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Home My WebLink AboutFriends of Judge Jessica Brewbaker - 2015 2nd Friday Pre-Primary 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 20150017 (Mark 1O17 n Name of Filing Committee,Candidate or Lobbyist Friends of Judge Jessica Brewbaker Street Address PO Box 444 City CaritsfePA tip Code 17013 Type of Report(Place x under report type) 1-6°i Tuesday 212'Fdday 3-30 Day Post 4-611,Tuesday 5-y'd Friday 6-30 Day Post 17-Annual Special Z" Friday Special 30 Day Pre-Primary Pt Primary Primary Pre-Election Pre-Election Election `Pre-Electlim Post-Election ❑ 1x ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Of Election Year r Amendment Termination (MM/DD/YYYY) 05/19/2015 2015 Report ❑ Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures 1/1/2015 5/4/2015 A-Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ Z7 a40 (From Schedule 1) C,Total Funds Available (Sum of Lines A and B) 27,840 f D.Total Expenditures $ ' t{0 - (From Schedule lll) 15,162.32 5` E.Ending Cash Balance (Subtract Line D from Line C) 12,677.68 4 1 F.Value of In-Kind Contributions Received $ a 3 - (From Schedule II) 1,250.01 G.Unpaid Debts and Obligations $ (From Schedule IV) 0 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 L1 day of M&A20_A 1 f p Persa s4bmitting report q ay-�] p Printed Nia'mee(� , My Commission ezp esS,�(Ly1 ( ��I(I �_�_ ., 6 —� Q MO. Dtt1 — yR. Area Code Daytime Telephone Number LTH OF PENNSYLVANIA Part II-If this is a report of a Candidate's uthortzed Co hall sign here I swear(or affirm)that to the best of my - =ee jkn p of violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. OUME11400 COUMTY MYCOMISSIOM EXPMES JAM t,fOtS Sworn to and subscribed before me this L� day of ( 20_� � l Signatur f[and'yfate JSig tore Printed Name _ My Commission expires a"^ 2,, 1-7 i q % 2 Z 7- S MO. DAY YR. Area Code Daytime Tele phone Number MMONWEALTH OF PENNSYLVANIA Notarial Seal James M. Robinson, Notary Public Carllsle Boro, Cumberland County M Commission Expires June 6, 2017 aexam¢rnaa»vaatn a ... SCNEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 201;0011 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) 1 $ 1,025 2.Contributions o $50.01 to $250.00 From PartA and Part B) Contributions Received from Political Committees(Part A) 5 loo All Other Contributions(Part B) $ 8 615 Total for the reporting period (2) $ 8,715 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 300 All Other Contributions(Part D) $ 17.800 Total for the reporting period (3) $ 18,100 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) 27,840 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. Flier identification Number 20]50017 Amount Full Name of Contributing 'Dat[MM(DD/YYYY} CommitteeStetter Government for PA 100 4/15/2015 House# Street Address - Date[MM/DD/YYYY} 813 Chambers St city —_ Statei Zip Code I Date[MM/DD/yYYY} $ Bressler PA 17113 Full Name of Contributing `Date[MM/DD/YYYY} $ Committee House# Street Address Dat[MM/DD/YYYY} $ City — - stat Zip code Date[MM(DD(YYYY} I Full Name of Contributing -Dat[MM(DD/YYYY} $ Committee House# Street Address Dat[MM/DD/YYYY} 5 City State Zip Code Date[MM(DD(YYYY] $ Full Name of Contributing Dat[MM(DD/YYYy} $ Committee House# Street Address Dat[MM/DD/YYYY] $ IV 1 State Zip Code Dat[MM/DD(YYYY]. $ Full Name of Contributing Date Imm/DD/YYYy} $ Committee House# street Address Dat.