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Home My WebLink AboutCitizens for Tim Scott - 2015 Annual Report II10E�IIII196p1 R®M��IIII�11 Reset Form 1 Print Form 1Y122 891 �II�pI 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 Number 46-2476384 (Mark X) IF] Name of Filing Committee,Candidate or Lobbyist Citizens For Tim Scott Street Address 1508 Terrace Ave City Carlisle State PA Zip Code 17013 Type of Report(Place x under report type) 1-6`a Tuesday 2- 2n°Friday 3-30 Day Post 4-6u,Tuesday 5-2 Friday 6-30 Day Post 7-Annual Special2 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Pon-Election 0 0 ❑ 0 ❑ 0 0 0 ❑ Date Of Election Year Amendment Termination (MM/DD/YYYY) 2015 Report Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2015 12/31/2015 A.Amount Brought Forward From Last Report 55.45 B.Total Monetary Contributions and Receipts 1377 C7 (From Schedule 1) o C.Total Funds Available $ -'9,. m (Sum of Lines A and B) 1,432.45 T m W D.Total Expenditures � (From Schedule III) E.Ending Cash Balance 7 (Subtract Une D from Line C) 1,432.45 F.Value of In-Kind Contributions Received 7 h 3 (From Schedule II) 406.46 C N G.Unpaid Debts and Obligations 7 O (From Schedule IV) 0 Affidavit Section - Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 1 swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and compI t Sworn to and subscribed before me this OF 01 ti4$�'�Vsrmb ja� i AL SEAL Signature of Person Sub fitting report A U"AW ! a Signature U Pllblle 'AUNTY Printed Name �• �� y B G.DAUPHIN CUIYNT ,/ -" My Commission expires—IL-9 R'ExaR "7(3 �QD ' -1 MO. DAY YR. de Daytime Telephone Number ,'•, Part II-If this is a report of a Candidate's 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 c ¢w p day ofv btf 20 ( 0 A AL HUA D IY �5ignatu a of Candid IVA .tlottry Signature (§BURG DAUPHIN 1 Printed Name 1i Sion _ [e(ApIF My Commission expires r M0.^ D Y YR. Area Code Daytime Telephone Number ✓ -Z .. T Ir J SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identifiwtlon Number 46-2476384 S.Unitemiaed Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 852 Contributions of$50.01 to (From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) S 525 Total for the reporting period (2) 525 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 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) $ 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 BI 1'377 is r= ;13C IAIAR tkQO. Aca •,r3 RRA i,^'vj:� a ICA ._4q:A:itPv^p;'C HIDAjM{ in? ;A;R0.fL ```IpAIUu+ +„y+ SAr.!UM({AUP20; ••r r +4, y. . Y.lo.4 r' E♦9081flnI4 { ^ ^4U�t1;RR,.4 N'( fti�7iifi _. i, ' 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.) Flier IdemiBration Number: 46-2476384 Full Name of Contributor Date[MM/DD/YYYY] $ Alan Kennedy Shaffer 09/19/15 150 House# street Address Date[MM/DD/YYYY] $ 752 verbeke Street City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17102 Full Name of Contributor Date[MM/DD/YYYY] $ Cecilia B.V'di,Marla Dolan 08/26/2015 ISO House# Street Address Date[MM/DD/YYYY] 133 W Locust Street,Apt 203 City MechaMechanicsburgPA State Zip Code I Date[MM/DD/YYYY] $ 17055 Full Name of Contributor Date[MM/DD/YYYY] $ M Charles Seller 08/26/2015 75 House# Street Address Date[MM/DD/YYVY] $ 1224 Belvedere Street City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Contributor Date[MM/DD/YYYY] $ Plumbers&Pipef tter Local 520 09/09/15 150 House# Street Address Date[MM/DD/YYYY] 7393 Jonestown goad City Harrisburg PA 17112 State Zip Code Date[MM/DD/YYYY] Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date(MM/DD/YYYY] Full Name of Contributor Date IMM/DD/YYYYJ House# Street Addres Date[MM/DD/YYYY] City State Zip Code Date[MM DD ] 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 46-2476384 Amount Full Name of Contributing Date(MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 5 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 IMM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House Street Address Date IMM/DD/YYYY] City state Zip Code Date[MM/DD ] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address ., Date(MM/DD/YYYY] City State Zip Code Date[MM/DD/YYYY] 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: 46-2476364 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 0 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) 1 $ 141.46 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 265 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) 406.46 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 Ideffllfimtion Number: 46-2476364 Full Name House# Street Address City State Zip I Date[MM/DD/YMI $ Code Receipt Description Full Name House# Street Address City State Zip I Date[MM/DD/YYYYI Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYYI $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM DD/YYYY] Code Receipt Description Full Name House# Street Address City State Zip Date IMM/DD/YYYYI Code Receipt Description Full Name House# Street Address city State Zip Date[MM/DD/YYYYI $ Code Receipt Description SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 46-2476384 Full Name of Contributor Date[MM/DD/YYYY] S Tm Scott 09/19/2015 141.46 F Street Address Date[MM/DD/YYYY] South Hanover Street#304 State Zip Code Date[MM/DD/YYYY] $ le PA 17013 Description of Contribution Fish Fry-Paper Products,food,tablecloths,cutlery Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD YYYY] Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ Nouse# Street Address Date[MM/DD/YYYY] $ City State 17� Zip Code I Date[MM/DD/YYYY] Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ 4Hou5e Street AddressDate[MM/DD/YYYY]State Zip Code Date[MM/DD/YYYY] $ Description 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] i Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 46-2476384 Full Name of Contributor Date[MM/DD/YYYY] $ David Woolslayer 09/19/2015 265 House# Street Address Date[MM/DD/YYYY] $ 136 Media Road City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA .17013 Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Fish Fry-Tent Rental Contribution Full Name of Contributor Date JMM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ 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/YYYYJ $ House# Street Address Date[MM/DD/YYYY] City State Zip Code Date jMMiD57WVq 5 Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date JMM/DD/YYYYJ $ House# Street Address Date[MM/DD/YY ] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution