HomeMy WebLinkAboutMechanicsburg Future Fund - 2015 2nd Friday Pre-Primary Commonwealth of Pennsylvania PAGE 1 OFIII-
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification11110. Report Filed B , A N 1. 2. 3.
Number: y
CANDIDATE COMMITTEE LQBBYIST
Name of Filing Committee, Candidate or Lobbyist:
M-ehanicsburq Future Fund
Street Address:
701 South Market Street
City: State: Zip Code.
Mechanicsburg PA 17055 -
TYPE OF BTM TUESDAY 1. L2NDFRIDAY 2. 30 DAY 3. AMENDMENT yE5 NO
REPORT PRE-PRIMARY X POST PRIMARY. REPORT?eTH TUESDAY 4 s. 30 DAY 6. TERMINATION
(place X toPRE-ELECTION N POST ELECTION REPORT? YES- NO
the right of ANNUAL 7. FILING METHOD
report type) REPORT ( } CHECK ONE , PAPER DISKETTE.
Name of Office Sought by Candidate: r 0 • DistrictOffice Party County
Number Code Code Code
'MO. DAYYEAR
5 19 2015
(SEE INSTRUCTIONS FOR CODES)
' FOR OFBCE ELSE ONLY
Summary of Receipts MO. DAY YEAR F DAY YEAR
and Expenditures from: ► 1 1 201 5 To 4 2015
A. Amount Brought Forward From Last Report $ -0-
B. Total Monetary Contributions and Receipts (From Schedule 1) $ 450. 00
C. Total Funds Available (Sum of Lines A and B) $ 450. 00
D. Total Expenditures (From Schedule III) $ 258 . 76
E. Ending Cash Balance (Subtract Line D from Line C) $ 1 91 . 24
F. Value of In Kind Contributions Received (From Schedule 11) $ 50 . 00
G. Unpaid Debts and Obligations (From Schedule IV) $ jr
AFFIDAVIT
PART.I - If this is a Committee report treasurer sign here. Ifthis is a Candidate report, candidate sign here.
1 swear for affirm) that this report, including the attached Schedules, on paper or computer diskette, are to the best of my knowledge and belief true,
Q taend complete.
= Swor W o and sub scribed�pl b,AfleIfore me this
> �P 'd/ day of {'v UN
20 K
m u fw Signature of Person Su mitring Report
= a
Z a = ^ _42 � .T_ Mai-thew�Saa ori ct
LL N a y o
Signature Printed Name
O ¢ E
r�lW Snmission expires '-,�U.R�v-y Wit' ) ( 717) 877-4747
K (� MO. DAY YR. Area Code Daytime Telephone Number
_ ¢ n c
J D 3 o a
W Z r
W
3 $ - If this is a report of a Candidate's Authorized Committee, candidate shall sign here.
Z I (or affirm) that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3, 1937
`r (x21 3, No. 320) as amended.
m
O Swor to and subscribed before me this
U
4� 7^?day ��(of Yv� L� / L
Signature of Candidate
- Kyle L. Miller
Sig ature W Printed Name
My commission expires _ ( 71 7 ) 51 6-1 001
gpM1101fVYEMT YR. Area Code Daytime Telephone Number
BETHANY SALUA ULO
NotaryP I @A�lBt%kyof ate • Bureau of Commissions, Elections and Legislation
CARLISLE BORO:, me ildin • Harrisburg, PA 77720-0029 • (717) 787-5280
My Commission a fid•��f g g•
DSEB-5 \'
SCHEDULE I PAGE 2 OF t_ ,
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
Mechanicsburg Future Fund From 1 /1 /2015 To 5/4/2015
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR 77]
TOTAL for the Reporting Period (1) $ Kl
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $
All Other Contributions (Part B) $ 50. 00
TOTAL for the Reporting Period (2) $ 50 . 00
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part D) $ 400. 00
TOTAL for the Reporting Period (3) $ 400. 00
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) 71
TOTAL for the Reporting Period (4) $ K{
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 450 , 00
Cover Page, Item B.)
