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HomeMy WebLinkAboutFriends of Brice Arndt - 2015 2nd Friday Pre-Election IIIIIIIIIIIIIIIIIIIII�IIIIIIIIII I II II Reset Form0130280 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 20130280 Number (Mark X) n Name of Filing Committee,Candidate or Friends of Brice Arndt Lobbyist Street Address P o Box 1141 City Camp Hill State Pa Zip Code 17011 Type of Report(Place x under report type) 1-6t"Tuesday 2- 2nd Friday 3-30 Day Post 4-6th 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 M 11 11 Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/17/2016 Report Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures C') ro 09/15/2015 10/19/2015 cn A.Amount Brought Forward From Last Report $ C7 46,545.01 a / B.Total Monetary Contributions and Receipts $ !--- N (From Schedule 1) 8,100 Ci. C.Total Funds Available $ ..% (Sum of Lines A and B) 54,645.01 ,.-� D.Total Expenditures $ r' -- 28,296.85 (From Schedule III) E.Ending Cash Balance $ (Subtract Line D from Line C) 26,348.16 v F.Value of In-Kind Contributions Received $ (From Schedule II) G.Unpaid Debts and Obligations $ 65,132.19 (From Schedule IV) Affidavit Section Part 1-!f this Is a Lornmittee report,treasurer sign here.If this is a Candidate report,candidate sign here. wear(or affil rcj ih;t IN-report,Including the attached schedules on paper,is to the best of my knoledge and belief true,correct and complete. Sae.n-u aid s.Jb..'.c•iL eG before me this _ dayof�� -� 20_� I �• Sig ture of Person Submitting report ,James .Smelt r,Treasure My 5 rani�'�7 lfs �1` ,L '=-•- .t r Printed Name - '� `v� 717 7610211 Com ission�t� ' 5 Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. swear(or aYrip t:iattat(�26est of my knowledge and helief this political committ as of violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. - r Sworn to and subscriibbe�d..h/c�m[fe me this 20 - Signature o andi e E 1 Brice D.Arndt Cts ? I Printed Name Fcl..�' .,p 717 791-1360 My Com issio JA.t1S�aCkJ AI/Umsr[a g 11 of HWW_l�'�',P��721pPi)tYR.'OJ`t(} Area Code Daytime Telephone Number QofMRlsgPc Expi�a PJcigr bor tl 2018 y(� SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 20130280 1.1-Initemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (7 17150 50 2.Contributions o 50.01 to $250.00 From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 2,050 Total forthe reporting period (2) $ 2,050 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 6,000 Total for the reporting period (3) $ 6,000 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) - Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,Z 3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 5,100 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 20130280 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee House If 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# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MMt Full Name of Contributing Date[MM Committee House# Street Address Date[MM City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Elate[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: 20130280 Full Name of Contributor( Date[MM/DD/YYYY] $ . Randall G. and Pamela E.Gale 09/21/2015 100 House Street Address Date[MM/DD/YYYY] $ 236 Willow DR. City State Zip Code Date[MM/OD/YYYY] $ Camp Hill Pa 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Dongchol Park 10/26/2015 2D0 House# Street Address Date[MM/DD/YYYY] $ 455 N.Reeser Drive City State Zip Code De[MM/DD/YYYY] $ York Haven Pa 17370 al Full Name of Contributor Date[MM/DD/YYYY] $ MSharon Turner 150 10/26/15 House# Street Address date[MM/DD/YYYY] $ 711 Indiana Ave. City State Zip Code Date[MM/DD/YYYY] $ Lemoyne Pa 17043 Full Name of Contributor Date[MM/DD/YYYY] $ Jay Paul Johnson 10/26/2015 150 House# Street Address Date[MM/DD/YYYY] $ 14 Maybelle Cr. City State .Zip Code Date[MM/DD/YYYY] $ Mechanicsburg Pa 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Timothy S and Gayle S.Diehl 250 10/26/15 House# Street Address Date[MM/DD/YYYY] $ 3020 Beverly Road City State Zip Cade Date[MM/DD/YYYY] $ Camp Hill Pa 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Charles and Jane M.Austin 10/26/2015 100 _. . House# Street Address Date[MM/DD/YYYY] $ 1102 — Saffron DR. — 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: 20130280 Full Name of Contributor Date[MM/DD/YYYY] $ David M. and Joanna Fitzgerald 10/16/2015 100 House# Street Address Date[MM/DD/YYYY] $ 513 Francis DR. City State Zip Code 17050 Date[MM/DD/YYYY] $ Mechanicsburg Pa Full Name of Contributor Date[MM/DD/YYYY] $ Russell A.and Christy Digilio 10/16/2015 250 `F] ouse# Street Address Date[MM/DD/YYYY] $ 2012 Mountain Pine DR. City State Zip Code Date[MM/DD/YYYY] $ Mechanirsborg Pa 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Balley Wond 250 10/13/2015 House# Street Address Date[MM/DD/YYYY] $ 9235 Avalanche Canyon Drive City State Zip Code Date[MM/DD/YYYY] $ Jackson Wy 83001 Full Name of Contributor Date.[MM/DD/YYYY] $ Dennis Chariton 250 10/13/2015 HouISWLn2b.r. eet Address Date[MM/DD/YYYY] $ Lake Grove City Road City State Zip Code Ddte[MM/DD/YYYY] $ Pa 16153 --- Full Name of Contributor Date[MM/DD/YYYY] $ Rita Warren 250 10/16/2015 House# Street Address Date[MM/DD/YYYYI $ - 662 St.John's Road City State Zip Code Date[MM/DD/YYYY] $ - Camp Hill Pa 17011 Full Name of Contributor Date[M M/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: 20130280 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Date Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date IPA M/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/YYVY] $ 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 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 Q Filer Identification Number: 20130280 Full Name of Contributor Date[MM/DD/YYYY] $ Edward P.and Ann P.Gormley 2,500 09/21/2015 Housed Street Address Date[MM/DD/YYYY] $ 6338 S.Powderhorn DR. City StateZip Code Date[MM/DD/YYYY] $ Mechnacsburg Pa 17050 Employer Name Susquehanna Financial Advisors Occupation principal Owner Employer Mailing Address/ Principal Place of Business 4999 Louisa Drive Mechanicsburg,Pa.17055 Full Name of Contributor Date[MM/DD/YYYY] $ Stanley P.and Laura E. Schrader 09/21/2015 500 House If Street Address Date[MM/DD/YYYY] $ 110 Winfield DR. City State Zip Code .Date[MM/DD/YYYY] $ campHill Pa 17011 Employer Name Occupation unemployed Employer Mailing Address/ Principal Fla.e of Business Full Name of Contributor Date[MM/DD/YYYY] $ Matthew Plummerp 10/16/2015 1,500 F Street Address Date[MM/DD/YYYY] $ 19 Flakstone DR. State Zip Code Date[MM/DD/YYYY]ianiaburg Pa "17050 Employer Name PnnnPhoenix Partners Occupation political Consultant Employer Mailing Address/ 3719 Folkstone Drive Mechanicsburg,Pa Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ Charles J.and Lisa H Poor 10/16/2015 500 House It Street Address Date[MM/DD/YYYY] $ 1787 S.Meadow DR. City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg Pa 17055 Employer Name Mechanicsburg Family Dentistry Occupation Dentist Employer Mailing Address/ Principal Place of Business 1824 East Trindle RD.Mechanicsburg,Pa. 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: 20130280 Full Name of Contributor Date[MM/DD/YYYY] $ Lori and Kenneth.Diminick Soo 10/16/2015 F se If Street Address Date[MM/DD/YYYY] $ 1057 BrandtAve. StateN Zip Code Date[MM/DD/YYYY] $ - - lemoyne Pa 17043 — Employer Name .Occupation Hilton-Deminick Orthodontic Associates Owner Employer Mailing Address/ 3412 E.Trindle RD.Camp HIII Pa Principal Place of Business Full Name of Contributor,- Date[MM/DD/YYYY] $ ' ,DR.&Mrs.Robert L.Myers 10/16/2015 500 F tf Street Address Date[MM/DD/YYYY]336 N26th 5treLt State Zip Code Date[MM/DD/YYYY] $ Camp Hill Pa 17011 Employer Name Wood Myer&Hartman Oral&Maxillofacial Surgeons Occupation Owmer Employer Mailing Address/ 207 South 32st Camp Hill Pa.17011 Principal Place of Business - FullNameoiContributor Date[MM/DD/YYYY] $ a^ House ri Street Address Date[MM/DO/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor . n Date[MM/DD/YYYY] $ House If — St eet 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 Identification Number: 20130280 Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City rState Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House Street Address City State Zip `Date[fVINI%!7D'JYYYY]"�"; Code Receipt Description - Full Name House It Street Address City State Zip Date[MM/DD/YYYY] $ ... Code Receipt Description Full Name House# Street Address City