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Home My WebLink AboutBloom for the 199th - 2015 Annual Report PAGE 1 Commonwealth of Pennsylvania 111111111011111111'1 Campaign Finance Report 197282 (NOTE:This report must be clear and legible. It may be typed or printed In blue or black Ink.) Filer identification 2010108 Report CANDIDATE COMMITTEE ,/ LOBBYIST Number: I Filed By Name of Filing Committee,Candidate or Lobbyist: BLOOM, STEPHEN FOR THE 199TH COM Street Address: 2100 LONG GAP ROAD City: CARLISLE State: PA Zip Code: 17013-8651 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3. AMENDMENTYes No REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT) 6TH TUESDAY 4. 2ND FRIDAY PRE- S. 30 DAY POST- 16.. TERMINATION Yes No (place X to PRE-ELECTION ELECTION ELECTION REPORT? the right of report type) AN. U—A-4-trPORT '.X Y=r 2015 FILI1-3 Y-.ETHOD=- _��::-. e•attE„_—_ OLSY.ETTE ( )CHECK ONE Name of Office Sought b Candidate: • ' • a District Office Party code County 9 Y Number Code Code MO DAY YEAR REP 21 11 3 2D15 (SEE INSTRUCTIONS ray rooEa] Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLYrn Expendituresfrom: r 7 21 2015 TO 12 31 2015 A.Amount Brought Forward From Last Report $ 27,634.53 ;:0 Z r" fV S.Total Monetary Contributions And Receipts(From Schedule I) 14,909.00 A_ _ U C.Total Funds Available(Sum Of Lines A and B) $ 42,543.53 C7 D.Total Expenditures(From Schedule III) $ 3,028.06 O fV E.Ending Cash Balance(Subtract Line D From Line C) 39,515.47 F.Value Of In-Kind Contributions Received (From Schedule II) 598.50 G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 AFFIDAVIT PART I-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 filed on paper or by electronic med um,arrffkk33tttthe of y knowledge and belief,true correct and complete. l / ` � swo to ay0_ kubseribed before me this f Si�v f person Submitting Report IJT' day of /,' Y1U 20 ' T J� Printed Name OF ENNSYLVANN ( � i7.2AN(BUiD @ CGti1Cls,i'T . AJC1 MY Co '.ARIAL SEAL11.1 Email 5n V' -17.<_3NOT BETHANMQALIARULO DAY YR Area Code Daytime Telephone Number Part i2 lfiiGARtIfift �;tgipABfM[RgpC�T\vib ed'tommiuee;-Candidate=snan=sign=here:=---=—==-=- ------- -`- `—'— "Mp Eofnmiss�(da- x-Ifes Oel 2ae a belief thispolitical committee has not Nelated a �,r I awes p rry pct le ol3urn;3,1837(P.L.1333, No 320)as amended. Swon,to and suoscribed before me this a -- - signaturere of Candidate day of g01 _ i1hPr aOt54r'` Printed Name o ature l31 O P+ CIGI't'� nnn. .Co M MYComn iWE LTI PEMNSYLVAfM Email NOTARIAL SEAL -71-7 —701 — 14.36 BETHANY SAyL,EaARUL9 Notafy rxallc DAY YR Area Code Daytime Telephone Number 0•CUMBERLAND CNTY My Commission sp res Ucl 1/21/2016 12:36:04 PM PAGE 2 SCHEDULEI CONTRIBUTIONS AND lRECHIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period i BLOOM, STEPHEN FOR THE 199TH COM _ - From:;• 7/21/2015 To: 12/31/2015 1.Unitemlzed Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) S 535.00 2.Contributions Received- $50.01 To$250.00(From Part A and Part B) Contributions Received From Political Committees(Part A) $ 250.00 All Other Contributions (Part B) $ 4,824.00 TOTAL for-the Reporting Period (2) $ 5,074,00 3.Contributions Received Over$250.00(From Part C and Part 0) Contributions Received From Political Commlttees(Part C) $ 5,100.00 All Other Contributions (Part D) $ 4,200.00 TOTAL for the Reporting Period (3) $ 9,300.00 i i 4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E) TOTAL for the Reporting Period (4) $ 0.00 Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount $ 14,909.00 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 1/21/2016 12:36:04 