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Home My WebLink AboutMechanicsburg Future fund - 2015 2nd Friday Pre-Election Commonwealth of Pennsylvania i - PAGE 1 OF CAMPAIGN FINANCE REPORT !COVER PAGE) (NOTE. This report must be clear and legible. It may be typed or printed in blue or black ink.) Report 2. jK* 3. Number. X Filer identification po, Name of Filing Committee, Candidate or Lobbyist: Mechanicsburg Future Fund Street Address: 701 South Market Street Citr. State Zip Code: Mechanicsburg lPennsylvani 17055 ............... TYPE OF 1. 2. a 3. REPORT 5. vXX 41111. a. (place X to the right of 7. YEAR 20 1-2 ... ... XX report type) Name of Office Sought by Candidate. District Office Party County Number Code Code Code 3 1201 5 (SEE INSTRUCTIONS FOR CODES) MOM— J..... ......... Summary of Receipts W-1 and Expenditures from: 01" 1 6 1 91 201 5 To 10 119 1 2015 CZ) A. Amount Brought Forward From Last Report 5 7.34 M C-) B. Total Monetary Contributions and Receipts (From Schedule 1) S 212.00 tV C. Total Funds Available (Sum of Lines A and B) $ 219.34 Me D. Total Expenditures (From Schedule 111) $ 211 .43 F- Ending Cash Balance (Subtract Line D from Line Q 111 7. 91 CD F. Value of In-Kind Contributions Received (From Schedule 11) s 333. 90 G. Unpaid Debts and Obligations (From Schedule 1\11 $ -0- AFFIDAVIT SECTION I swear (or affirm) that this report, including the(IM&fhad schedules, an paper or computer diskette, are to the best of my knowledge and belief true, correct and complete. 0NWgALTH OF PENNSYLVANIA gsy NOTARIAL ANIAL SEAL sworn to subscrib 7durfore me this Phaen9sy Bou 01 Public aey of UPPar Alle�n,1.6vp/Gbmbe If County e-e- ..eel txpites Ja .28, 1 Signature of Perscn.Aubmltting Report R.P NSYLVANIA ASSOCIA r1-1N0-'T A a I E J. Matthew Seagrist U .5 gnature Primed Name q--� My commission expires �zz I Z� 717 796-1221 LDAY YR.MO. Area Code Daytime Telephone Number 41� 0A I swear for affirm) that to the best of my knowledge 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 an subscribed before me this day of 20 signature of Candidate -ture Printed Name My remis AFULO -H Fla [HIJARIAMN14n, Y i.n &.T-H NY S 11 Votefy - anon.r-' AY YR. Area Code Daytime Telephone Number IMU,Aln AY My COMMISsion Expires Ott 7,ZU1 DSEB-502 17-99) SCHEDULE PAGE 2 OF 17 CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 TOTAL for the Reporting Period (1) $ -0 Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ 212 .00 TOTAL for the Reporting Period (2) $ 212 . 00 ............. ................. . .... .......... l Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ TOTAL for the Reporting Period (3) $ -0- OT,HIIE TOTAL for the Reporting Period (4) J $ _0_ 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 212. 00 Cover Page, Item B.) DSM-502 (7-99) PART A PAGE J OF I 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. Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund 7 From 6/9/2015 To 10/19/2015 DATE AMOUNT Full Name of Contributing committee ..... Mailing Address City State Zip Code iPlus 4 Full Name of Contributing Committee Mailing Address "DAY. City State Zip Code Plus 4) $ Full Name of Contributing C.mm.n.. $ Mailing Address $ City State Zip Code (Plus 4) 1 – Full Name of Contributing Committee Mailing Address :ikm �*ix N City State Zip Code 4PIUS 4) Full Name of Contributing Committee xvmr _x_y EAR Mailing Address City State Zip Code (Plus 4) Full Name of Contributing Committee Mailing Address P City State ZiCode lPlus 4) ..... 11 n�MAW Full Name of Contributing Committee Mailing Address City State Zip Code lPlus 4) Full Name of Contributing Committee Mailing Address City State Zip ode TFIU–S–Z— PAGE TOTAL Enter Grand Total of Part A on Schedule 1, Detailed Summary Page, Section 2. $ DSEB-502 17-99) PART B PAGE =A OF—1 ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 1 — DATE AMOUNT Full Name of Contributor Constance K. Miller 10 15 2015 $ 150. 00 Mailing Address 25 West Coover Street $ City State Zip Code (Plus 4) Mechanicsburg PA 17055 $ Full Name of contributor $ K le L. Miller 10 17 20151 62. 