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Home My WebLink AboutBloom for the 199th - 2015 2nd Friday Pre-Election-SPECIAL PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report 178966 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Report CANDIDATE COMMITTEE LOBBYIST Filer Identification 2010108 P '� Number: Filed By : Name of Filing Committee, Candidate or Lobbyist: BLOOM, STEPHEN FOR THE 199TH COM Street Address: 2100 LONG GAP ROAD City: CARLISLE State: PA Zip Code: 17013-8651 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT Yes No REPORT PRE-PRIMARY PRE-PRIMARY; POST-PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY 30"DAY 6. TERMINATION Yes No (place x to PRE-ELECTION PREELECTION POST-ELECTION REPORT? the right of report type) ANNUAL REPORT 7. Year 2015 FILING METHOD. PAPER DISKETTE (. )CHECK ONE. • • • District Office Party Code County Name of Office Sought by Candidate: number Code Code MO DAY 11 YEAR REP 8 4 2015 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY. YEAR . MO DAY YEAR FOR OFFICE USE ONLY. Expenditures from: 1 1 2015 TO 7 20 2015 A.Amount Brought Forward From Last Report $ 24,696.98 B.Total Monetary Contributions And Receipts (From Schedule I) $ 7,250.00 C.Total Funds Available(Sum Of Lines A and B) $ 31,946.98 D.Total Expenditures (From Schedule III) $ 4,312.45 E. Ending Cash Balance(Subtract Line D From Line C) 27,634.53 F.Value Of In-Kind Contributions Received (From Schedule II) 0,00 G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 AFFIDAVIT • PART I-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 filed on paper or by electronic medium,are a best of my knowled nd belief,true correct and complete. Sworn to an subscribed before me this _ signature&Person Sday of 'u �ittinpg/R[eport �/ et 9MONWEALTH KNNSYL /� Printed Na e 1O� Si nature My Commission Expires Notarial Seal Publi,c� Emai �Q MO DAY Cad1518�0,Cumberland Got Area Cotle Daytime Telephone Number Part II-If this is a report of a candidate's au here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any p ov' an o t of lune 3,1937(P.L.1333, No 320)as amended. Sworn to and subscribed before me Sbis Signature of Candidate �j day of /I 20 IU '0 M0 pp '1Printed Name I Signature - �O�lf+��-l't."'i��MN \. �.oM M Commission Expires p��WFALTH OF PENNSYLV��EmailOF PFNNSYLV��Email Cull See`...Public —-7 O 1 — Lh MO p IEEE, .,1 S Area Code Daytime Telephone Number IINS , MEMBER,pENNS'LVAN 7/23/2015 11:54:44 AM PAGE 2 SCHEDULEI CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 To: 7/20/2015 1.Unitemized Contributions Received-$90.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 0.00 2.Contributions Received- $50.01 To$250.00(From Part A.and Part B) Contributions Received From Political Committees (Part A) $ 250.00 All Other Contributions (Part B) $ 250.00 TOTAL for the Reporting Period (2) $ 500.00 3.Contributions Received Over$250.00(From Part C and Part D) Contributions Received From Political Committees(Part C) $ 6,450.00 All Other Contributions (Part D) $ 300.00 TOTAL for the Reporting Period (3) $ 6,750.00 4.Other Receipts, Refunds,.Interest Earned,Returned Checks, Etc..(From Part E) TOTAL for the Reporting Period (4) $ 0.00 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 Pagel, Report Cover Page,Item B.) $ 7,250.00 7/23/2015 11:54:44 AM PAGE 3 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. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 To: 7/20/2015 DATE AMOUNT Full Name of Contributing Committee GEISINGER HEALTH PAC INC -.MO DAY YEAR Mailing Address 409 N 2ND ST, STE 500 $ 250.00 Cih' HARRISBURG State Zip Code (Plus 4) 4 13 2015 PA 17101-1357 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 250.00 7/23/2015 11:54:44 AM PAGE 4 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 BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 TO: 7/20/2015 DATE AMOUNT Full Name of Contributor Lance Stange, Jr MO DAY YEAR. Mailing Address 117 Arnold Ave $ 250.00 Cih' Scranton State