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Home My WebLink AboutBloom for the 199th - 2016 2nd Friday Pre-Primary • PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report 216646 (NOTE:This report must be clear and legible. It may be typed or printed In blue or black Ink.) Filer Identification 2010108 Report CANDIDATE I COMMITTEE I f LOBBYIST Number: I Filed 8y 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.X 30 DAY POST- 3. AMENDMENT Yes No REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes the right of NO (place X to PRE-ELECTION ELECTION ELECTION REPORT? report type) ANNUAL REPORT 7. Year 2016 FILING METHOD PAPER DISKETTE ( )CHECK ONE Name of Office Sought b Candidate: r ' • • District office Party Code County 9 Y Number Code I Code MO DAY YEAR 199 REP 11 8 2016 (SEE INSTRUCTIONS FOR COOESI ( j N Summary of Receipts and MO DAY YEAR NO DAY YEAR FOR OFFICEI)SE P14Y Expenditures from: 1 1 2016 TO 11 4 11 2016 17-11 -0 A.Amount Brought Forward From last Report $ 39,515.47 �> B.Total Monetary Contributions And Receipts(From Schedule I) $ 2,891.00 �j •� C"7 � C.Total Funds Available(Sum Of Lines A and 8) $ 42,406.47 w C7- 0. =D.Total Expenditures(From Schedule III) $ 17,206.23 Ln E. Ending Cash Balance(Subtract Line D From Line C) 25,200.24 F.Value Of In-Kind Contributions Received(From Schedule II) 0.00 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 dectronic m m ' knowledge and belief,true correct and complete. Swor to ubserlbetl before me this 57 at�u( at Person Submitting Report day o/ 10 �� '� _ 1 24H_IJW Printed Name to `KZAf-1 BO-O r6l'if ACT.Alm Myr. INMAIJU SPA[ I.7 Email SqD Bl411ANY SALZARUbflyYR Area Code Daytime Telephone Number Part II-If tht Is QCMWkE90A8aBMTMJ4&I1Qt"f4%ed mmittee,Candidate shall sign here. _ —MyCommiisionEapirosOct?:2017 1 I.wear(or•I rr�lail�aFM this pditiral committee has not violated any or io h oc 3,1937(P.L.1333, No 310)as amended. sworn to a ubsaibad before me this day o/ AQAA 20 sigature onfQ Itlate .�, 31oaN, Printed Name Moon Iq9-r1, moo(, o I .Lor, My Comm ssion Expires Email -7 1-7 - "701 - 14-36 Area Code Daytime Tekphone Number NOTARIAL SEAL Notary Public CARLISLE BORO;.CUMBERLAND CNTY My Commission Expires Oct 7,2017 4/14/2016 11:26:24 AM PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Mame of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2016 To: 4/11/2016 1.Unitemlzed Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 1,041.00 2.Contributions Received- $50.01 To$250.00(From Part A and Part B) Contributions Received From Political Committees(Part A) S 1,550.00 All Other Contributions (Part B) $ 0.00 TOTAL for the Reporting Period (2) $ 1,550.00 3.Contributions Received Over$250.00(From Part C and Part D) Contributions Received From Political Committees(Part C) $ 0.00 All Other Contributions (Part D) $ 300.00 TOTAL for the Reporting Period (3) $ 300.00 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 $ 2,891.00 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 4/14/2016 11:26:24 AM PAGE 3 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. Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2016 To: 4/11/2016 DATE AMOUNT Full Name of Contributing Committee DENNIS BURNHISEL No DAY YEAR Mailing Address 1718 DOUBLING GAP RD $ 100.00 city NEWVILLE state Zip Code(Plus 4) 2 2 2016 PA 17241 Full Name of Contributing Committee BRUCE A. APGAR, SR MO DAY YEAR Mailing Address 121 HORSESHOE RD $ 100.00 CIh' CARLISLE state Zip Code(Plus 4) 2 2 2016 PA 17015 Full Name of Contributing Committee RAE ANN MYERS MO DAY YEAR Mailing Address 1418 BRADLEY DR E-114 100.00 City CARLISLE state Zip Code(Pius 4) 2 3 2016 PA 17013 Full Name of Contributing Committee DIRK BERRY MO DAY YEAR Mailing Address 544 D ST 3 100.00 CIh• CARLISLE State Zip Code(Plus 4) 2 3 2016 PA 17013 Full Name of Contributing Committee GARY F ANKABRANDT MO DAY YEAR Mailing Address 2217 DOUGLAS DR $ 100.00 City CARLISLE state Zip Code(Plus 4) 2 3 2016 PA 17013 4/14/2016 11:26:24 AM PAGE 4 Full Name of Contributing Committee MO DAV YEAR MICHAEL H. CRUTCHER Mailing Address 809 NESBIT DR $ 100.00 CityCARLISLE State Zip Code(Plus 4) 2 3 2016 PA 17013 Full Name of Contributing Committee STEPHEN D. SNYDER MO DAV YEAR Mailing Address 18D MEDIA RD s loo.00 City CARLISLE State Zip Code(Plus 4) 2 3 2016 PA 17013 Full Name of Contributing Committee BRADLEY A. MENTZER NO DAY YEAR Mailing Address 2 BRADI DRIVE $ 150.00 City CARLISLE State Zip Code(Plus 4) 1 22 2016 PA 17015 Full Name of Contributing Committee GEORGE L SHEVLIN Mo DAY YEAR Mailing Address 604 WILSON ST $ 100.00 CIh' CARLISLE State Zip Code(Plus 4) 1 27 2016 PA 17013 Full Name of Contributing Committee DAVID B. DENTLER No DAV YEAR Mailing Address 3 WINCHESTER COURT S 100.00 City MECHANICSBURG State Zip Code(Plus 4) 1 26 2016 PA 17050 Full Name