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HomeMy WebLinkAboutFriends of Judge Jessica Brewbaker - 2015 2nd Friday Pre-Election Reset Form Print Form II 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 T 77Lobbyist Number 20150017 (Mark X) L11 Name of Fling Committee,Candidate or Lobbyist Friends of Judge Jessica Brewbakef Street Address PO Box 444 City Carlisle State PA Zip Code 17013 Type of Report(Place x under report type) 1-6"'Tuesday 2- 20a Friday 3-30 Day Post 4 OTuesday s-e Friday 6-30 Day Post 7-Annual Special 2"'Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election ❑ ❑ ❑ ❑ ❑x ❑ ❑ ❑ ❑ Date Of Election Year Amendment Termination (MM/DD/YYYy) 11/3/2015 2015 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 6/9/2015 10/19/2015 A.Amount Brought Forward From Last Report $ 157.41 B.Total Monetary Contributions and Receipts $ 9,695 - (From Schedule 1) - C.Total Funds Available $ (Sum of Unes A and B) 9,852.41 _ D.Total Expenditures $ 8,740.67 (From schedule 111) E.Ending Cash Balance $ (Subtract Line D from Line C) 1,111.74 - 3 F.Value of In-Kind Contributions Received (From Schedule II) 214 G.Unpaid Debts and Obligations $ 99a D p (From Schedule IV) 36,000 Z* 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,torr a complete. L O Sworn to and subscribed before me this r 1 Ct day of OG'EObf:f 20 li I � Z Sit of P r o Submitting report <LShcarD ( v Signature Printed Name �7 s My Commission expires L4 _ -7 / -7 �o —L2o/ R MO. DAY YR. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of lune 3,1937(P.L.1333,NO.320)as amended. Sworn to and subscribed before me this L ) m 1 \ \day of �'L.� G�J 20 5. -.it,W'" L , 3 -Signatur an date 1 20 S, —t 3 SRV P SS\C i v\ KCS i z Signat ' Printed Name 3 'S 3 My Commission expires - - ag- I -� L-��l� Lz z�, € alug Mo. DAY YR. Area Code Daytime Telephone Number '3a a p 2 142 $=D3 Q r SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 20150017 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 2. 260 Contributions $50.01 to (From Part A and Part B) Contributions Received from Political Committees(Part A) $ 750 All Other Contributions(Part B) $ 6,150 Total for the reporting period (2) $ 6,900 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 1,000 All Other Contributions(Part D) $ 1,500 Total for the reporting period (3) $ 2,500 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 35 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 9,695 Cover Page,Item 8) 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 20150017 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee McNees PAC 250 7/zz/zols House# Street Address Date[MM/DD/YYYY] $ �PO Box 1166 city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Mette Evans&Woodside Political Action Committee 7/23/2015 250 jHarnsburg Street Address Date[MM/DD/YYYY] $PO Box 5950State Zip Code Date[MM/DD/YYYY] $ PA 17110 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Nate Silcox 250 g/za/zols House# Street Address Date[MM/DD/YYYY] $ 1427 Inverness or city state Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 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 7House# Street Address Date[MM/DD/YYYY] $ 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Alan Boynton Jr. 7/22/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1020 Highfield Court city I State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA ll055 Full Name of Contributor Date[MM/DD/YYYY] $ Leroy Zimmerman 7/28/2015 200 House# Street Address Date[MM/DD/YYYY] $ PO Box 789 city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 Full Name of Contributor Date[MM/DD/YYYY] $ Renee Mattei Myers 7/29/2015 100 House# Street Address Date[MM/DD/YYYY] $ 2315 Longwood LN cityState Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Marc Scanngi 7/29/2015 100 House# Street Address Date[MM/DD/YYYY] $ 243 N 27th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 171].0 Full Name of Contributor Date[MM/DD/YYYY) $ Keith Brenneman 100 7/31/2015 House# Street Address Date[MM/DD/rM] $ 5808 Stephens Crossing City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Lee Cohen 7/31/2015 100 House# Street Address Date[MM/DD/YYYY] $ 2260 Flintlock Dr city State Zip Code Date[MM/DD/YYYY] $ Hummelstown PA 17036 PART 0 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] $ Richard Jordan 8/2/2015 250 House# Street Address Date[MM/DD/YYYY] $ 4 FOMaiI Court City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Frances Del Duca 8/4/2015 175 House# Street Address Date[MM/DD/YYYY] $ 506 S College St City I State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Patricia Faller 8/4/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1115 �et-..dr City State Zip Code Date[MM/DD/YM] $ Carlisle PA 17013 Full Name of Contributor I Date[MM/DD/YYYY] $ John Mancke 8/5/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1216 Fleetwood or City lState Zip Code 17013 Date[MM/DD/YYYY] $ Carlisle PA Full Name of Contributor Date[MM/DD/YYYY] $ The McShane Firm LLC 1W 7/27/2015 House# Street Address Date[MM/DD/YYYY] $ 3601 Vartan