Zip Code(Plus 4) 3 6 2015 PA 18505 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 250.00 7/23/2015 11:54:44 AM PAGE 5 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 from Over $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 To: 7/20/2015 DATE AMOUNT Full Name of Contributing Committee MO DAY. YEAR BIKERS PAC (BIKEPAC) Mailing Address P O BOX 564 $ 300.00 CityMECHANICSBURG State Zip Code(Plus 4) 2 26 2015 PA 170550000 Full Name of Contributing Committee MO. DAY YEAR. PPL PEOPLE FOR GOOD GOVT(PPLPGG) Mailing Address 2 N 9TH STREET $ 300.00 C'h' ALLENTOWN State Zip Code(Plus 4) 2 26 2015 PA 18101-0000 Full Name of Contributing Committee MO DAY< . YEAR PENN NAT INS/INSERVCO INS SERV PAC Mailing Address TWO NORTH SECOND ST $ 300.00 City HARRISBURG State Zip Code(Plus 4) 2 26 2015 PA 171010000 Full Name of Contributing Committee MO DAY YEAR.. PA BANKERS PUB AFFAIRS (PABPAC) Mailing Address 3897 N FRONT ST $ 300.00 City HARRISBURG State Zip Code(Plus 4) 2 26 2015 PA 171100000 Full Name of Contributing Committee MO 'DAY YEAR CHESAPEAKE ENERGY CORPORATION FED PAC Mailing Address PO BOX 18496 $ 300.00 City OKLAHOMA CITY State Zip Code(Plus 4) 2 26 2015 OK 73154-0496 7/23/2015 11:54:44 AM PAGE 6 Full Name of Contributing Committee MO DAY YEAR PA RURAL ENTERPRISE PAC Mailing Address 164 PAVILLION DR $ 300.00 Cir/ RIDGWAY state Zip Code (Plus 4) 2 26 2015 PA 158530000 Full Name of Contributing Committee MO DAY YEAR PA CHAMBER OF BUSINESS &INDUSTRY Mailing Address 1 COMMERCE SQ, 417 WALNUT ST $ 300.00 city HARRISBURG State Zip Code(Plus 4) 2 26 2015 PA 171010000 Full Name of Contributing Committee 'MO DAYYEAR PA RESTAURANT&LODGING PAC Mailing Address 100 STATE ST $ 300.00 C'ri HARRISBURG State Zip Code(Plus 4) 2 26 2015 PA 171011034 Full Name of Contributing Committee MO DAY YEAR ENERGY TRANSFER EMPLOYEE MANAGEMENT COMPANY PAC Mailing Address 400 W 15TH ST, STE 720 $ 300.00 City AUSTIN state Zip Code (Plus 4) 2 26 2015 TX 78701-1661 Full Name of Contributing Committee MO DAY YEAR UGI CORPORATION STATE PAC Mailing Address 2525 N 11TH ST $ 300.00 City READING state Zip Code(Plus 4) 2 26 2015 PA 19612 Full Name of Contributing Committee MO DAY YEAR PA MEDICAL PAC (PAM PAC) Mailing Address P.O. BOX 8820 $ 300.00 City HARRISBURG State Zip Code(Plus 4) 2 26 2015 PA 171050000 7/23/2015 11:54:44 AM PAGE 7 Full Name of Contributing Committee MO DAY YEAR CREDIT UNION POL COM (CUPAC) Mailing Address 4309 N FRONT ST $ 300.00 CityHARRISBURG State Zip Code(Plus 4) 3 10 2015 PA 171060000 Full Name of Contributing Committee MO DAY YEAR PA COAL PAC Mailing Address 212 N 3RD ST STE 102 $ 300.00 City HARRISBURG State Zip Code(Plus 4) 3 10 2015 PA 171010000 Full Name of Contributing Committee MO DAY YEAR HIGHMARK PAC OF HIGHMARK INC Mailing Address 1800 CENTER ST 9 300.00 City CAMP HILL State Zip Code(Plus 4) 3 10 2015 PA 17089-0000 Full Name of Contributing Committee MO DAY YEAR PMA PAC(PA MANUFACTURERS ASSN) Mailing Address 225 STATE ST $ 300.00 CityHARRISBURG State Zip Code(Plus 4) 4 13 2015 PA 171010000 Full Name of Contributing Committee MO DAY YEAR EXELON CORP PAC Mailing Address 101 CONSTITUTION AVE, NW, STE 400 EAST $ 300.00 city WASHINGTON State Zip Code(Plus 4) 4 13 2015 DC 20001 Full Name of Contributing Committee MO DAY YEAR FOOD PAC(PA FOOD MERCHANTS ASSN) Mailing Address PO BOX 870 $ 300.00 Cit' CAMP HILL State F17 de(Plus 4) 4 13 2015 PA 0000 7/23/2015 11:54:44 AM PAGE 8 Full Name of Contributing Committee MO DAY YEAR Certified Public Accountants Political Action Committee Mailing Address 500 N 3rd Street, Suite 600A $ 300.00 City Harrisburg State Zip Code(Plus 4) 4 13 2015 PA 17101 Full Name of Contributing Committee MO DAY YEAR PANICHELLE 4 PA HOUSE Mailing Address PO BOX 214 $ 750.00 CityYOUNGSTO WN State Zip Code (Plus 4) 4 25 2015 PA 15696-0214 Full Name of Contributing Committee MO DAY YEAR. FIRSTENERGY PAC Mailing Address 76 S MAIN ST $ 300.00 Cih' AKRON State Zip Code (Plus 4) 4 25 2015 OH 443080000 