[MM/DD/YYYY} City stat Zip Code Dat[MM/DD/YYYY] $ Full Name of Contributing Dat[MM(DD/YYYY} $ Committee House# Street Address Date[MM/DD/YM] $ City stat Zip Code Dat[MM/DD/Y" $ 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.) Filertdentification Number. 20150017 Full Name of Contributor Date[MM/DD/YYYYI $ Karen Cochran 2/8/2015 250 House IStreet Address Date[MM/DD/YYYYI $ Hilltop Circle City _--..—_ 1.State Zip Code Date[MM/DD/YYYYI $ Mechanicsburg PA 17055 i Full Name of Contributor Date IMM/DD/YYYYI $ Morgan Plant&Associates 2/18(2015 250 House# Street Address Date[MM/DD/YYYYI $ 322 I. S West S[ I City -_ - State IIp Code Date[MM/DD/YYYYI $ Carlisle j PA 17013 Full Name of Contributor Date{MM/DD/YYYYI $ H 1 Sexton 7/22/2015 100 House# Street Address Date JMM/DD/YYYYI. $ 4 Michaux Oaks Rd 100 3/18/2015 City State ZIP Code Data[MM/DD/YYYYI Gardners PA 17324 4/16/2015 100 Full Name of Contributor Date.[MMJODJYYYYI - $ aarenne Gossert 2/23/2015 55 House# Street Address Date[MM/DD/WYYI $ 1515 Inverness Dr City State IIp Code Date[MM/DD/YYYYI $ Mechanicsburg I PA 17050 Full Name of Contributor Date[MM/DD/YYYYj $ Carole Alexy 100 2/23/2015 House# Street Address Date[MM/DD/YYYYI $ 322 SWest St City State Zip Code -Date[MMJDDJYYYYj $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYYI $ Kara Gendron 100 2/27/2015 House# Street Address Date[MM/DD/YYYYI $. 430 Marsh Run Road City State Zip Code Dam M D YYI New Cumberland PA 17070 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 0150017 Full Name of Contributor Date[MM/DD/YYYY]. $. Harvey Feldman 2/25/2015 100 House# Street Address Date[MM/DD/YYYYI, $ 5 Downing St City ! state Zip Code Data IMM/DD Carlisle i PA 17013 Full Name of Contributor r Data[MM/DD/YYYYI:: $ Stephen Tompkins 2/27/2015 175 House it Street Address Datr[MM/DD/YYYY} Quail Dr City 1 State Zip Code Date JMM/DD/YYYY) $ Cadisle � PA 17013 Full Name of Contributor Date[MM/DD/YYYY) $ Ellen Barry 3/1/2015 100 House# Street Address Data[MM/DD/YYRy) S ]0.1 Columbia Ave i City State Zip Code Date[MM/DD YY) $ Harrisburg PA 17109 Full Name of Contributor Date[MM/DD/YYYYI, $ Nancy 00wlton 3/4/2015 100 House# .Street Address Date.IMM/DD/YYYYI $ 110 E.yellow Breeches Road 4/9/2015 i 100 City (Carlisle PA State Tip Code I 17015 YYYDate.[MM/DD/Y ) $ Full Name of Contributor Date[MM/DD/YYYY) $ Dorothy Becker175 3/4/2075 � House# Street Address Date[MM/OD/YYYY) S aR Derbyshire Drive 4/9/201S 175 City State ZIP Code Date IMM/DD/YYYY) $ Carlisle PA 17015 Full Name of Contributor Date[MM/DD/YYYYI $ Peter Cktrowski 3/4/2015 100 House# Street Address Date[MM/DD/YYYY) $ 1213 Hillside Drive City State ZIpCode Date(MM D/YYYYI Cadisle PA _ 17013 PART 8 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: 20150017 Full Name of Contributor Date[MM/DD/YYYYj $ Susan Osuowski 3/4/2015 1 House# '.:Street AddressDate[MM/DD/YYYY: $.. L_>13 Hillside Drive I City _.......