PM I PAGE 9 Full Name of Contributor I.I. NOAKER MO DAY YEAR Mailing AddressCARLISLE 176 RICHLAND RD 10 5 2015 $ 100.00 CitState Zip Code(Plus 4)CARLISLE PA 17015 Full Name of Contributor MO DAY 1 YEAR HI SEXTON Mailing Address 4 MICHAUD OAKS RD JI f 199.00 City GARDNERS State Zip Code(Plus 4) 9 26 2015 PA 17324 Full Name of Contributor WILLIAM R. UNGER MO DAY YEAR Mailing Address 1103 SHERWOOD DR S 200.00 City CARLISLE State Zip Code(Plus 4) 10 21 2015 PA 17013 Full Name of Contributor KINGSLEY I. BLASCO MO DAY YEAR Mailing Address 15 SUBDIVISION RD $ 250.00 City NEWVILLE State Zip Code(Plus 4) 10 22 2015 PA 17241 Full Name of Contributor MO DAY YEAR CAROLYN I SHRINER Mailing Addrew, 253 CARLISLE ROAD $ 100.00 City NEWVILLE State Zip Code(Plus 4) 10 26 2015 PA 17241 Full Name of Contributor MARCIA I. SINKOVITZ MO DAY YEAR Mailing Address 36 W. BIG SPRING AVE S 100.00 City NEWVILLE State Zip Code(Plus 4) 10 24 2015 PA 17241 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. ; 4,824.00 1/21/2016 12:36:04 PM PAGE 10 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 from Over $250.00 in the reporting Period. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 7/21/2015 To: 12/31/2015 L I 1 DATE AMOUNT Full Name of Contributing Committee NO DAY YEAR CREDIT UNION P^vL COM (CUPAC) ---- Mailing Address 4309 N FRONT ST $ 300.00 Ciy HARRISBURG State Zip Code(Plus 4) 11 11 2015 PA 171060000 Full Name of Contributing Committee MO DAY YEAR RANGE RESOURCES ENERGY INDEPENDENCE PAC Mailing Address P.O. BOX 545 S 300.00 City HARRISBURG State Zip Code(Plus 4) 11 11 2015 PA 171080000 Full Name of Contributing Committee PA MANUFACTURED HOUSING PAC NO DAY YEAR Mailing Address 315 LIMEKILN PO BOX 248 $ 300.00 City NEW CUMBERLAND State Zip Code(Plus 4) 11 11 2015 I PA 701 Full Name of Contributing Committee MO DAYYEAR BIKERS PAC (BIKEPAC) Mailing Address P O BOX 564 300.00 City MECHANICSBURG State ZIP Code(Plus 4) 11 11 2015 PA 170550000 Full Name of Contributing Committee MO DAY YEAR CERTIFIED PUBLIC ACCOUNTANTS PAC 1 Mailing Aaaress 500 N. 3RD ST, STE 600A 1 4 300.00 City HARRISBURG State Zip Code(Plus 4) 11 11 2015 PA 17101 1/21/2016 12:36:04 PM PAGE 11 Full Name of Contributing Committee MODAY YEAR PA VETERINARY PAC J -1 Mailing Address 8574 PAXTON ST $ 300.00 CIh' HUMMELSTOWN State Zip Code(Plus 4) 11 11 2015 PA 17036 Full Name of Contributing Committee MO DAY YEAR HIGHMARK PAC OF HIGHMARK INC Mailing Address 1800 CENTER ST $ 300.00 CityCAMP HILL State Zip Code(Plus 4) 11 11 2015 PA 17089-0000 Full Name of Contributing Committee MO DAY YEAR CENTURYLINK EMPLS PAC OF PA Mailing Address 240 N THIRD ST STE 300 S 300.00 City HARRISBURG State Zip Code(Plus 4) 11 11 2015 PA 17101-0000 Full Name of Contributing Committee MO DAY YEAR PAPSA (PA ASSN PRIVATE SCHL ADMIN) Mailing Address 2o9U WtXrUKU COURT S 300.00 Clh' HARRISBURG State ZIP Code(Plus 4) 11 11 2015 PA 171120000 Full Name of Contributing Committee VERI20N GOOD GOVT CLUB OF PA MO DAY YEAR Mailing Address All WALNIJF STREET, IST FLOOR. S 300.00 CIh' HARRISBURG State ZIP Code(Plus 4) 11 11 2015 PA 17101-1824 Full Name of Contributing Committee MO DAY YEAR CHESAPEAKE ENERGY CORPORATION FED PAC Mailing Address PO BOX 18496 $ 600.00 CityOKLAHOMA CITY State Zip Code(Plus 4) 11 25 2015 OK 73154-0496 1/21/2016 12:36:04 PM PAGE 12 Full Name of Contributing Committee MO DAY YEAR PENN NAT INS/INSERVCO INS SERV PAC Mailing Address TWO NORTH SECOND ST S 300.00 City HARRISBURG State Zip Code(Plus 4) 11 25 2015 I .,lclaccc I I I I I Full Name of Contributing Committee MO DAY YEAR FOOD PAC (PA FOOD MERCHANTS ASSN) Melling Address p0 BOX 