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Home My WebLink AboutFriends of Judge Jessica Brewbaker - 2015 30-Day Post Election IIIPOil IIII�1I'll II Reset Form Print Form 20150017 Commonwealth of Pennsylvania.CampaignFinance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee \ Lobbyist 20150017 Number (Mark K) n Name of Filing Committee,Candidate or Lobbyist Friends of Judge Jessica Brewbaker Street Address PO Box 444 Gry Carlisle State PA Zip Code 17013 Type of Report(Place x under report type) I.a Tuesday 2- 2n4 Friday 3-30 Day Post 4.6o'Tuesday S. Friday 6-30 Day Post 7-Annual Special 2 Friday Special 30 Day Pre-Primary Pre-Prfmary Primary Pre-Election Pre-Election Election Pre-Election Post-Election E] 1:1 1:1 11 1:1 X E] Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/3/15 2015 Report Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/20/15 11/23/15 A.Amount Brought Forward From Last Report $ 1,111.74 N d B.Total Monetary Contributions and Receipts $ L ! a (From Schedule I) 3'700 '-'-'` rn N'? C.Total Funds Available $ IT j (Sum of tines A and B) 4,811.74 D.Total Expenditures (From Schedule III) 902.8 E.Ending Cash Balance $ C7 .. < (Subtract Line D from Line C) 3,908.94 =fd _ rn F.Value of In-Kind Contributions Received 7 F (From Schedule II) 835'7 m G.Unpaid Debts and Obligations $ 8 (From Schedule IV) 36'000 p�o g� 30 Affidavit Section - _ Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. As I swear(or affirm)that this report,Including the attached schedules on paper,is to the best of my knowledZandlie(true,corre and complete. s Sworn to and subscribed before me this O _�r� T t`day of ��OVCrn�7r'tT0 r" f rsqySu mitt) g pprt 01 S InnaLL'i- Lun n,,p i- wt—� 2 sikhature I Printedd Mame ¢¢¢' My Commission expires T MO. DAV YR. Area Code Daytime Telephone Number UUUIII s Part II-If this Is a report of a Candidates 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 t;2" CC1� ti O 3�t day of Nc1V Cmh'Yf20 S 3 I O Sign reo ndida[e' TYn r rx� I s5 g - L.A, signal re I Printed Name My Commission expires AQrsl r'�G a.011o � p t1' M0. DAY t YR. Area Code Daytime Telephone Num er - " � n I � N 1V1t � P� s Ia SCHEDULE i Contributions and Receipts Detailed Summary Page Fifer identification Number 120150017 LUriitemited ComrfbuGmYs and Receipts-$5&W or cess per Contributor _ Total for the reporting period (1) $ 75 2.Contributions of$50.01 to (From - Part A and Part 8) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part R) $ 2,850 Total for the reporting period (2) $ 2,850 3.Contributions Over$250.0(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 775 Total for the reporting period (3) $ 775 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 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,item 8) 3,7 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] $ IJan Paden 10/2/2015 100 House# Street Address Date[MM/DD/YYYY] $ 80 Towpath Rd qty Duncannon State PA Zip Code I Date[MM/DD/YYYY] $ 17020 Full Name of Contributor Date[MM/DD/YYYY] $ John Statler 10/2/2015 100 House# Street Address Date[MM/DD/YYYY] $ 315 Candlelight Dr City I State Zip Code Date(MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Darrell Dethlefs 10/5/2015 100 House# Street Addres Date[MM/DD/YY"] 2132 Market St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Leroy Zimmerman 10/5/2015 250 IH,,rib.rg Street Addres Date[MM/DD/YYYY]PO Box 789 State Zip Code Date[MM/DD/YYYY] PA 17108 Full Name of Contributor Date[MM/DD/YYYY] $ timothy McMahon 100 10/6/2015 House# Street Address Date[MM/DD/YM] $ 4456 Dunmore Dr qtyState