HomeMy WebLinkAboutFriends of Greg Rothman - 2015 30-Day Post Election Commonwealth of Pennsylvania Page 1 of 13
CAMPAIGN FINANCE REPORT (COVER PAGE)
1 (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification Report .r,^�--,x,,+� ::---t i. e- " '.:r ..,..,�•. 2. 'a- " "' ' `_s3; 3.
Number- , 20150209 Filed B : ► 3CANDIDATEL; COMMITTEEr LOBBYIST-_?
Name of Filing Committee,Candidate or Lobbyist:Friends of Greg Rothman
Street Address: P.O. Box 1471
City: Camp Hi 11 State: PA Zip Code: 17001-
TYPE OF 2BTHTUESDAY�Gn 1. 22ND FRIDAY J 2. ,30 DAY ' { 1-� 3. +AMENDMENT` +a' S
PREPRIMARY" �.. ;PRE-PRIMARY -: POSTPRIMARY. f' :ftEPORT7" '� •i7r -YES- -NO=: )(
REPORT d n ti v., ._,r_ 52 - . n e _.IZ5.
eTH TUESDAY:7,�:• 4 :2ND:FRIDAYr4 5. 130 DAY: t,��.,'r 6. ;,TERMINATION ^=y' - :".-m
(place X to PRE-ELECTION 'PREELECTION . .POSTELECTION C. -::REPORTv `N YES rNQ• X
' the right of f`- �t K X
report type) ANNUAL •:Ise 7. YEARy FILING METHOD -�; - ori •2. �. �+„+q:
REPOR7y !,'•',B' ► 2015 n(; )CHECKONE,i,.c ,'•.'rJ ?APER _ X DISKETTE
Name of Office Sought by Candidate: . • • • District Office Party County
Representative in the General Assembly MO: DAY- + .YEAR!:: Number Code Code Code
STH REP 21
( 11 03 2015 87
(SEE INSTRUCTIONS FOR CODES)
"MO,I DAY 11tYEAR,-G MO.- DAY. •;,YEAR+S .r-0«�'3• 'FOR FICEQg E ONLY:�+��..+c«.
Summary of Receipts 10 1 20 2015 11 23 1 2015 o rte)
and Expenditures from: To c1
A. Amount Brought Forward From Last Report $ 58 400.64
C3 -p
B. Total Monetary Contributions and Receipts(From Schedule 1) $ 3,850.00 C7
C. Total Funds Available(Sum of Lines A and B) S 62,250.64 G
D. Total Expenditures(From Schedule III) S 2,611.64 {
E. Ending Cash Balance(Subtract Line D from Line C) $ 59,639.00
iF. Value of In-Kind Contributions Received(From Schedule 11) $ 0.00
G. Unpaid Debts and Obligations(From Schedule IV) S 0.00
AFFIDAVIT
PART Ia=If this,isa:Committee ireport;treasurer sign here.11(.this is a';Candidate trepor candidate-sign hefe.;'=�?.7 igyj c�Ty_'•„'„A;,, =,'�;. ,;.j;c. "rf.
I swear(or alarm)that this report,Including the attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct and complete.
I Sworn to and subscribed before me this
3 O day of INirt— 20 Signatur ofperson Submitting Report
R I.SIi /
tty of9i�Q(utg1r u hin C Printetl Name
Mycommissionexplr.Mycommiss4 " c� y , 7/ 7 S7/
MO. DAY YR. Area Code Daytime Telephone Number
PART 11 ?if this is a repprt.of a`Candidato's AUth6riZ6d Committee;;carididate shall sign here ..r_,:,^•l g>ti'Gf3'•� - �:tY•;i?,i' ..t, y';;.� :q ax
1 swear(or affirm)that to the best o1 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.
S%: t�d subscnbed befo e me vthis, f
JJ day of rAI 941 20 S/ignatu're of Candidate
21 SF:
7.
City . 4!9ehnr5, 31 in 0 0 Printed Name
Mycommisslon expire My cmnnuyyton ext av 7/7 _ 7iy
MO. DAY Area Code Daytime Telephone Number
DSEB-50247.99) Department of Slate • Bureau of Commissions,Elections and Legislation
210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
SCHEDULEI Page 2 of
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
NameofFiling Committee or Candidate Reporting Period
Friends of Greg Rothman From 10/20/2015 To 11/23/2015
VO
R-(OPTI 'A
TOTAL for the Reporting Period (1) S o.00
%`�p F.P.9T10"017, $95 -ART
Contributions Received from Political Committees (Part A) S 1,250.00
All Other Contributions (Part B) $ 2,100.00
TOTAL for the Reporting Period (2) S 3,350.00
J,
Contributions Received from Political Committees (Part C) S 0.00
All Other Contributions (Part D) S 500.00
TOTAL for the Reporting Period (3) S 500.00
C-Ell 'T
7 '71
T7 77 7
� 7 777 -7
TOTAL for the Reporting Period (4)1 $ 0.00
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from Boxes $ 3,850.00
1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.)