DSER-502 (7-99)
PAGE 7 OF 1 �-
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
Mechanicsburg Future Fund From 1 /1 /2015 To 5/4/2015
DATE AMOUNT
Full Name of Contributing Committee M0. DAY YEAR
$ —0—
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
Full Name of Contributing Committee M0. DAY YEAR
Mailing Address MO. DAY YEAR
$
City State Zip Code (Plus 4 MO. DAY YEAR
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zlp Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MD. DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MQ .DAY YEAR
Full Name of Contributing Committee Mo. DAY YEAR $
Mailing Address MO. DAY YEAR
City State Zip Codc Plus 4 MO. DAY YEAR
Full Name of Contributing Committee Mo, DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ -0-
DSEB-502 (7-99)
PART B PAGE A OF
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
Mechanicsburg Future Fund From 1 /1 /2015 To 5/4 /2015
DATE AMOUNT
Full Name of Contributor MO. DAY YEAR $ 50 . 00
Linda M- Humps 4 9 2015
Mailing Address Mo. DAY YEAR
103 South Market Street $
City State Zip Code Plus 4 'MO. DAY YEAR
Mechanicsbur PA 17055 — $
Full Name of Contributor Mo. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State. Zip Code Plus 4 MO. DAY YEAR
Full Name of Contributor Mo. DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Cade Plus 4 MO. DAY YEAR
Full Name of Contributor MO. DAY YEAR
$
Mailing Address Mo. DAY YEAR $
City State Zip Code Plus 4 Mo. DAY YEAR
$
Full Name of Contributor YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 Mo. DAY YEAR
full Name of Contributor Mo. DAY YEAR
$
Mailing Address Mo. DAY YEAR
$
City State Zip Code Plus 4 Mo. DAY YEAR
Full Name of Contributor Ni DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Cotle Plus 4 MO. DAY YEAR
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ 50.00
DSEB-502 (7-99)
PAGE OF
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.
Name of Filing Committee or Candidate Reporting Period
Mechanicsburg Future Fund From 1 /1 /2015 To 5/4/201 5
DATE AMOUNT
Full Name of Contributing Committee MO. DAY I YEAR
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 M0. .DAY YEAR
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MD. DAY I YEAR
$
City State Zip Code Plus MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 M0. DAV I YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Cade Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO, DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address Mo. DAY YEAR
$
City State Zip Code (Plus 4 MO. DAY YEAR
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address M0. DAY YEAR
$
City State Zip Code (Plus 4 MO. DAY YEAR
Full Name of Contributing Committee Mo, DAY YEAR
$
Mailing Address Mo. DAY YEAR $
City State Zip Code Plus 4 Mo. DAY YEAR
$
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ -0-
DSEB-502 (1-99)
PART D PAGE b OF
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
Mechanicsburg Future Fund From 1 /1 /2(15 To 5/4 /2015
DATE AMOUNT
Full Name of Contributor Mo. DAY YEAR 1
Kyle L. Miller 3 23 20151 $ 400. 00
Mailing Address Mo, DAY $
36 West Coover Street
City State Zip Code (Plus 4) MO.`: DAY. YEAR '
Mechanicsburg PA 17055 - $
Employer Name Occupation
Lawyers Realty, LLC Realtor
Employer Mailing Address/Principal Place of Business
4910 Simpson Ferry Road Mechanicsburg, PA 17050
Full Name of Contributor MD.-- DAY IYEAR $
Mailing Address -MO..:.: DAY YEAR $
City State Zip Code (Plus 4) Mo.. DAY YEAR.t
Employer Name Occupation
Employer Mailing AddresslPrincipal Place of Business
Full Name of Contributor MO. . DAY YEAR ..
$
Mailing Address MO. .,DAY YEAR
$
City State Zip Code (Plus 41 Mo, -DAY YEAR
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO. ".DAY- YEAR. $
Mailing Address 'MM S: '.DAY . YEAR $
City State Zip Code (Plus 41MO, DAY YEAR
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor Ill - DAY. YEAR $
Mailing Address MO. r.DAY YEAR $
City State Zip Code (Plus 4) MO. DAY .YEAR 7. $
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. PAGE TOTAL
$ 400. 00
DSEB-502 (7-99)
• PART E PAGE OF \Z
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
Mechanicsburg Future Fund From 1 /1 /2015 To _5/4/2015
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. DAY`. ,YEAH '- moun
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. DAY YEAR ':' moun
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 41 'M0. DAY 'YEAR Amount
$
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) -MD. .DAY YEAR I Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. DAY I YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) '.MO. DAY_' YEAR mount
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ -0
DSEB-502 (7-99)
SCHEDULE II PAGE of
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
Mechanicsburg Future Fund From 1/1 /9.n15ro 5/4 /2n15
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 50 . 00
2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F)
TOTAL for the Reporting Period (2) $
E3. , 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 7 , 2, $
and 3; also enter on Page 1 , Report Cover Page, Item F.) 50 . 00
DSEB-502 (7-99)
SCHEDULE II PAGE OF 1?