___.. State PA Zip-Code. 17013 Date[MM/DD/YYYY] $ Carlisle Full Name of Contributor Date[MM/DD/YYYYj. $ Donna Godfrey 3/8/2015 100 rHouse# ,Street Address 'Date[MMD: 1122 Fleetwood or I CitytStataPA 17013 Zip Code Date[MM/DD/YYYYJ. $ Carlisle Full Name of Contributor Date[MM/DD/YM[ $ Dia nc Slarr in 200 3/6/2015 House# .Street Address Daft(MM/DD/rIn"i $ 5204 Origh[on Lane City 1 State Zip Code Date MM. D Y[ - Enola Pa �. 17025 Full Name of Contributor Date[MM/DD/YYYY[. $ Walter Nickel 3/11/2015 2'0 House# .Street Address Date[MM/DD/YYYY[ $ 384 Lake Meade Or City East Berlin P4 17316 State Zip Code Date[MM/DD/YYYYI $ Full Name of CoMdbutor Dab(MM/OD/YYYY[ $. Henry Coyne 100 3/14/2015 House# 'Street Address Date[MM/DD/YYYY[ $ 110 FEL er Ln City StateZiP Code Date[MM/DD/YYYYj. LCLPill IPA 17011 Full Name of Contributor Date[MM/DD/YM[ $ Shaffer&Engle Law Offices LLC 250 3/16/2015 Hause# Street Address Date 1111,111,11/00/my] $ 512 Market St city state Zip Code Date[MM D/YYYY[ $ Nlillershurg PA 17061 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY) $ Austin Grogan 3/16/2015 .100 House# (Street Address "Date[MM/DD/YYYY] $ 0 � Brewster Court City state ZIP Code.. .:. Date[MM/DD/WM $ New Cumberland PA 17070 Full Name of Contributor `<Date[MM/DD/YYYY]. $ lames Buckley 3/17/2015 150 House# :,Street Address j Dato IMM/DD/YYYY] PO Box City State Tp Code Date[MM/DD/YYYYj. $ Carlisle � P4 � 17013 Full Name of Contributor Data[MM/DD/YYYY] $ Ann Hoffer 3/18/2015 100 House# Street Address Date[MM/DD/YYYY] $ 315 W.Willow Street City State Zip Code Date[MM/DD YYYY] Carlisle - PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Linda Pipp 3/20/2015 100 t House# Street Address r Date.[MM/DD/YYYY] - $ 309 Wellington Drive City State Zip code 17013 Date(MM/DD/YYYYj $ Carlisle PA Full Name of Contributor Daft[MM/DD/YYYYj $. Richard Mislitski100 3/20/2015 House# Street.Address Daft IMM/DD/YYYY( $ 722 Pine Rd City State 4 Coda Date(MM/DD/YYYY] $ Mt Holly Springs PA 17065 Full Name of Contributor 'Data(MM/DD/YYYY). William Kronenberg 250 3/20/2015 House# Street Address Date[MM/CD/YYYY] $ 605 Devonshire Dr City State Zip Code Date[MM/00 2adisle -PA 17013 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. 120150017 Full Name of Contributor Date[MM/DD/YYYY] $ William Bolen 3/23/2015 100 House# 'Street Address Date.[MM/DD/YYYYj $ 810 `Nellington Drive SO 3/31/2015 city state Zip Code Daft....[141M/DD/YYYY] $ Carlisle PA 17713 Full Name of Contributor Date[MM/DD/YYYYj $ Lisa Coyne 100 3/25/2015 House# Street Address Date IMM/DD/YYM $ 1618 W Lisburn Rd City - -._ I State Zip Code I-Date.[MM/DD/YYYY] $ Mechanicsburg PA 17055 f Full Name of Contributor - Date[MM/DD/YYYYI $ John Mancke 100 3/27/2015 I Mouse# Street.Address Data.IMM/DD/"] $ 1216 Fleetwood Cr 100 3/31/2015 city State Zip Code Date[MM D YYYY]. Carlisle PA 17013 Full Name ofDate(MM/DD/YYYYI $ 777 , Foster&Fields 3/27/2015 100 House# IStreet Add'. Date Fm /DD/YYYYj $ 831 Market 5t wty state Zip Code Date[MM/DD/YYYy] $ Lemoyne PA 17043 Full Name of Contributor Date.[MM/DO/YYYY] $ Judith McAllister Lou 3/28/2015 House If Street Address Date[MM/DD/YYYYI $ 210 Cumberland Rd city State ZIP Code Dab[MM/DO/. YY].. $ Lamovne PA 17043 Full Name of Contributor Date[MM/DD/YYYYI $' William Brown 3/30/2015 100 House# Street Address Date[MM/DD/YYYYI $ 34 Derbyshire Dr City State Zip Code Date[MM/DD/YYYYj. Carlisle - PA 17015 PART R 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: 0150017 Full Name of Contributor Date[MM/DD/YYYY[ $ 1-Imes Hughes 3/31/2015 250 House If (Street Address Date[MM/DD/YYYYj. $ 354 �', Aiecander Spring Rd Suite 1 � City State Zip Code Date[MM/DD/YYYYj $ Carlisle PA �. 