HomeMy WebLinkAboutCamp Hill Democrats - 2015 Annual Report IIII Reset Form Print Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be dear and legible.it should be typed)
Filer Identification Report Filed By Candidate Committee ` Lobbyist
Number I (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist CAMP HILL DEMOCRATS
Street Address P O BOX S82
City CAMP HILL State PA Zip Code 17011
Type of Report(Place x under report type)
1-61°Tuesday 2- 2n4 Friday 3-30 Day Post 4-OTuesday 5- Friday 6-30 Day Post 7-Annual Special 2"a Friday Spedal 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Electlon Post-Election
❑ ❑ ❑ ❑ ❑ ❑ a ❑ ❑
Date Of Election Year Amendment Termination ❑
(MM/DD/YYYY) 2015 Report ❑ Report
Summary of Receipts and FLD3te To Date For Office Use Only
Expenditures
01/01/2015 12/31/2015
A.Amount Brought Forward From Last Report 443.73
B.Total Monetary Contributions and Receipts $ C) N
(From Schedule 1) a85 C c
C.Total Funds Available $
(Sum of Lines A and B) 928'73 inti L
p
D.Total ExpendituresZ
(From Schedule III) 453.65 r- tV
E.Ending Cash Balance $ '
(Subtract Une D from Une C) 475.08
h
F.Value of In-Kind Contributions Received 7 p �
(From Schedule 11) C
G.Unpaid Debts and Obligations 7
(From Schedule IV)
Affidavit Section
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,induding the attached schedules on paper,Is to the best of my knowledge and belief true,
\correct
taand complete.
Sw�omFt�o and subscribed before me this
/ U^ day of r,o 6*,' 20—L,_
Signature of Person Submitting report
Richard L Wirth
ature Primed Name
Ih°OF PFf1n 3 /'� �U 17 717 512-7380
1110E Ptf1 y YR. Area Code Daytime Telephone Number
NOTARIAL SEAL
Part MqWiMM of a Candidate' utlwrhW Committee,candidate shall sign here.
LCAMMyPHM1ff"1&%1Wm knowledge and belief this political committee has not violated any provisions of the Act of lune 3,1937(P.L 1333,NO.320)as
opires Mn 15,,20119
Sworn to and subscribed ore me this
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
V n�
• SCHEDULEI (\ ZIIZ
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
CAMP HILL DEMOCRATS
S.Unitemlzed Contributions and Reeelpts-$50.00 or Less per Contributor
Total for the reporting period (1) $ 485
2.Contributions of SSO.01 to (From
Part A and Part O)
Contributions Received from Political Committees(Part A)
All Other Contributions(Part B)
Total for the reporting period (2) 5 0
3.Contributions Over$2S0.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D)
Total for the reporting period (3) 0
4.Other Receipts-Refunds,interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4)
D
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 1485
Cover Page,Item B)
• SCHEDULE III
Statement of Expenditures
Filer Identification Number.
CAMP HILL DEMOCRATS
To Whom Paid Date[MM/DD/YYYY] $
MARKET SQUARE CONCERTS 05/18/2015 60
House R Street Address P O BOX 1292 Description of Expenditure
City HARRISBURG State PA CAB '17108 MEMORIAL IN PROGRAM
To Whom Paid Date[MM/OD/YYYYJ $
CORNERSTONE COFFEEHOUSE yr
07/14/2015
House p 2133 treet Address MARKET STREET Description of Expenditure
City CAMP HILL State PA Zip I Code 17011 RENTAL FOR MEETING PLACE
To Whom Paid Date[MM/DD/YYYYJ $
FRIENDS OF BOB CHARLES 07/14/2015 100
House N Street Address P O BOX 1606 Description of Expenditure
City CAMP HILL State PA Zip 17011 CAMPAIGN CONTRIBUTION
Code
To Whom Paid Date[MM/DD/YYYY] $
CORNERSTONE COFFEEHOUSE 08/18/2015 177.65
House fl 2133 Street Address MARKET STREET Description of Expenditure
City CAMPHILL State PA Code 17011 RENTAL AND CATERING FOR AUGUST MEETING
To Whom Paid Date[MM/DD/YYYY] $
CORNERSTONE COFFEEHOUSE 10/06/2015 25
House B 2133 Street Address MARKET STREEF Description of Expenditure
City CAMP HILL State PA Cede 17011 RENTAL FOR MEETING PLACE
To Whom Paid . Date[MM/DD/YYYYJ $
US POSTAL SERVICE 10/10/2015 166
House It Street Address Description of Expenditure
City CAMP HILL State PA ZipCode 17011 POST OFFICE BOX RENTAL
To Whom Paid Date[MM/DD/YYYYJ $
House It Street Address Description of Expenditure
City StateZip
Code
PTo Whom Paid Date[MM/OD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code