870 S 300.00 City CAMP HILL State Zip Code(Plus 4) 11 25 2015 PA 170110000 Full Name of Contributing Committee ` MO DAY YEAR PPL PEOPLE FOR GOOD GOVT(PPLPGG) i Mailing Address f 2 N 9TH STREET S 300.00 CI State Zip Code(Plus 4) 11 25 2015 City ALLENTOWN PA 18101-0000 Full Name of Contributing Committee MO DAY YEAR NFG PAPAC (NATIONAL FUEL GAS) Mailing Address PO Box zuB1 $ 300.00 City ERIE State Zip Code(Plus 4) 11 25 2015 PA 16512-0000 Full Name of Contributing Committee DAY :YEAR PHHA PAC Mailing Address 1nO1 HARRAHS BLVD NO S 300.00 CityCHESTER State Zip Cade(Plus 4) 12 5 2015 PA 19013 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 5,100.00 1/21/2016 12:36:04 PM PAGE 13 PART O 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 BLOORe, STEPHEN FOR THE 199TH `Ou Prom: //21%2U15 To: 12/31%2U15 DATE AMOUNT c,-p Name of Contributor _ _� � TOM WITMER SMO �DAYT YEAR Mailing 2451 RITNER HWY Address $ 300.00 City CARLISLE State Zip Code(Plus 4) 0 25 2015 PA 17015 Employer Name PA TURNPIKE Occupation EQUIPMENT OPERATOR Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business PO BOX 67676 HARRISBURG PA 17106 Full Name of Contributor JOHN M. ORTENZIO No DAY YEAR Mailing 510 ORCHARD DR Address S i,000.0u" City State Zip Code(Plus 4) 8 27 2015 LEMOYNE PA 17043 Employer Name SELECT CAPITAL Occupation PRESIDENT Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 4/1B GLI IYSBURG RU #4U5 I MLCHANICSBUKG PA I 1/USS Full Name of Contributor c MICHAEL A SIENKIEWICZ NO DAY _ YEARN Mailing 320 PARKER ST Address S 1,000.00 City CARLISLE State Zip Code(Plus 4) 9 1 2015 PA 17n13 Employer Name RETIRED Occupation REFIRED Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 320 PARKER ST CARLISLE I PA I 17013 1i21i2016 1.....,:04.M PAGE 14 Full Name of Contributor MARCIA M.TRAINOR [MO DAY YEAR Mailing 45 ROARING CREEK CT Address ; 300.00 City CARLISLE State Zip Code(Plus 4) 9 4 2015 i70i3 Employer Name RETIRED Occupation RETIRED Emolover Mailing Address/Princloal Place of I City State I ZIP Code(Plus 41 Business 45 ROARING CREEK CT I CARLISLE IPA I 17013 Full Name of ContributorI SHIRLEY F. CHAMBERLAIN Mailing 56 MCALLISTER CHURCH RD Address ; 500.00 Cl:iCARLISLE state Zip code(Plus 4) 9 9 2015 __ PA 17015 Employer Name RETIRED Occupation REFIRED Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 56 MCALLISTER CHURCH RD CARLISLE PA 17015 Full Name of Contributor ��```]]] WILLIAM V SOLOMON MO DAY YEAR J Mailing 315 S. ORANGE ST 9+ Address ; 500.00 City CARLISLE State Zip Code(Plus 4) 9 22 2015 PA 17013 Employer Yams RETI0.ED OcsupatiOn RETIRED Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 315 S. ORANGE ST I CARLISLE IPA 17013 Full Name of Contributor PAMELA LHOSLER 'MO DAY YEAR Mailing 735 WEST LOUTH ER ST Address ; 300.00 City CARLISLE State Zip Code(Plus 4) 9 25 2015 PA 17013 Employer Name GRACE BAPTIST Occupation TEACHER Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business 777 W. NORTH ST I CARLISLE IPA I 17013 1;2:!2016 12:36:04" PAGE 15 Full Name of Contributor _.._ BERNARD J. CAMPANELLA MO DAY YEAR Mailing 595 CONSTITUTION OR Address $ 300.00 City MIDDLETOWN State Zip Code(Plus 4) 11 11 2015 nPA 17057 Employer Name FIRE LINE HOMES, INC Occupation REAL ESTATE Emolover Mallin Address/Princloal Place of City State 21p Code(Plus 4) Business 595 CONSTITUTION DR I MIDDLETOWN IPA 17057 Enter Grand Total Of Dart C on Schedule T. Derailed Summary Page,Section 3, PAGE TOTAL S 4,200.00 1/21/2016 12:36:04 PM PAGE 16 PART E 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 From: To: DATE AMOUNT Full Name "° ..�,.'