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Home My WebLink AboutFriends of Jim Hertzler - 2015 2nd Friday Pre-Election III itI 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) Name of Filing Committee,Candidate or Lobbyist Friends of Jim Hertzler Street Address PO Box 43 city Enola State PA zip Code 17025-0043 Type of Report(Place x under report type) 1-6rh Tuesday 2- 2nd Friday 3-30 Day Post 4-6'h Tuesday 5-2nd 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 E] El El 1:1 X Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/03/2015 2015 Report ❑ Report ❑ Summary of Receipts and From Date To Date For Office Use 0 c Expenditures _ cn 06/09/2015 10/19/2015 C-•J7 p A.Amount Brought Forward From Last Report $ 0 Viz, IV B.Total Monetary Contributions and Receipts $ "' w (From Schedule 1) 6,520.62 p C) -q C.Total Funds Available $ - (Sum of Lines A and B) 6,520.62 C D.Total Expenditures $ 446.79 e' O (From Schedule III) -G co E.Ending Cash Balance $ (Subtract Line D from Line C) 6,073.83 - F.Value of In-Kind Contributions Received $ 0 (From Schedule ll) G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section < u r z 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. Z U_ Sworn to and subscribed before me this W o 1 N day of 20 15 u,fl-uQ c x Signature of Person Su miffing re rt w .r G Ll Matthew F.Franchak F Q W o c i Signature "05 /� //'�`` Printed Name W 6' v I aL7 I 717 802-0696 3 Z 1p E r My Commission expires Z m E u MO. DAY YR. Area Code Daytime Telephone Number t E (` Part 11-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 oflune 3,1937(P.L.1333,NO.32 amended. Sworn to a qd subscribed before me this day of Int' 20� Signature of Candidate rt U Jim Hez COME OF PEN �' Printed Name NOT AL SEAL 717 732-1498 M Commission WT AeY SALZARULO NotWublic DAY YR, Area Code Daytime Telephone Number CARLISLE BORO:,CUMBERLAND CNTY My Commission Expires Oct 7,2017 SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number S.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 895 .Contributions o 50.01 to $250.00 From Part A and Part B) Contributions Received from Political Committees(Part A) $ 600 All Other Contributions(Part B) $ 2,525 Total for the reporting period (2) $ 3,125 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 500 All Other Contributions(Part D) $ 12,000 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) $ 0.62 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 6,520.62 Cover Page,Item BJ 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 Capital BluePAC100 08/06/2015 House# Street Address Date[MM/DD/YYYY] $ �PO Box 60710 City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17106-0710 Full Name of Contributing Date[MM/DD/YYYY] $ Committee HRG PAC 08/11/2015 150 House# Street Address Date[MM/DD/YYYYj $ 369 East Park Drive City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributing Date[MM/DD/YYYY] $ Committee lay Costa for State Senate 09/21/2015 250 House M Street Address Date(MM/DD/YYYYj $ 314 Newport Road City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15221 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Gannett Fleming Inc.PAC 09/23/2015 100 House p Street Address Date(MM/DD/YYYYj $ �PO Roz 67100 City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17106 Full Name of Contributing Date[MM/DD/YYYY] $ Committee House lf Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ III Full Name of Contributing Date(MM/DD/YYYY] $ Committee House Street Address Date[MM/DD/YYYYj $ 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: Full Name of Contributor Date[MM/DD/VYYY] $ Robert Grant 07/16/2015 100 House# Street Address Date[MM/DD/YYYY] $ 804 Violet Circle city State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Dolores McAlister 07/16/2015 100 [:Enola Street Address Date[MM/DD/YYYV] $ 208 E.Cumberland Road State Zip Code Date[MM/DD/YVYY] $ PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Deborah Beck 07/28/2015 200 House# Street Address Date IMM/DD/YYVYJ $ 3820 Club Drive 7HI-11sburg State Zip Code Date ININI YYYY] $PA 17110 Full Name of Contributor Date[MM/DD/VYYY] $ Susan Stuart 08/06/2015 200 House# I Street Address Date IMM/DD/YYVY] $ 200 N.Front Street City State Zip Code Date[MM/DD/YYYY] $ Wormteyshurg PA 17043 Full Name of Contributor Date[MM/DD/YYYY] $ 'Marjorie Staub 100 08/06/2015 House# Street Address Date[MM/DD/YYYY] $ 253 Glenn Road City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Rosemarie Ryder 200 08/06/2015 House# Street Address Date[MM/OD/YYYY] $ 228 Glenn Road City State Zip Code Date[MM/DD/YYYY) $ Camp Hill PA 17011 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] $ William Griffith 08/07/2015 100 House# Street Address Date[MM/DD/YYYY] $ PO Boz 314 city State Zip Code Date 1MM/DD/YYYY1 $ Summerdale PA 17093 Full Name of Contributor Date[MM/DD/YYYY] $ George DeMartyn 08/11/2015 100 F Street Address Date[MM/DD/YYYY] $ 25 Hillcrest Road State Zip Code Date[MM/DD/YYYY] $ ola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Stephen Franchak 08/14/2015 75 House# Street Address Date[MM/DD/YYYY] $ 91Zip Code 1 Acri Road City State Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ ElliottStrokoff 