Way,2nd Floor City State Zip Code Date IMM/DD/YM) $ Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Abom&Kutulads,LLP 250 7/28/2015 House# Street Address Date[MM/DD/YYYY] $ 2 W High St 100 8/27/2015 City State Zip Code Date[MM/DD/YYYY] $ Carfisle 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Curcillo Law LLC 7/30/2015 250 [jH Street Address Date[MM/DD/YYYY] $ 4 Lexington St State Zip Code Date[MM/DD/YYYY] $ burg PA 17109 Full Name of Contributor Date[MM/DD/YYYY] $ Maria Louisa 8/1/2015 100 House# Street Address Date[MM/DD/YYYY] $ PO Box 203 city I State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17001 Full Name of Contributor Date[MM/DD/YYYY] $ Charles Schmidt,Gerard Kramer,Scott Cooper 8/5/2015 250 House# Street Address Date[MM/DD/WW] $ 209 State 5t City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17101 Full Name of Contributor Date[MM/DD/YYYY] $ Costopoulos,Foster&Fields 8/7/2015 250 House# Street Address Date[MM/DD/YYYY] $ 831 Market St CityState Zip Code Date[MM/DD/YYYY] $ Lemoyne PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ Deborah Keys100 8/8/2015 House# .Street Address Date[MM/DD/YYYY] $ 3 Devonshire Square City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Henry Coyne 8/12/2015 100 House# Street Address Date[NIM DID $ 110 ELauer Ln city State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 PART B All Other Contributions 550.01 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] 5 Joshua Bonn 8/27/2015 100 House# Street Address Dale[MM/DD/YYYY] $ 1140 NWest 5t City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Terrence McGowan 8/31/2015 100 House# Street Address Date[MM/DD/YYYY] $ 455 Harvest Dr city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributor Date[MM/DD/YYYY] $ Trudy Fehlinger 8/31/2015 175 House# Street AddresEL,.dRDr Date[MM/DD/YYYY] $ 28 Gty State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Bridget Casher 8/31/2015 175 House# Street Address Date[MM/DD/YYYY] $ 518 Windy Way City I State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ Christopher Carusone 100 8/31/2015 House# Street Address Date[MM/DD/YYYY] $ 4134 Willow Bend Rd 8/31/2015 150 City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Attorney Corky Goldstein250 8/31/2015 House# Street Address Date[MM/DD/YYYY] $ 2900 Parkside Ln City State zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 PART B All Other Contributions $50.01 TO 5250 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 Identifiwthan Number: 0150017 Full Name of Contributor Date[MM/DD/YYYY] $ David Dowling 8/31/201S 100 LHouse Street Address Date[MM/DD/YYYY]PO Box 1146State Zip Code Date[MM/DD/YYYY] $ urg PA 17108 Full Name of Contributor Date[MM/DD/YYYY] $ Katherine Hetherington Cunfer 8/31/2015 175 House# Street AddressECunfr Date[MM/DD/YYYY] $ 351 City I State Zip Code Date[MM/DD/YYYY] $ Lehighton PA 18235 Full Name of Contributor Date[MM/DD/YYYY] $ Samuel Milkes 8/31/2015 100 House# Street Address Date[MM/DD/YYYY] $ 16 Cave Hill Dr City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Jayne Abrams 8/31/2015 175 House# Street Address Date[MM/DD/YYYY] 5 1812 kalnut 5t city State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Steven Grubb 100 8/31/2015 House# Street Address Date[MM/DD/YYYY] $ 811 Acri Rd Gty State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Ronald Katzman 8/31/2015 250 :Ho4use# StreetAddress Date[MM/DD/YYYY]00 Logan Ct,unit 6A ciState Zip Code Date IMM/DD/YYYY] $ p Hill PA 17011 PART B All Other Contributions 550.01 TO 5250 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] S Heather Kelly 8/31/2015 175 House# Street Address Date[MM/DD/YYYY] $ 2215 Chestnut St city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17104 Full Name of Contributor Date[MM/DD/YYYY] $ Harvey Feldman 8/14/2015 100 House# Street Address Date[MM/DD/YYYY] $ 5 Dawning St City I State Zip Code Date ININI /YYYY] $ Carlisle PA 17013 Full Name of Contributor Date INN N /YYYY] $ Brian Perry 8/14/2015 100 House# Street Address Date[MM/DD/YYYY] $ 3030 Beverly Road City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Tammy Shearer 8/17/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1111 Tunbridge In city State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Michael Traxler 175 8/18/2015 House# Street Address Date[MINI YYYY] $ 3214 Green St city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Rose Placey 8/22/2015 100 FHouse# Street Address Date[MINI YYYY) $ 240 N 23rd St F# State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 PART B All Other Contributions 550.01 TO S250 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] $ Kathy Pape 8/24/2015 175 :House# Street Address Date[MM/DD/YYYY] $ 1920 Monterey Dr Gtir State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ J.Stephen Feinour 8/26/2015 100 House# Street AddressDate[MM/DD/YYYY] $ 333 W:,:: illaw Ave City I Camp Hill PA State Zip Code Date[MM/DD/YYYY] $ 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Richard Russell 8/26/2015 250 House# Street AddressDate[MM/DD/YYYY] $ 