17015 Full Name of Contributor Date[MM/DD/YYYY1 $ James Costopoulos 3/31/2015 100 House# ,Street Address - Data[MM D j 1 $ i5. Courthouse Ave,Suite 103 I City ' State Zip Code Date(MM/DD/YYYYj $ PA 17013 Full Name of Contributor `Date[MM/DD/YYYYj $ Jenn Spears Brenize 3/31/2015 100 Ho]Carlisle (Street Addre Date(MM/DD/YYYYI $ 132 Lawrence Lane �. CitState Zip Code Date[MM/DD/YYYYj.. PA 17015 Full Name of Contributor Date jMM/DD/YYYYj $ L.Bruce Abhouse III 4/1/2015 60 House# Street Address Date[MM/DD/PYYYj. .. $ 5263 Deerfield Ave city State Zip Code Date jMM/DD/YYYYj.: $ MechanicsburgPA 17050 Full Name of Contributor Date(MM/DD/YYYYj $ Suzanne Yenchko 100 4J1/2015 House If Street Address Date(MM/DD/YYYYj $ 13 Cumberland Rd CityState .Zip Code Date[MM/DD/YYYY[ $ Lemoyne PA 17043 Full Name of Contributor Date[MM/DD/YYYYj $ Richard Rovegno lOr' 4/1/2015 House# Street Address Date[MM/DD/YYYYj $ 112 Spring Farm Circle CHy State Zip Code Date[MM/DD/YYYYj Carlisle PA 17015 PART 8 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. 0150017 Full Name of Contributor Date[MM/DD/YYYY] $ Timothy Potts 4/1/2015 175 House# 'IStreet Address 1 Date IMM/DD/MY] $ Ld Har Bohn Lane IMM/DD/MY] City state Zip Code Date(MM/UD/nirm -$ Carlisle PA 17015 i Full Name of Contributor Date[MM/DD/YYYY] $ 7Vagner&Spreha 4/1/2015 250 House# Street Address Date[MM/DD/YYYY] 2233 tA Front St City .state zip code: >Date[MM/DD/YMI -$ - Harnsburg PA 17110 Full Name of Contributor Date-[MM/DD/YYYY] $ !:orls fiitzler 4/2/2015 100 House# Street Address Date[MM/DD/YYYY3 $. 235 'N.Baltimore St City I State ` Elp Code. :Date[MM/DD/YYYY3. Carlisle PA 17013 i Full Name of Contributor Date[MM/DD/YYYY[ $ Nlarlbyn(Keener 4/3/2015 100 House# Street Address `Date:[MM/DD/YYYY3 $ 529 '. S.Bedford St. City state Zip Code DatejMM/DD/YYYY[ $ Carlisle PA 17013 Full Name of Contributor Data[MM/OD/Y" $ William Fulton 100 4/3/2015 House# stroet Address Data(MM/DD/YYYY] $ 106 'Nalnut St City State Zip Code Data[MM/DD/YYYY] $ Harrisburg PA . 17101 Full Name of Contributor Date.[MM/DD/YYYY] $ William Duncan 250 4/5/2015 House# street AddressI Date[MM/DD/YYYY] $ rvine Row City State -Zip Code I Date[MM D/YYYY] Carlisle PA 17013 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: 0150017 Full Name of Contributor Date[MM/DD/YYYY] $ Samuel Miikes 4/8/2015 ' House# Street Address Date IMM/DD/YYYY1. $ 16 Cave Hill Or '. Qty State Zip Code Da"fMM/DD/YYYY] $ Carlisle P0. � 17013 Full Name of Contributor Date.(MM/DD/MYJ -$ Lisa Verdekal 4/9/2015 100 House# ..Street Address Date[MM/DD/YYYYJ $ 925 rores[Ct — _— Zip Code Date[_-- - MM/DD/YYYY) $ City - State Carlisle W Full Name of Contributor Date[MM/DD/YM] $ Deborah Ryerson 4/9/2015 100 House Al 'Street Address Daft IMM/DD/YYYYJ. $ 55 Derbyshire Dr City State ;Zip Code - Date MM/DD/YY.YYJ. Carlisle PA 17015 Full Name of Contributor Date[MM/DD/YYYYJ $ C.Ann Sheehan 4/9/2015 100 House# Street Address -. Date.