HomeMy WebLinkAboutFriends of Brent Sailhamer - 2015 Annual Report (��flll Reset Form Print Form
hill Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate Committee77 Lobbyist
Number (Mark X) IDI n
Name of Filing Committee,Candidate or
Lobbyist Friends of Brent Sallhamer
Street Address 535 Highland Avenue
Clry Carlisle State PA Zip Code 17013
Type of Report(Place x under report type)
1-6r` Tuesday 2- 2n4 Friday 3-30 Day Post 4-6th Tuesday 5-2n° Friday 6-30 Day Post 7-Annual Special Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
❑ ❑ ❑ ❑ ❑ ❑ o _❑ _ _-
Date Of Election Year Amendment I-Termination
(MM/DD/YYYY) 33/03/2035 2035 Report ❑ Report
�..� Y❑_
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
01/01/2015 D1/o1/zo16
A.Amount Brought Forward From last Report $ 171.26
B.Total Monetary Contributions and Receipts _
(From Schedule I) 0 C
C.Total Funds Available $
(Sum of Lines A and B) 0
rn r*t
D.Total Expenditures 26 r CO
171.
(From Schedule III) y, I
E.Ending Cash Balance $
(Subtract Une D from Une C) 0 t7 '-a
F.Value of In-Kind Contributions Received 0 �_
(From Schedule II) 0 C fV ,
G.Unpaid Debts and Obligations $
(From Schedule IV) 0 < C7
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,including the attached schedules on paper,is to the best of y knowledge and belief true,correct and complete.
S,v ®Md subscriyad fore me IN
days 20 h
�- 2 k no /1��„{' ,IJ Signature of Person Submitting report
( t�,F�WCr/yy-Ih-� Le N.Sailhamer
iiir Printed Name
OF PE VANIA
y Commission 001 717 3865692
BETNANY SAM1161.0 DAY Y Area Code Daytime Telephone Number
NOIJull Public
'Part mewllA ctrl: Committee all sign here.
we DAtp►rtRrJfiowledg and belief Is political commi ee 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 j w �
24 day of( G�.JI .)' 20/ mcc
/ � /J a= ¢ Signa re of Candidate
Y-.fL..,.C.L /� ¢a U m Brent A.Sailham
Signature 2 >2 n Printed Name
/(v Z0/S qaW
737 3869941
CD `o � c
My Commission expires z a'e
MO. DAY YR. Z 4 Area Code Daytime Telephone Number
4`/Z3S Q 7
r
e -
SCHEDULEI
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) 5 0
2.Contributions of$50.01 to $250.00 rom
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $ 0
Total for the reporting period (2) $ 0
3.Contributions Over$250.00(From Part C and Pan D)
Contributions Received from Political Committees(Part C) 5 0
All Other Contributions(Part D) $ 0
Total for the reporting period (3) 5 0
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 0
Cover Page,Item B)
• SCHEDULE III
Statement of Expenditures
Filer Identification Number:
To Whom Paid Date(MM/DD/YYYYj $
Widget Makr 11/13/2015 150
House# 1593 Street AddSpring HIII Road
ress Description-of Expenditure
city Tysons Corner `State iVA zip22182 Online fundraising and closeout fee
Code
To Whom Paid Date jMM/DD/YYYYj_ $
Orrstown Bank 21.76
12/31/2015 11 1
House# 1 treet Address Giant Lane bescription of Expenditure
City Carlisle State IPA I ZipCode 17013 Account termination
To Whom Paid Date[MM/DD/YYYY] $
i
House# Street Address . Description of Expenditure
i
City State 1,11 Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
I
City 'State [C.[ode
To Whom Paid : Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Tip
Code
To Whom Paid Date(MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY]
House# Street Address Description of Expenditure
city State :Zip--
Code
To Whom Paid Date[MM/DD/YYYY] $
House#; Street Address Descriptionof Expenditure
City State : Zip
Code