311 Maple Ave City State Zip Code Date[MM/DD/YYYY] $ Hershey PA 17033 Full Name of Contributor Date[MM/DD/YYYY] $ Solomon Krevsky 9/1/2015 100 House# Street Address Date[MM/DD/YYYY] $ 2455 Dewey Lane City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YM] $ Full Name of Contributor Date[MM/DD/YYYY] $ LC,ou,e,IL Street Address Date[MM/DD/YYYY] $ 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: 20150017 Full Name of Date[MM/DD/YYYY] $ Contributing Committee Friends of Greg Rothman 8/29/2015 1,000 House# Street Address Date[MM/DD/YYYY] $ PO BOX 1471 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 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 Address Date[MM/DD/YYYY] $ city I 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] $ 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: 0150017 Full Name of Contributor Date[MM/DD/YYYY] $ Rhoads&Siren LLP 1,000 7/14/2015 House# Street Address Date[MM/DD/YYYY] $ PO Box 1146 city State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17108 Employer Name Rhoads&Sinon LLP Occupation Lawyer Employer Mailing Address/ Principal Place of Business PO Box 1146,Harrisburg PA 17108 Full Name of Contributor Date[MM/DD/YYYY] $ Dennis Sheaffer 8/31/2015 500 House p Street Address Date[MM/DD/YYYY] $ 403 North Star Dr City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17112 Employer Name Tucker Arensburg,P.C. Occupation Lawyer Employer Mailing Address/ Principal Place of Business 2 Lemoyne Dr,Suite 200,Lemoyne PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ House ft 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] $ 7Ciouse# Street Address Date[MM/DD/YYYY] S 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: 20150017 Full Name Santander Bank House# 129 Street Address 5 Pitt St City State Zip Date[MM/DD/YYYY] $ Carlisle PA Code 17013 6/19/2015 35 Receipt Description Bank Fee Returned 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/YM] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YM] $ Code Receipt Description Full Name House# Street Address city State Zip 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: 0150017 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 0 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 214 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 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) 214 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Claudia Williams 8/31/2015 214 House# Street Address Date[MM/DD/YYYY] $ 5123 Deerfield Ave city State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Description of Contribution Food for Fundraiser 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] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YM] $ 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/YM] $ Description of Contribution I j SCHEDULE III Statement of Expenditures Filer Identification Number: 20150017 To Whom Paid Date[MM/DD/YYYY] $ Santander Bank 10 7/14/2015 E Street Address SPitt St Description of Expenditure State Zipe PA Cade 17013 aintanence Fee To Whom Paid Santander Bank Date[MM/DD/YYYY] $ 8/13/2015 10 House# 129 (Street Address 5 Pitt st Description of Expenditure City State Zip Carlisle PA Code 17013 Maintanence Fee To Whom Paid Date[MM/DD/YYYY] $ LN Consulting LI-59/21/2015 5,000 House# 121 Street Address State St Description of Expenditure city Harrisburg State PA Zip17101 Consulting Fee Code I To Whom Paid Date[MM/DD/YYYY773oo Claudia Williams 9/30/2015 House# 5123 lStreet Address Description of Expenditure Deertield Ave city Mechanicsburg State PA C d0 17050 Food from Fundraiser To Whom Paid Date[MM/DD/YYYY] $ Hemlock Strategies 3,374.68 9/30/2015 4House# Street Address Description of Expenditure PO Box 7365 State PA z d2 17113 Consulting Fee and Expenses To Whom Paid Date[MM/DD/YYYY] $ Zach Border 45.99 9/30/2015 F Street Address Description of Expenditure Basler State ZipInk and Pa er ne PA Code 17043 p To Whom Paid Date[MM/DD/YYYY] $ House If Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/7 $ 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: 20150017 Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# IStreet Address DATE DEBT INCURRED $ 815 _ Wellington Dr [MM/DD/YYYY] 1/13/2015 city State Zip 10,000 e Carlisle PA CUd17013 Description of Debt Loan Name of Creditor Dorothy Becker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 48 Derbyshire Dr IMM/DD/MY] 2/13/2015 city State Zip 5,000 Carlisle PA Code 17015 Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 [MM/DD/YYYY] Wellington Dr 4/22/2015 city Carlisle State PA de 17013 100 Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 Wellington Dr [MM/DD/YYYY] 5/5/2015 city Carlisle State PA Zip 17013 10,700 Code Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 Wellington Dr [MM/DD/YYYY] 5/11/2015 City State Zip 5,200 Carlisle PA Code 17013 Description of Debt Loan Name of Creditor Dorothy Becker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 48 Derbyshire Dr [MM/DD/YYYY] 5/11/2015 city State Zip 5,000 Carlisle PA Code 17015 Description of Debt Loan