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 6,450.00 7/23/2015 11:54:44 AM PAGE 9 PART D 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 BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 To: 7/20/2015 DATE AMOUNT Full Name of Contributor Donald J Ely Mo DAY YEAR Mailing PO BOX 765 Address $ 300.00 Cih' Sunbury State Zip Code (Plus 4) 3 6 2015 PA 17801 Employer Name N/A Occupation Retired Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business N/A N/A PA 17801 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 300.00 7/23/2015 11:54:44 AM PAGE 10 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. Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0.00 7/23/2015 11:54:44 AM PAGE 11 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 Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2015 To: 7/20/2015 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED -VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 0.00 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00 (FROM PART F) TOTAL for the Reporting Period (2) $ 0.00 3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reporting Period (3) $ 0.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter $ 0.00 amount totals from Boxes 1,2,and 3; also enter on Page 1, Reports Cover Page,Item F.) 7/23/2015 11:54:44 AM PAGE 12 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO .DAY YEAR Mailing Address $ 0.00 City State Zip Code (Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. $ 0.00 7/23/2015 11:54:44 AM PAGE 13 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MODAY. YEAR. Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer of Contributor Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution Business 4) Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 3. 0.00 7/23/2015 11:54:44 AM PAGE 14 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From 1/1/2015 To: 7/20/2015 DATE AMOUNT To Whom Paid CHS Choir Boosters MO DAY YEAR Mailing Address 220 Acre Drive 1 24 1 2015 $ 100.00 city Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17013 Advertising To Whom Paid CCRFW 'MO DAYYEAR Mailing Address 6 Todd Road 1 26 2015 $ 100.00 CityState Zip Code(Plus 4) Carlisle Description of Expenditure PA 17013 Advertising To Whom Paid MO DAY YEAR CCRFW Mailing Address 6 Todd Road 2 20 2015 $ 110.00 City State Zip Code(Plus 4) Carlisle Description of Expenditure PA 17013 Lincoln Day Event To Whom Paid MODAY YEAR Stock's on Second Mailing Address 211 N Second Street 2 23 2015 $ 449.50 city Harrisburg State Zip Code(Plus 4) Description of Expenditure PA 17101 Fundraising Event To Whom Paid '.MO DAY, YEAR DWK Consulting, Inc. Mailing Address 430 Franklin Church Road 2 23 2015 $ 1,167.95 city Dillsburg State Zip Code(Plus 4) Description of Expenditure PA 17019 Consulting 7/23/2015 11:54:44 AM PAGE 15 To Whom Paid Dennis Lebo MO 'DAY. YEAR Mailing Address 1 Courthouse Square, Room 205 5 18 2015 $ 85.00 City Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17013 Republican Luncheon To Whom Paid HRCC MO DAY' YEAR Mailing Address PO Box 11787 5 182015 5 100.00 city Harrisburg State Zip Code(Plus 4) Description of Expenditure PA 17108 Planning retreat To Whom Paid MO DAY r YEAR HRCC Mailing Address RD Box 11787 5 18 2015 $ 1,000.00 city Harrisburg State Zip Code(Plus 4) Description of Expenditure PA 17108 Sponsorship To Whom Paid MO DAY YEAR Newville Lions Club Mailing Address Shippensburg Road 6 3 2015 $ 100.00 city Newville State Zip Code(Plus 4) Description of Expenditure PA 17241 Program Ad To Whom Paid MO DAY- YEAR Friends of Greg Rothman Mailing Address PO Box 412 6 23 2015 $ 1,000.00 CityState Zip Code(Plus 4) HdrriSbUrg Description of Expenditure PA 17108 Donation To Whom Paid MO DAY YEAR ; RLF Memorial Golf Tournament Mailing Address 286 McAllister Church Road 7 14 2015 $ 100.00 city Carlisle State Zip Code(Plus 4) Description of Expenditure PA 17015 Sponsorship PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 4,312.45 7/23/2015 11:54:44 AM