(MM/DD/YYYYJ $ 206 5.`Nest St City State Zlp Code Date(MM/DD/YYYY) $ lariisle PA 17013 Full Name of Contributor Daft[MM/DD/YYYYJ George Douglas 100 4/9/2015 House# Street Address Date[MM/DD/YYYY]. $ 1000 Forbes Rd City State Z1P Code Date(MM/DD ) Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY) $ Robert Gerard 4/9/2015 100 F Street Address Date[MM/DD/YYYY] $ 260 Belvedere St State Zip Code Date[MM/OD/YYYY] rlisle PA 17013 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: 120150017 Full Name of Contributor Date[MM/DD/YYYY]. $ Victoria Porto 4/9/7015 100 House# IStreet Address I Date IMM/DD/MY] $ Pine Lake Dr i CityStita: -Z1P Coda. Date[MM/DD/PVYYI $ c w":' PA 17015 1 Full Name of Contributor Date IMM/DD/YYYY] $ Charles Bussard 4/9/2015 175 House 4 .Street Address Date[MM/DD/YYYY] $ E.Yellow Breeches Rd City - !State Zip Code Date[MM/DD/YYYY] $. ai ula PA 17015 Full Name of Contributor Date[MM/DD/YYYY] $ Helen Norton 4/9/2015 175 House# Street Address Daft(MMJODD/YYYYI $ 119 Conway St City - StateZip Code Date MM D YYj Carlisle PA 17013 Full Name of Contributor Date(MM/DD/YYYYI $ Karen Best 4/9/2015 100 House# IStreet Address Date.[MM/DD/YYYYI , S 536 Bridgeview Dr City - State Zip Code Date(MM/DD/YYYYI. $ Lemoyne PA 17043 Full Name of Contributor Date(MM/DD/YYYYI $ George Costopoulos 175 4/10/2015 House# Street Address Date(MM/OD/YYYYI '$ l53 N Hanover St City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date IMM/DD/MYI $ William Warren,Jr. 100 4/13/2015 House# Street Address Date[MM/DD/YYYYI $ 508 Bridgeview Dr GitY State Zip Code Date[MM/DD/YYYYI Lemoyne PA 171A 3 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY) $ Christopher Rice 4/15/2015 175 House# Street Address rms�e Date[MMIDD/YYYY) $ or � City State Zip Code Date[MM/DD/YYYY) $ Carlisle PA 17013 t Full Name of Contributor Date[MM/DD/Y7,77$ Jonathan Vipond ill 4/15/7015 100 House# Street Address %Date[MM/DD/YYYY] 3728 (Usburn Rd i City - - atate ZiPCade T Date[MM/oD/YYYYj $ Mechanirsbur, ?A i loss Full Name of Contributor Date[MM/DD(MY) $ Don Paul Shearer Associates 4/17/2015 250 House# Street AddresESOX Date[MM/DD/YYYY) $ '. i. City State Zip Code Date(MM 0 YY1 Camp Hill PA 17001 Full Name of Contributor Data(MM/DD/YYYY). - $ Loan item Jessica Brewbaker 4/22/2015 100 House# Street Addr Date.(MM/DD/YYYY1 _$. 315 Wellington Dr City State Zip Code Dam[MM/DD/YYYY) $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address 'Date[MM/DD/YMI $ city State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Dau[MM/DD/YYYY1 $ Nouse# .Street Addre Dau[MM/DD/YYYY) $ City State Zip.Code Dau[MM O/YYYY) PART C Contributions Received From Political Committees 6ver$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. Fit.,ld.Mfked7 Number:.