Zip Code Date[MM/DD/YYYY] $ Harcishurg PA 17112 Full Name of Contributor Gate[MM/DD/YYYY] $ John Mancke 10/8/2015 100 House# Street Addre Date IMM/DD/YYYY] $ 1216 Fleetwood or city I State Zip Code Date(MM/DD/YYYY] $ Carlisle 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/OD/YYYY] S Marc Scaring) 10/16/2015 100 House# Street Address Date[MM/DD/YYYY] $ 243 N 27th St city State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Hubert Gilroy 10/20/2015 100 House# Street Address Date[MM/DD/YYYY] 211 5.College 5[ City Carlisle PA State Zip Code Date[MM/DD/YYYY] $ 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Kingsley Blasco 10/19/2015 100 House# Street Addre1��d Date[MM/DD/YYYY] $ 15 Qty State Zip Code Date[MM/DD/YYYY] $ N 1111e PA 17241 Full Name of Contributor Date[MM/DD/YYYY] $ John Patrick Basial 10/19/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1009 Rockledge Or qty State Zip Code Date[MM/DD/YYYY] Carlisle PA 17015 Full Name of Contributor Date[MM/DD/YYYY] $ Kevin Gaughen 175 10/20/2015 House# Street Address Date[MM/DD/YYYY] $ PO Box 1517 City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ Irving Wallace 10/24/2015 100 House# Street Address Date[MM/DD/YYYY] $ 141 Lime Kiln Rd qty State Zip Code Date[MM/DD/YYYY] $ Carlisle 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] $ Maria Louisa Gaughen 10/28/2015 100 House# Street Address Date[MM/DD/YYYY] $ IPC,Box 203 city Camp Hill PA 17001 State Zip Code Date[MM/DD/YYYY] $ Full Name of contributor Date[MM/DD/YYYY] $ Richard Stewart 10/28/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1811 warren St city New Cumberland State PA Zip Code Date[MM/DD/YYYY) $ 17070 Full Name of Contributor Date[MM/DD/YYYY) $ John Frommer 10/28/2015 100 House# Street Address Date[MM/DD/YYYY] $ 1521 W Lisburn Rd CityState Zip Code Date IMM/DD/YYYY] Mechanicsburg PA 17055 Full Name of Contributor Date[MM/DD/YYYY] $ William Kollas 10/28/2015 100 House# Street Addres�Fm-ood Date[MM/DD/YYYY] $ 1104 Ave City Camp Hill PA 17011 State Zip Code Date[MM/DD/YYYY) Full Name of Contributor Date[MM/DD/YYYY) $ George Costopoulos 10/28/2015 100 House# Street AddreJW Date[MM/DD/YYYY] $ 153 Hanover St CIH Carlisle I PA 17013 State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ Michael PO ;h 100 10/28/2015 House# Street Addre Date(MM/DD/"YY] $ 2132 Market St Gty State I Zip Code Date[MM/OD/YYYYJ $ 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Corky Goldstein 10/28/2015 100 [7Harrl Street Address Date[MM/DD/YYYY] 0 Parkside Ln State Zip Code Date[MM/DD/YYYY] urg PA 17130 Full Name of Contributor Date[MM/DD/YYYY] $ Karen Deklinskl 10/28/2015 100 House# Street Address Date[MM/DD/YYYY] $ 406 North Front$t Cfly rmleysburg state PA Zip Code Date[MM/DD/YYYY] $ Wo37043 Full Name of Contributor Date[MM/DD/YYYY] $ IAbom&Kutulakis,LLP 10/28/2015 175 House# Street Addre Date[MM/DD/YYYY] $ 2 IW High St Laty State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Smigel,Anderson&Sacks 10/28/2015 2D0 House If Street Address Date[MM/DD/YYYY] $ 4431 North Front St City State Zip Code Date[MM/DD/YYYY] Harrisburg PA 17110 Full Name of Contributor Date[MM/DD/YYYY] $ Ronald Katzman 250 10/29/2015 House# Street Address Date[MM/DD/YYYY] 3600 Logan Ct,unit 6A City I Camp Hill PA State Zip Code Date[MM/DD/YYYY] 17011 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Addre Date[MM/DD/YYYY] $ City State Bp Code Date[MM/DD/YYYY] $ i 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: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Rhoads&Sinon LLP 10/28/2015 300 PM.,,isburg Street Address