The URL can be used to link to this page

Home My WebLink AboutCharles, Bob - 2015 30-Day Post Special II II Feset 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 fV7 Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist BOB CHARLES Street Address 115 WINFIELD DR City CAMP HILL State I PA Zip Code 17011 Type of Report(Place x under report type) 1-6`" Tuesday 2- 2nd Friday 3-30 Day Post 4-60'Tuesday 5-e Friday 6.30 Day Post 7-Annual Special 2 Friday $pedal 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Ox Date Of Election Year Amendment Termination ❑ (MM/DD/YYYY) 8/4/2015 2015 Report ❑ Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 7/21/2015 8/14/2015 A.Amount Brought Forward From Last Report $ _2753.64 B.Taal Monetary Contributions and Receipts $ (From Schedule 1) 309.34 C.Total Funds Available $ -244x.30 C7 0 (Sum of Lines A and B) D.Total Expenditures $ � (From Schedule III) 309'69 M n) E.Ending Cash Balance $ 99-2753. A (Subtract Line D from Line C) �o F.Value of In-Kind Contributions Received (From Schedule 11) C7 3 G.Unpaid Debts and Obligations $ C CD (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate s' h h I swear(or affirm)that this report,including the attached schedules on paper,is to the best of y k edge an ell t e,correct and complete. Sworn to and subscribed before me this day,of 20� rat, f n,4labrr report COMMO PEN WNU Printed�Name l NOTARIAL ARI y CammissioAff# Notary Klic DAY Y Area Code Daytime Telephone Number R CUMBERLAND CNTY art II- odpgn�laadf7�It0NAd9 i orize Committee,candidate shall sign here. I and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. 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 SCHEDULEI ' 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) $ 2.Contributions of$50.01 to From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 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) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 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) 9 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. Filer Identification Number Amount Full Name of Contributing Date[MM/DD/YYYYj $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# �StreetAddress Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY) $ City State Zip Code Date[MM/DD/YYYYj Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ 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] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date]MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/Y" $ City 1.State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code 'Date $ 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. Filer Identification Number: Full Name of Date[MM/DD/YYYY] Contributing Committee L Street Address Date[MM/DD/YYYY] $ State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Sheet Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee Nouse# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of .Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Addres Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Ottupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zap Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Ottupation Employer Mailing Address Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business PART E Other Receipts REFUNDS, INTREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: Fall Name FRIENDS OF 808 CHARLES House# Street Address PO BOX 1608 City State Zip (MM/DD/YYYY] Date $ CAMP HILL PA Code 17011 8/10/2015 309.34 Receipt Description REIMBURSEMENT FOR FUNDRAISER FOOD/BEVERAGES Full Name House It Street Address City State rip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address city State Zip Date[MM/DD/YYVY] $ Code Receipt Description Full Name House# Street Address City State Zip Date(MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date(MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address city State Zip Date[MM/DD/Y" $ Code Receipt Description 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: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) 1 $ 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) SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date IMM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address Date IMM/DD/YYYY] $ city State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# �StreetAddress Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Desaiption of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ House# 1 Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City state Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $. House# Street Address Date[MM/OD/YYYYj $ City State Zip Code Date[MM/DD/YYYY]. $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYYj city State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business Of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ PA WINE&SPIRITS 7/29/2015 68.84 House# Street Address Description of Expenditure 3760 MARKET ST City State Zip C CAMP HILL PA ode 17011 BEVERAGES FOR FUNDRAISER To Whom Paid Date[MM/DD/YYYY] WESTY BEER DISTRIBUTOR INC 78.62 7/29/2015 House A 120 ST JOHNS CHURCH RD Street Address Description of Expenditure cityCAMP HILL State PA Zip 17011 BEVERAGES FOR FUNDRAISER To Whom Paid Date[MM/DD/YYYY] $ WEGMANS 7/31/2015 35.86 House p 6416 Street Address CARLISLE PIKE Desaiption of Expenditure City State Zip MECHANIC58URG PA Code 17050 FOOD FOR FUNDRAISER To Whom Paid Date[MM/DD/YYYY] $ WEGMANS 7/31/2015 126.37 House p 6416 CARLISLE PIKE Street Address Description of Expenditure city MECHANICSBURG State PA Copde 17050 FOOD FOR FUNDRAISER 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 StateZip Code To Whom Paid Date[MM/DD/YYYY] $ House p Street Address Description of Expenditure City State 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: Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt r7: Street Address DATE DEBT INCURRED $ [MM/DD/YYYYj 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 Code Description of Debt