- 20150017 Full Name of Dam[MM/DD/YYYY] $ Contributing Committee Better Government For PA 300 3/24/2075 LHouse# Street Address -Dam IMM/DD/YYYYI $ Chambers St state 21PCode Dam[MM/DD/YYYYI $ r PA 17113 Full Name of Date[MM/DD/YYYY) $ Contributing Committee House# 'Street Address Data[MM/DD/YYYYI -$ City stain Zip.Code DamjMM/DD/YYYYI $ Full Name at Dam[MM/DD/YYYY] $ Contributing Committee House# ,StreetAddress Dam[MM/DD/YYYYI S City Stam Zip Code Dam[MM/DD/MY] $ Full Name of Date[MM/DD/YYYY]. $ Contributing Committee LHouse# Street Address Daft(MM/DD/YYYY]' $ City Smm. Zip Code Date[MM/DD/YYYYj $. Full Name of Dam[MM/DD/YYYY] $ Contributing Committee House# Street Address Dam[MM/DD/YYYYI $ city State Zip Code Dam[MM/DD/YYYY] $ Full Name of Dam[MM/DD/YYYYj $ Contributing Committee House# Street Address Dam[MM/DD/YYYYI City. Stam Zip Code Dam[MM/DD/YYYYI. $ I 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: 20150017 Full Name of Contributor Date[MM/DD/YYYYI $ Loan from Jessica erewbaker ! 10__)00 1/13/2015 House# Street Address Date[MMIDD/YYYYj $ 815 Wellington Drive City State Zip Code Date[MM/DD/YYYYI $ Carlisle PA 17013 Employer Name Occupation PA Judiciary Magisterial District Judge Employer Mailing Address 18 N Hanover Street,Carlisle PA 17013 Principal Place of Business Full Name of Contributor. j Date[MM/DD/YYYYj $ can From Dorothy Becker 1113/2015 i 5.000 17418 Street Address Date.(MM/DD/YYYYj $. Derbyshire Drive State ZIP Code Date[MM/DD/YYYYj e PA 17015 Employer Name P5EA Occupation Assistant to the Governance Employer Mailing Address f 400 N 3rd Street,Harrisburg PA 17105 Principal Place of Business Full Name of Contributor Date [MM/DD/YYYYI $ Jean-Paul Romes 2/10/2015 500 House# .Street Address Date[MM/DD/YYYYj $ 612 Langdon Ct City State Zip Code Date[MM/DD/YYYYj $ East Stroudsburg PA 18301 Employer Name Occupation Pocono Urgent Care Physician Employer Mailing Address J 101 Pocono Commons,Suite 101,Stroudsburg PA 38360 Principal Place of Business Full Name of Contributor Daft[MM/DDLYYYYI € Irving Wallace 2/24/2015 500 H71411 at Address Date[MM/DD/YYYYj $ Lime Kiln Road cstate Zip code Date[MM/DD/YYYY]l $ e PA 17073 Employer Name Occupation Retired Employer Mailing Address/ si Principal Place of Business 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: 10150017 Full Name of Contributor Date(MM/DD/YYYY],. $ Stephen oldt 500 2/25/2015 F # Street Address Date[MM/DD 206 (Chestnut Or �— cState Zip Code Date immiDD[YYYyj Carlisle I pA 17013 Employer Name -fhcopation Shippensburg Township - ownship Supervisor Employer Mailing Address/ Principal Place of Business 81 Walnut Bottom Road,Shippensburg PA 17257 Full Name of Contributor Date[MM/OD/YYYY)i... $. Michael Bangs 3/16/2015 300 F Street Address Date[MM/DD/Y.YYY]9 S 13th 5t , State. :Zip.code Date[MM/DD/YYYYIp Hill j PA 17011 Employer Name Dccupatioiu Bangs law Office Lawyer Employer Mailing Addfess/ 429 5 18th St,Camp Hill PA 17011 Principal Place of Bu 9$5S Full Name of Contributor Date{MM/DD/Y-YYy] Bayley&Mangan Law Office 4/1/2015 500 House It Street Address Date[MM/DD/YYYY] 17 W_SouthSt 4 City State Zip Code ;WPM'zM" e /DD/YYYY] - $ Carlisle PA 17013 Employer Name Bayley Rt Mangan law Lawyer Employer Mailing Address/ Principal Place of Business17 W South 5[Carlisle,PA 17013 Full Name of Contributor Date[MM/DD[vvr." Taylor Andrews 4/9/2015 500 House# treet Address Date[MM D/YYYy]' $ 1306 � Windsor Court city state ZIP Code - Date[MM/DD/YYYY] $. Carlisle PA 17013 Employer Name Andrews&Johnson Law Offices Ocapation Lawyer Employer Mailing Address/ Principal Place of Business 78 W Pomfret St.,Carlisle,PA 17013 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: 0150017 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 160.57 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 789.53 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) ' $ 300 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) 1,250.01 SCHEDULE If PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 20150017 Full Name of Contributor Dam[MM/DD/YYYYi $ Stacy Gromlich 3/2/20150 5 Nouse..