OSED 502 17991
PART A Page 3 of 3
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
Friends of Greg Rothman
From 10/20!2015 To 11/23/2015
DATE AMOUNT
Full Name of Contributing Committee Mo i9K m8t
S 250.00
Energy Transfer PAC 11 23 2015
Mailing Address Q?'v tAA•(:r,YEA' 8
400 W 15th St Suite 720 S
City State Zip Code(Plus 4) t -?#:' .i, 5;1'E', a S
Austin TX 78701-
_,,, 1 }CR
Full Name of Contributing Committee .MO•,.; D'AiY ia..
EQT Corp. State PAC 11 02 2015 250.00
Mailing Address 0MO-7,4DAt,1 R"YEAW
625 Liberty Ave Suite 1700 $
City State Zip Code(Plus 4) MOM, r,770W $
Pittsburgh I PA 15222-
Full Name of Contributing Committee -'=Yv{Oid;CiAY:!�YEAi2; $ 250.00
GGR, Inc. PAC 10 20 2015
Mailing Address ,W� 7.77DA�,;
212 Locust St Suite 300
City State Zip Code(Plus 4) r r�$.Y,&AR-
Harrisburg
:Harrisbur PA 17101-
Full Name of Contributing Committee eiMQJS,' ' $ 250.00
Highmark PAC 10 Mailing Address1800 Center St
City State Zip Code(Plus 4) 1,M0�, $
Camp Hill PA 17089-
Full Name of Contributing Committee zhA(X"Iri e&e $ 250.00
Pennsylvanians for Economic Competiveness 10 22 2015
Mailing Address --WOi:.ti - ,f r
1211 Chestnut St Suite 605
City State Zip Code(Plus 4) ice,°„=PAY,r".A ',EAR" S
Philadelphia PA 19107-
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ t'250.00
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DSE6 502(7-99)
PART Page 21— of )3
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
Friends of Greg Rothman
From 10/20/2015 To 11/23/2015
DATE AMOUNT
Full Name of Contributor YMd�q2jA`'YEARS $ 250.00
Patrick Curran 10 22 2015
Mailing Address ,us sDAYa`Y. ARl $
7090 Beaver Spring Rd
City State Zip Code(Plus 4) ?M—oo DA, 4:AY 'ARa? $
Harrisburg PA 17111-
Full Name of Contributor MSf t RSA# :i $
Daniel Deitchman 10 20 2015 250.00
Mailing Address 'M :e.rDAY::« ; R•
5060 Ritter Rd Suite B1
CityState Zip Code(Plus 4) I �".::D; d r A_'r $
Mechanicsburg PA 17055-
Full Name ofContributorsMCYDA'S,'.EYEAtt; 250.00
Porsha M Gaughen 10 21 2015 $
Mailing Address O,H 7 -y" ER.
450 Barbara Dr $
City State Zip Code(Plus 4) aMQi�rDAYa KYEAR, $
Mechanicsburg PA 17050-
Full Name of Contributor250. 00
r:MOa }bACVE%lF $
Andrew J Giorgione 10 29 2015
Mailing Address Qx�DA . ARr $
2911 N. 2nd St
CityState Z10ip Code(Plus 4) -s n2 d rY S
Harrisburg PA 171 -
Full Name of Contributor ��: Y;iYE r $ 250. 00
Martin G Lane, Jr. 10 20 2015
Mailing Address TWO-9 'DAY:•- EA
2407 Park Dr Suite 200 $
City State Zip Code(Plus 4)
Harrisburg PA 17110-
Full Name ofContributor
-.MD 'AA`aY.EAR° $ 100. 00
Carolyn S Plummer 10 20 2015
Mailing Address 'MOs ,DAY.tiX
6 Foxtield Ct $
City State Zip Code(Plus 4) WO+W--Y+ +.YEAR% $
MechanicsburgPA 17050-
Full Name of Contributor `frMAf =`•(SAV; fYEARw 250.00
Taylor K Ranker 10 20 2015
Mailing Address 4M "re 7l--YEAR
2375 Forest Hills Dr
CitySt12ate Zip Co-
de(Plus 4) nW O v, L ;YEAR
Harrisburg PA 171
Full Name of Contributor :fr.MO "UAY+ 'nXEAE $ 250.00
Jennifer Robinson 10 21 2015
Mailing Address sMOit
5135 S Deerfield Ave
CityState Zip Code(Plus 4) 9•.MO�~a DA s. Y Ri; $
Mechanicsburg PA 17050-
DSED-502
• PART B Page 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
Friends of Greg Rothman
From 10/20/2015 To 11/23/2015
DATE AMOUNT
Full Name of Contributor ^vld:�'•AYo'!�E'ARi4.