00 Mailing A d' 36 West Coover Street $ City State Zip Code (Plus 4) Mechanicsburg PA 17055 $ Full Name of contributor $ Mailing Address City State Zip Code (Plus 4) Full Name of Contributor Mailing Address City State Zip Code (Plus 4)- Full Name of Contributor Mailing Address City State Zip Code (Plus 4) Full Name of Contributor Mailing Address City State Zip Code (Plus 4) ............... $ Full Name of Contributor Mailing Address City State Zip Code (Plus 4) Full Name of Contributor tif Mailing Address ....... city State Zip Code lPlus 4) PAGETOTAL Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ 212. 00 DSEB-502 177-99) PAGE OF 1 2- 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. Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 DATE AMOUNT Full Name of Contributing committee $ —0— mailing Address City state Zip Code (Plus 4) Full Name of contributing Committee NMI# f Mailing Address ...... City State Zip Code (Plus 4) ...... 9 Full Name of Contributing Committee M Mailing Address City state Zip Code (Plus 4) Full Name of Contributing Committee Malin Address . ..... I City State Zip Code (Plus 4) ..... Full Name of Contributing Committee 1�777=-' Mailing Address City State Zip Code (Plus 4) Full Name of Contributing Committee Mailing Address City State Zip Code (Plus 4) .Mpiln;= �n 1 Full Name of Contributing Committee vA Mailing Address City State Zip Code Mus 4) Full Name of Contributing Committee Mailing Address City State Zip Code (Plus 4) $ PAGE TOTAL Enter Grand Total of Part C on Schedule 1, Detailed Summary Page, Section 3. $ -0- DSEB-502 (7-99) PART D PAGE L OF 1 1. ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To' 0/19/20 15 DATE AMOUNT I'vitt Rome of Contributor —0— Mailing Address City State Zip Code (Plus 4) $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Nam. of Contributor x $ Mailing Address $ City State Zip Code (Plus 4) $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor .. $ Mailing Address $ City State Zip Code (Plus 41 $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor Mailing Address City State Zip Code (Plus 41 Employer Name Occupation Employer Mailing Addi'esslPrincipal Place of Business Full Name of Contributor MCL DAW Mailing Address "' I $ City State Zip Code (Plus 4) $ 1 — Employer Name Occupation Employer Mailing Address/Principal Place of Business Enter Grand Total of Part D on Schedule 1, Detailed Summary Page, Section 3. PAGE TOTAL OSEB-502 (7-99) 1 PART E PAGE 7 OF I Z OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 Full Name Mailing Address City State Zip Code (Plus 41 All" $ Receipt 0...Timion Full Name Mailing Address City State Zip Code (Plus 41 Receipt Description Is Full Name Mailing Address City State Zip Code (Plus 4) IAM—O-.nT-- Receipt Description Full Name Mailing Address City State Zip Code (Plus 41 Receipt Description Full Name Mailing Address City State Zip Cod. (Plus 41 AMOUNT $ Receipt Description Full Name Mailing Address City State Zip Code (Plus 41 is Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule 1, Detailed Summary Page, Section 4. $ -0- DSES-502 (7-99) SCHEDULEII PAGE 6 OF I IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page F Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 Td10/19/2015 � �+iETE1UI.t�E1;r IN=ICtNEI C '�1sU" CH'� REC�IYE[t,,._ t(�� iE 1�5t10tt UR S$ PE#i i3NTRISC3T{�i ". TOTAL for the Reporting Period (1) $ 1Tf KI(�ID COE+IBUTt01�ta 3Et2A"PER" $css TOTAL for the Reporting Period (2) $ 3 IN KiN] tr4NT#tfBUTtiAE f€EGEtVEl YiItE1E OAR $281S9E# ROIUI PATiT G TOTAL for the Reporting Period (3) $ 333 . 90 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes t , 2, $ 333 . 