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or CandidateReporting Period
Mechanicsburg Future Fund From 1 /1 /2015 To 5 %4/2015
DATE AMOUNT
Full Name of Contributor Mo. DAY -YEAR $
-Q_
Mailing Address MO. .DAY YEAR
$
City State Zip Code (Plus 4) MO. -DAY YEAR $
Description of Contribution:
Full Name of Contributor Mo. fDAY YEAR
$
Mailing Address .JJ Mo. DAY YEAR $
City State Zip Code (Plus 4) MO. :DAY YEAR $
Description of Contribution:
Full Name of Contributor MO. DAY YEAR $
Mailing Address 'MO.. " DAY YEAR
$
City State Zip Code (Plus 4) MO. DAY ` YEAR
$
Description of Contribution:
Full Name of Contributor MO:. 'DAY YEAR $
Mailing Address ( MO. DAY YEAR: $
City State Zip Code (Plus 4) MO. DAY. . r'YEAR:< $
Description of Contribution:
Full Name of Contributor -MOI DAY YEAR
$
Mailing Address MO. DAY. YEAR
$
City State Zip Code (Plus 4) MO. DAY YEAR
$
Description of Contribution:
Full Name of Contributor - MO. DAY . :YEAR-
$
Mailing Address MO.' :DAY YEAR $
City State Zip Code (Plus 4) MO.^ DAY YEAR $
Description of Contribution:
PAGE TOTAL
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed
Summary Page, Section 2. $ -0-
DSES-502 (7-99)
SCHEDULE 11 PAGE OF
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
Mechanicsburg Future Fund From 1 /1 /2015 To 5 4 201 5
DATE AMOUNT
Full Name of Contributor MO. DAY YEAR
Mailing Address MD. DAY YEAR $
City State Zip Code (Plus 4) MD. DAY - YEAR
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor M0. DAY YEAR $
Mailing Address MO.. "DAY'. YEAR. $
City State Zip Code (Plus 4) M0. DAY YEAR $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor MO: DAY. YEAR.. $
Mailing Address MD. DAY YEAR $
City State Zip Code (Plus 4) MOI. DAY YEAR
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor ^-MO_:' DAYYEAR:.'.
$
Mailing Address MO. DAY Ii- YEAR $
City State Zip Code (Plus 4) MO. DAY YEAR $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor MO. DAY YEAR. $
Mailing Address M . -DAY YEAR
$
City State Zip Code (Plus 4) MO. DAY YEAR
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule Il, In-Kind Contributions Detailed -0-
Summary Page, Section 3.
DSEB-507 (7-99)
PAGE OF \"L
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
Mechanicsburg Future Fund From 1 /1 /2015 To 5/4/2015
To Whom Paid MO. I DAY. I YEAR. mount
OvernightPrints 4 20 2015 258. 76
Mailing Address Description of Expentliture
7582 Las Vegas Blvd. Ste. 487 Printing
City State Zip Code (Plus 41
Las Vegas NV 89123 -
To Whom Paid <MO. I DAY 'YEAR`' mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid -:M0. -'-DAY YEAR'.'.. Amount
Mailing Address Description of Expenditure
city State Zip Cotle (Plus 41
To Whom Paid MO. -DAY YEAR mount
-..
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. I DAY I YEAP Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. .:DAY--- YEAR I Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid -MO. I DAY ' YEAR jAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 'Mo. -DAY.. YEARmount
'.
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 258. 76
DSEB-502 (7-99)
PAGE OF:OF lt-
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.
Name of Filing Committee or Candidate Reporting Period
Mechanicsburg Future Fund
Fro
Mechanicsburg To 5/4/2015
Name of Creditor Outstanding Balance of Dert
—0—
Mailing Address DATE dMO. DAY 1 YEAR `
DEBT
INCURRED
City State Zip Code (Plus 41
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE (MO. DAY YEAR
DEBT
INCURRED
City State Zip Code (Plus 41
Description of Debt
Name of Creditor Outstanding Balance D e t
Mailing Address DATE MO, DAY YEAR
DEBT
INCURRED
City State Zip Code (Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Dert
Mailing Address DATE MO, DAY `YEAR':
DEBT
INCURRED
City State Zip Cod. /Plus 41
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE MO. DAY YEAR
DEBT
INCURRED
City State Zip Code (Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE Mo, DAY YEAR
DEBT
NCURRED
City State Zip Cade (Plus 4)
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ -0-
DSEB-502 (7-94)