Date[MM/DD/YYYY] $PO Boz 1146 StateZip Code Date[MM/DD/YYYY] PA 17108 Employer Name Rhoads&Sinan LIP Occupation �M,1,er Employer Mailing Address/ Principal Place of Business PO Boz 1146,Harrisburg PA 17108 Full Name of Contributor Date[MM/DD/YYYY] $ Jonathan Birbeck 10/20/2015 475 House# Street Address Date[MM/DD/YYYY] $ 149 5 Pitt St City State Zip code Date[MM/DD/YYYY] $ Carlisle PA 17013 Employer Name District Attorney's Office Occupation DeOuty District Attorney Employer Mailing Address/ 1 Courthouse Square,Carlisle PA 17013 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] $ jHmse# Street Address Date[MM/DD/YYYY] State Zip Code Date IMM/DD/YM] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business 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: 20150017 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) 1 $ 0 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 0 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) - TOTAL for the reporting period (3) $ 835.7 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) 835.7 SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 20150017 Full Name of Contributor Date[MM/DD/YYYY] $ Sill Costopolous 10/28/2016 835.7 House# Street Address Date[MM/DD/YYYY] $ 831 Market St City State Zip Code Date IMM/DD/YYYY] $ Lemoyne PA 17043 Employer Name Costopoulos,Foster&Fields Occupation Lawyer Employer Mailing Address/Principal Description Place of Business 831 Market St,Lemoyne PA 17043 of Food for Fundraiser Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ city State Zip Cade 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# Street Address Date[MM/DD/YYYY] City I 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. 20150017 To Whom Paid Date[MM/DD/YYYY] 1 $ Hemlock Strategies 11/13/2015 902.8 House# Street Address PO Boz 7365 Description of Expenditure Gty Steelton State PA CLopde 17113 nvitation print and mail costs To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure Gty State Zip Code To Whom Paid . Date(MM/DD/YYYY] 5 House# Street Address Description of Expenditure Gty State Zip Code To Whom Paid Date[MM/DD/YYYY] $ Louse# Street Address Description of Expenditure State Zip Code To Whom Paid Date[MM/DD/YYYY] $ Fy use# Street Address Description of Expenditure State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City StateZip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure IllyState Zip Cade 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 essica Brewbaker Outstanding Balance of Debt n815 Street Address DATE DEBT INCURRED $ Wellington Or [MM/DD/YYYY] 1/13/2015 Gry State rip p 10,000 Carlisle PA Code Description of Debt Loan Name of Creditor Dorothy Becker Outstanding Balance of Debt n48 Street Address DATE DEBT INCURREDDerbyshire Or (MM/DD"" 2/13/2015 City Carlisle State PA Code 17015 5,000 Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED 815 [MM/DD/YYYY] Wellington Or 4/22/2015 City Carlisle State PA Zip 17013 100 Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House#I Street Address DATE DEBT INCURRED $ 815 Wellington Or [MM/DD/YYYY] 5/5/2015 Gry State - LD 10,700 Carlisle State Code 17013 Description of Debt Loan Name of Creditor Jessica Brewbaker Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 815 Wellington Or [MM/DD/YYYY] 5/11/2015 City State Zip 17013 Carlisle PA Code 17013 Description of Debt Loan Name of Creditor Dorothy Becker Outstanding Balance of Debt House IF Street Address DATED BT INCURRED $ 48 Derbyshire Or [MM/DD/YYYY] 5/11/2015 City Carlisle State PA to 17015 5.000 Description of Debt Loan