# Street address. Dam.[MM. D(YYYY] 5. 934Hummel Ave 202.92 3/4/2015 City.. Stam.. Zip Coda Dam(MM/DD/YYYYJ $ _. ... Lemoyne .. PA _._ _... 17043 Description of Contribution Event Ticket,Drinks for event Full Name of Contributor Date VMM/DD/YYYY] Claudia Williams 3/4/2015 76.61 [7ani�burg Street Address 02"IMM/DD/YYYY] $ 3 _ S.Deerfield Ove Stam . Zip Code Dam[MM(DD $ PA 17050 Description of Contribution Food for Fundraiser Full Name-.of Contributor Date[MM/DD/YYYY] -S ..Larissa York 4/1/2015 250 House# Street Address Date[MM/DD/YYYY[ S 6 Sentry Point Dr City... .. _. ... Stam Tip Code - Date[MM/DD/YYYY] $ Lemoyne PA 17043 Description.of:Contribution - Food for Fundraiser FUH Name of Contributor Dam IMM/DD/YYYY] S House# IStreet Address Dam[MM D YY] City State Zip Code Date IMM/DD/YYYY]. . $ Description of Contribution Full Name of 777 Dam[MM/DD/YM] $ House# Street Address Date[MM/DD/YYYY] $ City. Smm. Zip Coda Dam.[MM/DD/YYYY] Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer identification Number: 20150017 Full Name of Contrbutcr. Date[MM/DDIYY"I _ $ Morgan Plan[ 300 3/9!2015 F street Address Dam.[MM/DO/YYYY}S WestSt State Zia Code Dam IMlst /YYYYIle PA 17013 Employer Name Morgan Plant and Associates Occupation Lobbyist Employer Mailing Address/Principal Description Place at Business 322 S West St,Carlisle PA 17013 of Food for Fundraiser Contribution Full Name of Contributor Dam[MM/DD/ 1 $ House Is Street Address Date.[MM/OD/YYYYj $ city state Zip Code Date[MM/DD/YYYYj $ Employer Name - - Occupation- Employer Mailing Address/PrincipalDescription Place.of Business of - ..Contribution Full Name of contributor Date[MM/DD/m'yj $ House# Street Address Date[MM/DD/YYYY] City state Znp Code Dam[MM/00/YYYyj $ Employer Name Occupation Employer Mailing Address/Principal Description - Place of Business - of- - contribution Full Name of Contributor Date[MM/DD/YYYY1 House# street Address Date[MM/00/YYYYj $ City stem np coos Dau[MM/DD/Y" $ Employer Name Occupation Employer Mailing Address/Principal - Description Place of Business - of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number. 20150017 To Whom Paid Date(MM/DD/YYYY] $ Santander bank 29.2 2i 4/20ti House# 129 Street Addr S Pitt St Description of Expenditure city Carlisle state PA lde 17013 hocks To Whom Paid Date[MM/DD/YYYY] $ essica erewbaker 315.61 _... 