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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed ByCandidate Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist BOB CHARLES
Street Address
115 WINFIELD DR
City CAMP HILL State PA Zip Code 17011
Type of Report(Place x under report type)
1-6" Tuesday 2- 2n°Friday 3-30 Day Post 4 6t"Tuesday S.rdFriday 6.30 Day Post 7-Annua Special 2 Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
E] 1:1 1:1 1:1 1:1 E]
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
5/11/2015 7/20/2015
A.Amount Brought Forward From Last Report $
0
B.Total Monetary Contributions and Receipts $
(From Schedule 1) 2136.11 C o
C.Total Funds Available $ _7z art
(Sum of Lines A and B) 2136.11 113
i
D.Total Expenditures $ ;a FYIl
(From Schedule III) 4889'75 V
E.Ending Cash Balance $
(Subtract Line D from Line C) -2753'64 a
F.Value of In-Kind Contributions Received $ O =
(From Schedule 11) C
G.Unpaid Debts and Obligations $ —Zf r:J
(From Schedule IV) cn
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
1 swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belie�e,correct and complete.
Sworn to ' subscribed before me this
day of 20 _
1 ig2at ire of Pers m'tti re ort Ta
[ e�
Og�tur H OF PENNSYLVAiNN / C_ —7 Printed Name
CZ
My rn expiiMlt ARIAL SEAL / I —1 Gc�. •I �¢E)
BETHANW.LZARUWAY YR. Area Code Daytime Telephone Number
Notary Public
Pa I-If x zed mittee,candidate shall sign here.
I sw ar(or belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amen e .
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
�\v
SCHEDULEI
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
t..Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
2.
Contributions o $50.01 to 250. 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)
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/YYYY] $
Committee
LHouse 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/OD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
Louse# Street Address Date[MM/DD/YYYY] $
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# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
E
Street Address Date[MM/DD/YYYY]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 p street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House It Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House k Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House ff Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
4 House# Street Address Date[MM/DD/YYYY] $
City
State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date IMM/DD/YYYYj $
Street Address
House fl Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
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
House»
» IStreet Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House Stree[Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House N Street Addres Date[MM/DD/YYYY] S
City I State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM DD/YYYY] $
Contributing Committee
House N Street Address Date(MM/DD/YYYY] $
City State Zip Code Date IMM/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
4House# Street Address 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 Q
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 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 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 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 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 Identiflcation Number:
FOIL Name FRIENDS OF BOB CHARLES
House ri Street Address PO BOX 1603
City State Zip Date[MM/DD/YYYY] $
CAMP HILL PA Code 17011 7/13/2015 2136.11
Receipt Description REIMBURSEMENT FOR SIGN PURCHASE
Me
Full Name
Houseri Street Address
City State zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip I Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
Houseri Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
Houseri Street Address
City State Zip Date[MM/DD/YYYY] Is
Code
Receipt Description
Full Name
House ri Street Address
City State Zp I Date[MM/DD/YYYY] $
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) $
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[MM/DD/YYW] $
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# 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] S
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description 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 If 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 a Street Address Date[MM/DD/YYYY] $
City I 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 ft 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/DD/YYYY] $
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] $
FRIENDS OF BOB CHARLES 6/24/2015 2500.00
House# Street Address Po Box 1606 Description of Expenditure
City State Zip
CAMP HILL PA Code 17011 CAMPAIGN CONTRIBUTION
To Whom Paid Date[MM/DD/YYYY]
CAPITOL PROMOTIONS INC 2136.11
7/1/2015
House# Street Address PO BOX 231 Description of Expenditure
Zip
City GLENSIDE State PA Code 19038 YARD SIGNS
To Whom Paid Date[MM/DD/YYYY]
FRIENDS OF BOB CHARLES 253.64
7/1/2015
House# Street Address Description of Expenditure
PO BOX 1608
City State Zip
CAMP HILL PA COde 17011 FOOD FOR FUNDRAISER
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]d
$
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/YYW] $
House# 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
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