..,. MO DAYS' YEAR Mailing Address $ 0.00 City State 21p Code(Plus 4) Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.00 1/21/2016 12:36:04 PM PAGE 17 1� //��//'�� I �11�S`C,HLEDULLE IIC 1,,� C * C1� &I's 1%& ►1✓ �rV 1\T Aio VIAV1\J MI\ri VrMV�A�VG �f7114IVJ AGCLJ.` ED 11\-1\i1\ 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 BLOOM, STEPHEN FOR THE 199TH COM From: 7/21/2015 To: 12/31/2015 TOTAL for the Reporting Period (1) $ 0.00 Z;W'4 K-'MD-2MT6M&t1Tff1_JYC REP fSLys�t1F�-&-q �2nx2xn nnr M'PARr 1. TOTAL for the Reporting Period (2) 0.00 WIN=KIND CONTRIBUTION.RECIEVED.?VALUE,O.V,ER$250.00(FROM PARTG) TOTAL for the Reporting Period (3) ; 598.50 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter 598.50 amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.) 1/21/2016 12:36:04 PM PAGE IS SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate i keporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAV YEAR Hailing Address 3 0.00 City State Zip Code(Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Pane. PAGE TOTAL Section 2. 1/21/2016 12:36:04 PM PAGE 19 SCHEDULE II DART r IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 7/21/2015 TO: 12/31/2015 DATE AMOUNT Full Name of Contributor . ACRE (ACTION COM RURAL ELECTRIFICATION) MO DAY YEAR Mailing Address 212 LOCUST ST $ 599.50 City HARRISBURG State 21p Code(Plus 4) 11 9 2015 PA 17101-0000 Employer of Contributor ACTION COMMITTEE FOR RURAL Occupation PAC ELECTRIFICATION Employsesr Mailing Address/Principal Place of City State 4)p COde(Plus Description of Contribution Busine212 LOCUST ST I HARRISBURG IPA 117010 I FOOD AND DRINK Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 3. 598.50 1/21/2016 12:36:04 PM PAGE 20 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From 7/21/2015 To: 12/31/2015 1 I 1 DATE AMOUNT To Whom Paid MO DAY YEAR PAYPAL _ Mailing Address 2211 NORTH FIRST ST 9 10 2015 $ 3.20 City CA'N jOSE IState Zip Code(Plus 4) Description of Expenditure CA 95131 TRANSACTION FEE To Whom Paid MO DAY YEAR POSTMASTER Mailing Address 66 W LOUTHER ST 8 24 2015 $ 196.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 POSTAGE To Whom Paid MO DAY YEAR OFFICEMAX Mailing Address 650 E HIGH ST, STE 600 8 -T201-5] $ 29.65 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA I i70i3 I ENVELOPES To Whom Paid MO DAY YEAR DWK CONSULTING,INC Mailing Address 430 FRANKLIN CHURCH ROAD 11 9 2015 $ 175.14 City DILLSBURG State Zip Code(Plus 4) Description of Expenditure PA I 17079 I POSTArF AND MATFRTAI S To Whom Paid MO DAY YEAR DWK CONSULTING,INC Mailing Address 430 FRANKLIN CHURCH ROAD 11 9 2015 $ 1,000.00 City DILLSBURG State Zip Code(Plus 4) Description of Expenditure PA 17019 EVENT FEE 1/21/2016 12:36:04 PM - PAGE 21 To Whom Paid MO DAY YEAR RLF MEMORIAL GOLF TOURNAMENT Mailing Address 66 GREEN DR 7 21 2015 S 100.00 City CHURCHVILLE state Zip Code(Plus 4) Description of Expenditure To Whom Paid MO DAV YEAR WALMART Mailing Address 6520 CARLISLE PIKE 9 13 2015 S 13.48 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 STAMPS&ENVELOPES To Whom Paid - MO + DAY YEAR CCRC Mailing Address PO BOX 1495 9 13 1 2015 4 1,000.00 City CAMP HILL State Zip Code(Plus 4) Description of Expenditure PA 17001 2016 CHAIRMANS CLUB To Whom Paid MO_ El YEAR CCRC Mallir.9 Address PO BOX 1495 9 13 2015 S 500.00 City CAMP HILL State Zip Code(Plus 4) Description of Expenditure PA 17001 OKTOBERFEST SPONSORSHIP To Whom Paid MO DAY YEAR —r TARGET Halling Address .`.916 CART SLE PIKE 1� 2 201s s 9 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 STATIONARY-THANK YOU NOTES PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D. 3 3,028.06 1/21/2016 12:36:04 PM