Susannah M Rothman 10 21 2015 250.00
Mailing Address '"e rt A• iJY A." S
553 Bridgeview Dr
City State Zip Code(Plus 4) t�M !w'3DA-• ; EARk S
Lemoyne PA 17043-
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. `e 2,100.00
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PART C Page of 13
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
Friends of Greg Rothman
From 1012012015 To 11/23/2015
DATE AMOUNT
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. S 0.00
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DSED-592(7-99)
PART D Page _7 of 13
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
Friends of Greg Rothman
From 70!2012015 To 11/23/2015
DATE AMOUNT
Full Name of Contributor $ 500.00
Robert P Bowman 10 20 2015
Mailing Address lmf z
1190 Dillerville Rd
City State Zip Code(Plus 4)
Lancaster PA 17601-
Employer Name Occupation
Charter Homes & Neighborhoods President
Employer Mailing Address/Principal Place of Business
1190 Dilierville Rd, Lancaster, PA 17601
PAGE TOTAL
Enter Grand Total of Part D on Schedule 1, Detailed Summary Page, Section 3. g 500.00
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, OSEe-501(T99)
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PART E Page of 13
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
:Friends of Greg,Rothman
jFrorn 10/2012015 Ta 1112312015
PAGE TOTAL �
Enter Grand Total of Part E on Schedule 1, Detailed Summary Page,Section 4. $ 0.00 '
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SCHEDULEII Page of
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
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 10/20/2015 To 11/23/2015
C'. UN,ITEMIZED7,N=KIND GONTRIBUIION&RECEIYED VA)31JE OF$50,O9'PR ILj5SSiPER CONT.RIBUT,QR t
TOTAL for the Reporting Period �► (1) S0.00
2. IN-KIND DONTRit4TI601,kEGEIV p,. trVALUE=OF$50 01 y7f3$250:00`(FRC3M'WART P) '7 47 7,-7,7 g 7 _777,777771
,7 w:.
TOTAL for the Reporting Period (2) S 0.00
3: 'IN•I(1Np CO,N'fRIBtiTIONS':R'�DEIVED�VAL1iE:OVER$2SU:00(FROM;FART'.Gj.f�` `"'�= �_�`" tic �::. ..•,� :� �.�,
TOTAL for the Reporting Period 0. (3) S 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, S 0.00
and 3;also enter on Page 1, Report Cover Page, Item F.)
DSEB-502(7.99)
SCHEDULEII Page1t2 of 13
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF$50.01 TO$250.00
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 10/20/2075 To 11/23/2015
DATE AMOUNT
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 2. S 0.00
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OSEO.502(7-99)
SCHEDULEII Page of 13
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 10/20/2015 To 11/23/2015
DATE AMOUNT
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 3. 5 0.00
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SCHEDULEIII Page of i
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 10/20/2015 To 11/23/2015
To Whom Paid :SMO ': a5°;,t"".VEA12+ Amount
Centric Bank 10 31 2015 5.00
Mailing Address Description of Expenditure
1625 Market St Service Fee
City State Z011-
ip Code(Plus 4)
Camp Hill PA 17
To Whom Paid "Mc1.?.;li$Y "Y •1R. Amount
DTR Consulting 11 02 2015 g 250.00
Mailing Address Description of Expenditure
210 Kelker St Professional Services
City State Zip Code(Plus 4)
Harrisburg PA 17102-
To Whom Paid I:tAfO:�fIDAY='' `Y.EAR; Amount
Maverick Finance 11 13 2015 400.00
Mailing Address Description of Expenditure
403 N Second St, 2FL Design
City State Zip Code(Plus 4)
Harrisburg PA 1 17101-
To Whom Paid Auto FRAmount
Maverick Finance 11 16 2015 IS 693.64
Mailing Address Description of Expenditure
403 N Second St, 2FL Printing and Postage
City State Zip Code(Plus 4)
Harrisburg PA 17101-
To Whom Paid 'tv- 0�' #'6YAT:;g%.YEAR%^ Amount
Postmaster 11 16 2015 S 33.00
Mailing Address Description o Expenditure
1675 Camp Hill Byp Rental fee
City State Zip Code(Plus 4)
Camp Hill PA 17011-
To Whom Paid i'1JId" "DB& =syEAR` Amount
Maverick Finance 11 19 2015 S 1, 230.00
Mailing Address Description of Expenditure
403 N Second St, 2FL Commission
City State I Zip ode(Plus 4)
Harrisburg I PA 17101-
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL
'REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. 5 2,611.64
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DSEa-502(7-99)
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SCHEDULE IV Page I of 1 `4
STATEMENT OF UNPAID DEBTS
Use this Section 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
Friends of Greg Rothman
From 10/20/2015 To 11/23!2015
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. S 0.00
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