HomeMy WebLinkAboutFriends of John McDermott - 2015 2nd Friday Pre-Election 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 By Candidate Committee \ / Lobbyist
Number (Mark X) /X\
Name of Filing Committee,Candidate or
Lobbyist Friends of John McDermott
Street Address 427 W Simpson Street
City Mechanicsburg State PA Zip Code 17055
Type of Report(Place x under report type)
1-6 th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-rd 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
0 El El El � El El
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/02/2015 2015 Report Report ❑
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
09/01/2015 20/19/2015
A.Amount Brought Forward From Last Report $ 000
B.Total Monetary Contributions and Receipts $ 725.00 C
(From Schedule 1) C crt
C.Total Funds Available $ 725.00 j O
(Sum of Lines A and B) --r
D.Total Expenditures $ r\3t—
(From Schedule III) 0.00 :' C\3
E.Ending Cash Balance $ t= a
(Subtract Line D from Line C) 725.00 �
F.Value of In-Kind Contributions Received $ 30.00 CD CA
(From Schedule II) C:)
G.Unpaid Debts and Obligations $ 0.00
(From Schedule IV)
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,correct and complete.
Swo n to anc)}subscribed before me this �C
day of 20 r p'— Cr/y)5*
Ignatul of P s Submitting Tint
✓ I$- �—Xa i I Cr✓L-
CO PENNSYLVANIA Printed Name
jall-
mission rTARIAL SEAL 717 608-7437
�E'I1NNolary, LbliC AV VR. Area Code Daytime Telephone Number
iM
rized mmittee,candidate shall sign here.
CABIISlEaDRQ C.' d 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
)day of -�`-"as.�J!-✓ 20 L5 /h�Arr•
Signature of�date
W%h o �r'tt�h
1 na a Printed Name
Mv Commixill UQI H OF PENNSYLVANIA 717 608-3226
NOTAMR.SEAL DAY YR. Area Code Daytime Telephone Number
BETHANY SALZARULO
Notary Public
CARLISLE
My Commission Expires Oct 7,2017 �{f
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SCHEDULEI
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
Friends of John McDermott
I.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
250.00
2.Contributions o 50.01 to $250.00 From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 100.00
All Other Contributions(Part B) $ 375.00
Total for the reporting period (2) $ 475.00
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 0.00
All Other Contributions(Part D) $ 0.00
Total for the reporting period (3) $
0.00
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $ 0.00
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
725.00
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
Friends of John McDermott
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Central Democrats100.00
10/01/2015
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
CMechanicsburg PA 17055
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
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/YYYY] $
City State Zip Code Date[MM/DD
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# --]Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
SCHEDULE If
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:
Friends of John McDermott
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $ 30.00
I
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTALfor the reporting period (2) 1 $
0.00
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $
0.00
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) 30.00
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
Friends of John McDermott
Full Name of Contributor Date[MM/DD/YYYY] $
FHouse# Street Address Date[MM/DD/YYYY] $
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
Fil
of Contributor Date[MM/DD/YYYY] $
Street Address Date[MM/DD/YYYY] $
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] $
Cityft State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
Friends of John McDermott
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 Description
Place of Business of
Contribution
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] $
lHousell Street Address Date[MM/DD/YYYY] $
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 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
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:
Friends of John McDermott
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City L. 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 Address Date[MM/DD/YYYY] $
City
House
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 Datea[MM/DD/YYYY)Contributing Committee
House# Street Address DateCityState Zip Code Date
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:
Friends of John McDermott
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 It Street Address Date[MM/DD/YYYY] $
city I 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
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
Friends of John McDermott
To Whom Paid I 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] $
House# Street Address Description of Expenditure
City State
Zip
Code
To Whom Paid Date[MM/DD/YYYY]7
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] $
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] $
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:
Friends of John McDermott
Name of Creditor Outstanding Balance of Debt
rE
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
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:
Friends of John McDermott
Full Name
House# Street Address
city State Zip Date[MM/DD/YYYY] $
Code
L_
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/YYYY] $
Code
Receipt Description
Full Name
House If 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