State ZipDate[MM/DD/YYYY] de $ Co Receipt Description Full Name House# Street Address City State Zip Dale[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: 20130280 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$SO.00 OR LESS PER CONTRIBUTOR TO7AL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for therepo,1mgperiod (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL forthe 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: 20130280 Full Name of Contributor Date[MM/DD/YYYY] $ FHouse# Street Address Date[MM/DD/YYYY] $ City State !Code Date[MM/DD/YYYV] $ Description of Contribution Full Name of Contributor Date jMM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYV] $ Description of Contribution Full Name of Contributor - Date jMM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ __ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor ;pate[MM/DD/YYYY] $. FHouse ff Street Address - 'Date[MM/DD/YYYV] $ City State Zip Code }.Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contribu4or i Date[MM/DD/YYYY] $ Hou Street Address Date[MM/DD/YYYY] $ City State — Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE 11 Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 20130280 Full Name of Contributor Date[MM/DD/YYYY] $ HOuse ff 5treet 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# 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 4Street 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 f! 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 SCHEDULE III Statement of Expenditures Filer Identification Number: 20130280 To Whom Paid Date[MM/OD/YYYY] $ PNC Bank 10/02/2015 34.95 House If Street Address P O Box 609 Description of Expenditure City State Zip Pittsburgh Pa Code 15230 yber5ource ACH Fee To Whom Paid Date[MM/DD/YYYY] $ PNC Bank 30 -' 10/02/2015 House# Street Address POBox 609 Description of Expenditure City State Zip Pittsburgh Pa Code 15230 Uthnet Gateway Fees To Whom Paid Date[MM/DD/YYYY] $. Turkey Hill 09/16/2015 34.94 House It F Street Address Description of Expenditure 998 N.Hanover St. City StateLp as for trans ortation Elizabetown Pa Code 17022 g P To Whom Paid Date[MM/DD/YYYY] $ United State Post Office 09/15/2015 170.4 House# Street Address Magaro RD. Description of Expenditure 514 City State Zip [nolo Pa Code 17025 Postage To Whom Paid Date[MM/DD/YYYY] d $: Printed Image LTD. 09/15/2015 45.41 House q 137 Street Address North Hanover Street Description of Expenditure City State Zip Carlisle Pa 17013 Envelopes Code To Whom Paid Date[Ml $ Staples Office Supply 09/16/2015 6.36 House✓✓ 100 Street AddressNoble Blvd. Description of Expenditure CityState Zip Office Su lies Carlisle Pa Code 17013 PP To Whom Paid Staples ODate[MM/DD/YYYY] $ Office Supply _ p9/16/2015 19.39 House IF 100 Street Address Noble Blvd. Description of Expenditure City State ZIP Office Supplies Carlisle Re Code 17013 pP To Whom Paid Date[MM/DD/YYYY] $ The Restaurant Store 12.98 10/03/15 House p Street Address Description of Expenditure 3435 Simpson Ferry Road City State Camp Hill Pa 17011 beverage cups and napkins SCHEDULE III Statement of Expenditures Filer Identification Number: 0130280 To Whom Paid Date[MM/DD/YYYY] $ Mezzo Cafe 47.44 10/02/2015 House# 829 State Street,Suite 2008 Street Address Description of Expenditure City State Zip Lemoyne Pa Code 17043 Food To Whom Paid Date[MM/DD/YYYY] $ Staples Office Supply 9.44 7.0/01/2015 House If 128 South 32nd Street Street Address Description of Expenditure City State 'Zip Zip Camp flill Pa ,17111 office supplies To Whom Paid .'?-Date-[MM/DD/YYYY] $ Turkey Hill 20 09/15/2015 House# 6708 Carlisle Pike Street Address Description of Expenditure City Mechanicsburg Zip Gas for Trans ortation Mecha n¢sburg Pa Code 17050 P To Whom Paid Date[MM/DD/YYYY] $ Staples Office Supply 14.82 SO/D4/15 House# 5850 Street Address Description of Expenditure Carlisle Pike City State Zip Mechanicsburg Pa .Code 17050 Office Supplies To Whom Paid _ Date[MM/DD/YYYY] $ D and 5 Produce .. 