08/19/2015 150 House# Street Address Date[MM/DD/YYYY] $ 2844 `Skyview Drive City Camp HIII State PA rip Code 17011 Date[MM/bD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ Patricia A.Schreiber 100 08/19/2015 House# Street Address Date[MM/DD/YYYY] $ 940 S.Humer Street city State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Robert Gill 100 08/31/2015 House# Street Address Date(MM/DD/YYYY] $ 70 Pine Ridge Circle City State Zip Code pate[MM/bD/YYYY] $ Enola PA 17025 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] $ Ronald E.Delbert 09/05/2015 150 House# Street Address Date[MM/DD/YYYY] $ 199 Alanthia Lane City State Zip Code Date[MM/DD/YYYY] $ Etters PA 17319 Full Name of Contributor Date[MM/DD/YYYY] $ Franklin Kury 09/05/2015 100 House# 7CourtStreet Address Date[NIN'l YYYY] $ 2416 City State Zip Code Date[MM/DD/YYYY] $ Hummelstown PA 17036 Full Name of Contributor Date[MM/DD/YYYY] $ Cornelius McAuliffe 09/16/2015 100 House# Street Address Date[MM/DD/YYYY] $ 5770 Hidden Lake Drive City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributor Date[MM/DD/YYYYj $ Darrell Dethlefs 09/21/2015 200 House# Street Address Date[NINill $ 2132 Market Street City State Zip Code Date[MM/DD/YYYY] $ Camp HIII PA 17011 Full Name of Contributor Date[MM/DD/YYYYj $ John DePuy 100 09/28/2015 House# Street Address Date[MM/DD/YYYY] $ 835 S.Humer Street City State Zip Code Date[MM/DD/ YYYYj $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYy] $ David Black 100 09/28/2015 FHouse# Street Address Date[M /DD/YYYY[M $ 1217 Chelsen Cross City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 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/YYVY] $ Jackie Singel 10/03/2015 100 House# Street Address Date[MM/DD/YVYY] $ 126 Windermere Drive City State Zip Code Date[MM/DD/YYVY] $ Palmyra PA 17078 Full Name of Contributor Date[MM/DD/YYVY] $ Michael McCarthy 10/09/2015 150 P Street Address Date[MM/DD/YYYY] $ 3813 Candle Light Drive State Zip Code Date[MM/DD/YYYY] $ mp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ �"' e# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYVY] $ ,use Street Address Date[MM/DD/YYVY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ LHouse# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address 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 Eckert Seamans PA Government PAC 500 08/20/2015 House# Street Address Date[MM/DD/YYYY] $ 600 Grant Street,44th Floor city I State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15219 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 ],Us, # Street Address Date[MM/DD/YYYY] $ ty State Zip Code Date(MM/DD/YYYY) $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee L,use# Street Address Date[MM/DD/YYYY] $ State Zip Code Date[MM/DD/YYYY) $ Full Name of Date IMM/DD/YYYY] $ Contributing Committee LH041e# Street Address Date[MM/DD/YYYY] $ 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: Full Name of Contributor Date[MM/DD/YYYY] $ Henry Coyne 07/16/2015 1,000 House# Street Address Date[MM/DD/YYYY] $ 110 E.Lauer Lane Gty State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Coyne and Coyne,P.C. Occupation ttorney Employer Mailing Address/ Principal Place of Business 3901 Market Street,Camp Hill,PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Marianne McManus 08/11/2015 300 House# Street Address Date[MM/DD/YYYY] $ 312 Glenn Road City State II Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name NA Occupation Retired Employer Mailing Address/ Principal Place of Business NA Full Name of Contributor Date[MM/DD/YYYY] $ Robert J.Dietz 09/16/2015 300 P Street Address Date[MM/DD/YYYY] $ 0 Brentwater Road State Zip Code Date[MM/DD/YYYY] $ p Hill PA 17011 Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ Denise McQuown Hatter 10/05/2015 400 House# Street Address Date[MM/DD/YYYY] $ 942 1 Philadelphia Street city State Zip Code Date[MM/DD/YYYY] $ Indiana IPA 15701 Employer Name (� ('/ Occupation A 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: Full Name Americhoice Federal Credit Union House# 2175 Street Address Bumble Bee Hollow Road City State Zip Date(MM/DD/YYYy] $ Mechanicsburg PA Code 17055 07/31/2015 0.05 Receipt Description Interest Income Full Name Americhoice Federal Credit Union House# 2175 Street Address Rumble Bee Hallow Road City State Zip Date[MM/DD/VYYY] $ Mechanicsburg PA Code 17055 08/31/2015 0.21 Receipt Description Interest Income Full Name Americhoice Federal Credit Union House# 2175 Street Address Bumble Bee Hollow Road city State Date[MM/DD/YYYY] $ Mechanicsburg pq Cop de F17055 09/30/2015 0.36 Receipt Description Interest Income Full Name House# Street Address City State Zip Date IMM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House#I Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Konhaus Marketing 07/26/2015 446.79 House# 35Gettysburg Road Street Address Description of Expenditure 44 City State Zip Camp Hill PA Code 17011 Letterhead and Envelopes 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 If Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YM] $ 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]77 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