Address Description of Expenditure CityState Zip Code