22.15 10/03/2015 --_ House# Street Address — Description of Expenditure West Shore Farmers Market City State Zip Lemoyne Pa Cade 17043 Food To Whom Paid Date tMM/DD/YYYY] $ Barbs Bakery 12 10/03/2015 House# 900 Street Address Market street Description of Expenditure City State Zip Food Strasburg Pa Code 17579 To Whom Paid Date[MM/DD/YYYY] $ Moms Soup and salad g.g5 10/03/2015 House# 900 Market Street Street Address Description of Expenditure City State Zip Lemoyne Pa Food Code 17083 To Whom Paid Date[MM/DD/YYYY] $ The Pennsylvania Bakery 10.65 10/03/2015 House Street Address Description of Expenditure 1713 Market Street - City State Zip food Camp Hill Pa .Code 17111 SCHEDULE III Statement of Expenditures Filer Identification Number: 20130280 To Whom Paid Date[MM/DD/YYYY] $ Glenn Miller's Beer and Soda Warehouse 10/03/15 101.39 House#T Street Address Description of Expenditure' 1029 Market Street City State Zip Lemoyne Pa Code 17043 Beverages To Whom Paid Date[MM/DD/YYYY] $ Fex Ex Office 18.86 09/29/2015 House tf IStreet Address Description of Expenditure 3462 Paxton Street City State Zip Harrisburg Pa Code 17111 shipping To Whom Paid Date.[MM/DD/YYYY] $ Pa Wine&Spirits Store 2107 10/03/2015 208.8 House# IStreet Address Description of Expenditure 3760 Market Street City State Zip CampHill Pa 17043 Beverages Code To Whom Paid Date[MM/DD/YYYY] $ Susquehanna Harvest "' 09/29/2015 72.08 House# Street Address Description of.Expenditure 2625 Bindle Drive City State Zip Harrisburg Pa 17011 Beverages Code To Whom Paid I Date[MM/DD/YYYY] $ The Country Coronet Date 20.7 House# Street Address Description of Expenditure 900 Market Street _....__ — —__.__._._ —._ ._._ City State Zip LPmoync Pa Code 17043 food To Whom Paid Date[MM/DD/YYYY] $ S.Clyde Weaver,Inc. 10/02/2015 186.44 House# Street Address Description of Expenditure 5253 Main Street City State Zip Food East Petersburg Pa Code 17520 To Whom Paid Date[MM/DD/YYYY] $ S.Clyde Weaver,Inc. 10/02/2015 7.78 Houseft 5253 Street Address Main Street Description of Expenditure State Zip— City Rolls East Petersburg Pa Code 17520 To Whom Paid Date[MM/DD/YYYY] $ W.L,Kepler Seafood 71.84 10/02/2015 House# Street Address Description of Expenditure Market Street City State ZIP food Leymone Pa Code 17043 SCHEDULE III Statement of Expenditures Filer Identification Number: 20130280 To Whom Paid Date[MM/DD/YYYY] $ PNC Bank 10/16/2015 9.16 House# Street Address P O Box 609 Description of Expenditure City State Zip Pittsburgh Pa Code 15230 -redit Card Fees To Whom Paid -0afe[NIM/DD/YYYY] $ Jamestown Associates 24,800 10/19/2015 House# 116 Street Address]Craig Road Description of Expenditure City State Zip , Manalapan Pa {ode 07726 media purchase To Whom Paid Date[MM/DD/YYYY) $ Hampden Township Veteran 09/18//2015 1,000 House# Street Address Description of Expenditure City State Zip Mechanicsburg Pa rCode 17050 sponsorship of event .......... To Whom Paid Date[MM/DD/YYYY] $ Matthew Plummer 1,300 10/01/2015 House# 3719 Falkstone Drive Street Address Description of Expenditure City State Zip Mechanicsburg Pa Code 17050 Consulting Fee 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 House 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: 20130280 Name of Creditor Brice D.Arndt Outstanding Balance of Debt House N Street Address DATE DEBT INCURRED $ 83 Greenwood RD. [MM/DD/YYYY] 01/28/2014 City Wormleysburg Pa State ZiCopde 17043 10,000 Description of Debt Loan to Campaign Name of Creditor Brice D.Arndt Outstanding Balance of Debt HouseN Street Address DATE DEBT INCURRED $ 83 Greenwood RD. [MM/DD/YYYYj 12/10/2013 City State Zip _ 15.6 Worrnleysburg Pa Code 17043 Description of Debt Loan to Campaign Name of Creditor Brice D.Arndt + Outstanding Balance of Debt HouseN Street Address DATEDEBTINCURRED $ .. ............. IMM/DD/YYYY] 83 _ Greenwood RD. 11/21/2014 City State -Zip 96.59 Wormleysburg Pa Code 17043 Description of Debt Loan to Campaign - Name of Creditor Brice D.Arndt Outstanding Balance of Debt HouseN Street Address DATE DEBT INCURRED $ 83 Greenwood RD. [MM/DD/YYYY) 10/20/2014 City Wormleysburg State Pa Lp 17043 35,000 Description of Debt Loan to Campaign Code Name of Creditor Brice D.Arndt Outstanding Balance of Debt [Be useN Street Address DATE DEBT INCURRED $ 83 Greenwood RD. [MM/DD/YYYY] 05/01/2015 City Wormleysburg State Pa Zip 17043 20,000 Code Description of Debt Loan to Campaign Name of Creditor Outstanding Balance of Debt HouseN Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip.. Code ' Description of Debt