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HomeMy WebLinkAboutCharles, Bob - 2015 2nd Friday Special IIIIIIIIII 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 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