HomeMy WebLinkAboutCommittee to Elect Rodney Wagner - 2015 2nd Friday Pre-Primary 119 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 (Mark X)
Name of Filing Committee,Candidate or
Committee to Elect Rodney Wagner
Lobbyist
Street Address 185 Pine School Road
City Gardners State PA Zip Code 17324
Type of Report(Place x under report type)
1-Ed, Tuesday 2- 2nd Friday 3-30 Day Post 4.6th Tuesday S-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
❑ ❑x ❑ ❑ ❑ ❑ , ❑ ❑ ❑
Date Of Election Year Amendment', Termination
(MM/DD/YYYY) 05/19/2015 2015 Report ❑ Report ❑
Summary of Receipts and From Date To Dater For Office Use Only
Expenditures
01/30/2015 os/oa/zols
A.Amount Brought Forward From Last Report $ 0
B.Total Monetary Contributions and Receipts $ 1,500
(From Schedule 1)
C.Total Funds Available $
(Sum of Lines A and B) 1,500
D.Total Expenditures $ 1,194.62
(From Schedule III)
E.Ending Cash Balance $ 305.38
(Subtract Line D from Line C) .:.0
F.Value of In-Kind Contributions Received =h'; $
(From Schedule 11) 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 (/J� �
day of 20 1 ��-x j�Le-e-
Ir
Signature of Person Subm'Wag report
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Printed Name
yCommissioNOIA LSEAL
BETHANY SALfMYLID DAY R. Area Code Daytime Telephone Kumber
Notary Public
Pa s e #uthori d committee,candidate shall sign here.
swe a and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
e
Sworn to and subscribed before me this
iYp i
day of 20�_
O Signaa�ture of Cte
ur C Voted Name
^^y AVtVfBF pENNSYLVAIBA— ,/ / �(� 6
NOTARIAL Area Code Daytime Telephone Number
BETHANY SALZARULO
CARLISLE BORO:,CUMBERLAND CHTY
EMy Commlaslon Expires Oct Z,2017
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) $
0
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) $ 0
Total for the reporting period (2) $
0
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 0
All Other Contributions(Part D) $ 1,500
Total for the reporting period (3) $
1,500
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(Addand $
enter amount totals from Boxes 1,2,3 and 4,also enter this amount on Page 1,Repart
Cover Page,Item B) 1,500
PART D
All Other Contributions
Over$250.00
Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
Filer Identification Number:.
Full Name of Contributor Date[MM/DD/YYYY]___.$f-.
Jennifer L Cole 500
03/23/2015
House Street Address =.Date[MM/DD/YYYY) $
185 Pine School Rd
city State Zip Code Date[MMJDO/YYYY] $
Gardners PA 17324
Employer Name N/A Occupation N/A
Employer Mailing Address J
Principal Place of Business N/A
Full Name of Contributor Date[MM/DD/YYYY] $'
Mary Jane Wagner 3/23/2015 1,000
House# Street Address .Date[MM/DD/YYYY] -$
.209 Linda Drive
city I State Zip Code - - Date[MM/DD/YYYY] $
Mechanicsburg PA 17055
Employer Name N/A Occupation Retired
Employer Mailing Address J
Principal Place of Business N/A
Full Name of Contributor -Date[MMJDO/YYYY]'*;<. $.
House# Street Address Date[MM/DDJYYYY] $.'.
City .State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address J
Principal Place of Business
Full Name of Contributor 'Date[MM/DD/YYYY] $
F
Street Address Date[MM/DD/YYYYJ $
- State Zip Code Date[MM/DD/YYYY]. $
Occupationddress/usiness
I SCHEDULE 111
Statement of Expenditures
Filer Identification Number:
To Whom Paid Date.[MM/DD/YYYY] $
Red Maverick Media,LLC 1,794.62
04/27/2015
House#. 403 Street Address North Second Street FI2 Description of Expenditure
City.. State- Zip
Harrisburg PA COde 17101 Ayers
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 Zip
City P
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) $.
House If Street Address Description of Expenditure
City 'State Zip
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] $
House# Street Address Description of Expenditure
City State Zip
Code
To.Whom Paid <:. Date[MM/DD/YYYY] I $:.
House# Street Address .Description of Expenditure
City "State Zip
Code