2/18/20 S House# 815 Wellington Dr Street Address Description of Expenditure City State rM Reimbursement For photos,PO Box,and Copies Carlisle PA Code 17013 To Whom Paid LN Consulting 2/18/20152015 483.22 House# 121 '.,Street Address State St Desorption of Expenditure city State Zip Palm Cards Harrisburg I PA Code 17701 To Whom Paid Date[MM/DD/YYYY] CCFRW 380 2/18/2015 House# 6 Street Address Todd Rd Description of Expenditure city state Co Table and ad at Cumberland County Lincoln Da Event Carlisle P.4 Code 77013 iV V To Whom Paid Date[MM/DD/YYYYI $ Hampden Township Republican Association 550 3/16/2015 House# Street Address Description of Expenditure 1427 Inverness Dr i City State Zlp Mechanicsburg PA Code 17050 Hampden Township Republican Association Dinner To Whom Paid Date[MM/DD/YYYY] $ Jessica Brewbaker 478.56 3/21/2015 11 House# 815 Wellington Or Street Address Description of Expenditure CRY state Zip Carlisle PA Code 17013 Reimbursement For Filing fees,stamps,ink,office supplies To Whom Paid Date(MM/DD/YM) Pay Pal 3/26/2015 1.75 House# I Street Address Description of Expenditure 2211 North First St city San lose State CA 95131 Pay Pal Fee To Whom Paid Date[MM/DD/YYYY] 1S essica Brewbaker 3/30/2015 340 NOUxa# Street Address Description of Expenditure 815 Wellington Dr LLState PA CL 1 17013 [amps SCHEDULE III Statement of Expenditures Filer Identification Number. 20150017 To Whom Paid Date[MM/DD/YYYY}. $ LN Consulting 3/30/2015 : 2,884.88 House# 121 Street Address State st Description otExpanditure: City Harrisburg SMB PA "Pd. 17101Palm Cards and Stickers To Whom Paid Date[MM/DD/YTM $ LN Consulting 500 3/30/2015 House#1 121 State St Street Address Description of Expenditure - Y Harrisburg State. PA Zip 17101 Photo Shoot To Whom Paid Date[MM/DD/YYYY) $ Pay Pal 4/2/2015 7.73 House#1 2211 North First St Street Address Description of Expenditure CSa,Jose State CA I Zip9513195131 Pay Pal Fee To Whom Paid Date[MM/DD/YYYYI I $ CCLEMF 4/22/2015 100 [House# Street Address Description of Expenditure PO Bax 395 ity State Zip.. New Kingtown PA Code 17072 Law Enforcement Dinner Sponsorship To Whom Paid Date[MM/DD/YYYY) $ essica erewbaker 4/24/2015 612 House# Street AddressDescription of Expenditure 814 Wellington or City Carlisle State Zip PA Code 17013 Reimbursement for stamps/postage To Whom Paid Date IMM/00/MY) $ LN Consulting,LLC 4/24/2015 8,477.62 House# 121 Street Address State St Description of Expenditure Harrisburg State PA Code 17101 Mailing To Whom Paid Date[MM/DD/YYYY] Pay Pal 4/24/2015 1.75 House#1 2211 North First St Street.Address .Description of Expenditure - �5-- State CA I f 95131 Pay Pal Fee de To Whom Paid 03"[MM/DD/YYYY] House.# Street Address Description of Expenditure City I 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: 0150017 Name of Creditor lesslca Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 Wellington Dr [MM/DD/YYYYJ 1/13/2015 City Carlisle state PA Zip17013 10,000 Dascription of Debt Loan Name of Creditor Dorothy Becker Outstanding Balance of Debt r ouse# Street Address DATE DEBT INCURRED - $ 48 Derbyshire Drive [MM/DD/YYYYJ V13/2015 City - Carlisle state PA p 17015 5,000 Code Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 IMM/DD/YYYY1 Wellington Or 4/22/2015 Chy Carlisle State PA zip 17013 100 Code Description of Debt Loan Name of Creditor Outstanding Balance of Debt House it i$treetAddrem DATE DEBT INCURRED $ [MM/DD/YYYY) City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt n Street Address DATE DEBT INCURRED [MM/DD/YYYY) City State Zip j Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address . .DATE DEBT INCURRED [MM/OD/YYYY] City state . 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