90 and 3; also enter on Page t, Report Cover Page, Item F.) DSEB-502 (7-99) PAGE OF I SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period Flechanicsburg Future Fund From 6/9/2015 To 10/19/2015 DATE AMOUNT Full Name of Contributor $ —0— Mailing Address City state Zip Code (Plus 41 Description of Contribution Full Name of contributor zw"R Mailing Address $ City State Zip Code (Flu. 4) $ Description of Contribution, Full Name of Contributor $ Mailing Address City State Zip Code (Plus 41 Description of Contribution Full Name of Contributor w Mailing Address City State Zip Code (Plus 41 Description of Contribution: Full Name of Contributor Mailing Address City State Zip Code (Plus 4) Description of Contribution, Full Name of Contributor Mailing Address City state Zip Code (Plus 41 Description of Contribution: PAGE TOTAL Enter Grand Total of Part F on Schedule 11, In-Kind Contributions Detailed Summary Page, Section 2. $ -0- DSED-502 (7-99) PAGE i OF I SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 To Whom Paid ...... moun ...BAt YFA.ff, Overnight Prints 116 2015 1 $ 211 . 43 Mailing Address Description of Expenditure 7582 Las Vegas Blvd. , S. , Suite 487 Printing City state Zip Code (Plus 4) Las Vegas, NV NV 89123 To Whom Paid Amount $ Mailing Address Description at Expenditure City State Zip Code (Plus 4) I To Whom Paid Amount 2��a�Pgq $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid Mailing Address Description of Expenditure City state Zip Code (Plus 4)) To Whom Paid Amount MEN Mailing Address Description Or Expenditure City State 73de (Plus 41 To Whom Paid 9i Amount s Mailing Address Description of Expenditure City Stete Zip Code (Plus 4) To Whom Paid Amount Mailing Address Description of Expenditure City Stat; Zip Code (Plus 4) To Whom Paidk�n. Amount 19 $ Meiling AddLress Description of Expenditure City State Zip Code (Plus 41 PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 211 . 43 DSEB-502 (7-99) SCHEDULE II PAGE 'I I OF PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To10/19/2015 DATE AMOUNT Full Name of Contributor NEU X ISR iii: Kyle L. Miller 9 28 2015 $ 333 . 90 Mailing Address 36 West Coover Street .ty state Zip Code (Plus-44)— C Mechanicsburg PA 17055 — $ Employer of Contributor occupation Employer Meiling Add1.aalPT1n.iPbl Piece Of Business Description of Contribution Full Name of Contributor AR— $ Mailing Address U�iUURWT $ City State Zip Code (Plus 41 $ 1 — Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Nam. of Contributor � XVIAY.4 Mailing Address City State Zip Code (Plus 41 Employer of Contributor Occupation Employer Mailing Address]Principal Place of Business Description of Contribution Full Name of Contributor Mailing Address City state Zip Code (Plus 41 Occupation Employer of Contributor F on Employer Mailing AddresslPrincipal Place of Business Description of Contribution Full Name of Contributor Mailing Address City State Zip Code (Plus 4) 1 1 — $ Employer of C.rmibut.r Occupation Employer Mailing AddressiPrincipal Place of Business Description of Contribution PAGE TOTAL Enter Grand Total of Part G on Schedule 11, In-Kind Contributions Detailed Summary Page, Section 3. $ 333 . 90 DSEB-502 (7-99) PAGE OF SCHEDULE IV STATEMENT OF UNPAID DEBTS Use this secton to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of Filing Committee or Candidate Reporting Period Mechanicsburg Future Fund From 6/9/2015 To 10/19/2015 Name of Credit., utstanding Balance of De -0- Mailing Address DATE a DEBT INCURRED City State Zip Code (Plus W Description of Debt Name of Creditor Outstanding Balance of Debt Mailing Address DATE DEBT INCURRED City State Zip Code (Plus 41 Description of Debt Name of Creditor UtStanding Balance of De t Mailing Address DATE ::..........:sr: ...... DEBT INCURRED City state Zip Code (Plus 4) Description of Debt Name of Creditor ;1,anding Balance of De re Mailing Addss DATE DEBT IINCURRED City State Zip Co (Plus 41 Description of Debt Name of Creditor utstanding Balance of Debt Mailing Address DATE DEBT INCURRED City Zip Code (Plus 4)) Description of Debt Name of Creditor Outstanding Balance of Debt ----rDATE Mailing Address DEBT INCURRED City State Zip Code (Plus 41 21X1. Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ -0- 13SEB-502 J7-981