of Contributing Committee T MO DAY YEAR MARVIN C. SALSMAN Mailing Address 600 NOBLE BLVD S 100.00 City CARLISLE State Zip Code(Plus 4) 1 26 2016 PA 17013 4/14/2016 11:26:24 AM PAGE 5 Full Name of Contributing Committee NO DAY YEAR LONNIE K. FRAMPTON Mailing Address 20 HEIGHTS ROAD $ 100.00 City NEWVILLE State Zip Code(Plus 4) 1 28 2016 PA 17241 Full Name of Contributing Committee DONA M. HEISHMAN MOT-, DAY YEAR Mailing Address 1110 SHERWOOD DR 100.00 City CARLISLE State Zip Code(Plus 4) 2 4 2016 PA 17013 Full Name of Contributing Committee ANNA K. HOFFER MO DAY YEAR Mailing Address 315 W. WILLOW Si $ 100.00 City CARLISLE State Zip Code(Plus 4) 2 11 2016 PA 17013 Full Name of Contributing Committee CHARLES MITCHELL MO DAY YEAR Mailing Address 911 WOODLAND DR $ 100.00 City LEMOYNE State Zip Code(Plus 4) 2 2 2016 PA 17043 PAGE TOTAL Enter Grand Total of Part A an Schedule I, Detailed Summary Page,Section 2. $ 1,550.00 4/14/2016 11:26:24 AM PAGE 6 PART B 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 From: To: DATE AMOUNT Full Name of Contributor MO : DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00 4/14/2016 11:26:24 AM PAGE 7 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 From: To: DATE AMOUNT Full Name of Contributing Committee NO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) PAGETOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 0.00 4/14/2016 11:26:24 AM PAGE B PART D 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 BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2016 To: 4/11/2016 DATE AMOUNT Full Name of Contributor ROGER MANSFIELD MO DAV YEAR Mailing 9 MONTSERA RD Address $ 300.00 City CARLISLE State 21p Code(Plus 4) 2 3 2016 PA 17015 Employer Name SALES AGENCY Occupation SALES AGENT Employer Mailing Address/Principal Place of City State zip Code(Plus 4) Business 1 SALES AGENCY DR CARLISLE PA 17015 Enter Grand Total of Pari C on Schedule I, Detailed Summary Page,Section 3. PAGE TOTAL $ 300.00 4/14/2016 11:26:24 AM PAGE 9 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 DAY YEAR Mailing Address $ 0.00 City State 21p Code(Plus 4) Receipt Description PAGE TOTAL Enter Grand Total of Part E an Schedule I, Detailed Summary Page,Section 4. $ 0.00 4/14/2016 11:26:24 AM PAGE 10 SCHEDULE II 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 BLOOM, STEPHEN FOR THE 199TH COM From: 1/1/2016 TO: 4/11/2016 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR,., — TOTAL for the Reporting Period (1) 0.00 ZIN-KIND,CONTRIBUTIONS RECEIVEO'-VALUE OF,$SD,OITO$251,0.00(FROM,,PARTF)�ll,�,,�,�;, TOTAL for the Reporting Period (2) # 0.00 3.IN-KIND RECIEVED,m VALUE OVER,$250.00(PROM,PART 6), TOTAL for the Reporting Period (3) 0.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter amount totals from Boxes 1,2,and 3;also enter an Page 1,Reports Cover Page,Item F.) $ 0.00 4/14/2016 11:26:24 AM PAGE 11 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO 'DAY YEAR Mailing Address $ 0.00 City State 21p Code(Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. $ 0.00 4/14/2016 11:26:24 AM PAGE 12 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer of Contributor Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution Business 4) Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 3. 0.00 4/14/2016 11:26:24 AM PAGE 13 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period BLOOM, STEPHEN FOR THE 199TH COM From 1/1/2016 To: 4/11/2016 DATE AMOUNT To Whom Paid MO DAY YEAR Friends of Neal Rice Mailing Address 214 Cool Creek Way 2 24 2016 s 3,000.00 City LANCASTER State Zip Code(Plus 4) Description of Expenditure PA 17602 CONTRIBUTION To Whom Paid MO DAV YEAR Friends of Fee Mailing Address 174 North Linden Street 2 24 2016 s 1,000.00 City MANHEIM State Zip Code(Plus 4) Description of Expenditure PA 17545 CONTRIBUTION To Whom Paid MO DAV YEAR Friends of IDhn McGinnis Mailing Address 1505 St. Francis Lane 2 24 2016 5 1,000.00 City ALTOONA State Zip Code(Plus 4) Description of Expenditure PA 16602 CONTRIBUTION To Whom Paid MO DAV YEAR Friends of Keefer Committee Mailing Address 430 Franklin Church Road 2 24 2016 s 1,000.00 City DILLSBURG State Zip Code(Plus 4) Description of Expenditure PA 17019 CONTRIBUTION To Whom Paid MO DAY YEAR Friends of Tustin Simmons Mailing Address 7001 N. Route 309, Suite 169 #203 2 24 2016 5 1,000.00 City COOPERSBURG State Zip Code(Plus 4) Description of Expenditure PA 18036 CONTRIBUTION 4/14/2016 11:26:24 AM PAGE 14 To Whom Paid Committee to Elect Rich Irvin MO DAY YEAR Mailing Address P.O. Box 76 2 24 2016 $ 500.00 City ALEXANDRIA State Zip Code(Plus 4) Description of Expenditure PA 16611 CONTRIBUTION To Whom Paid MO DAY YEAR Friends of Greg Rothman Mailing Address P.O. Box 1471 2 24 2016 500.00 City CAMP HILL State Zip Code(Plus 4) Description of Expenditure PA 17001 CONTRIBUTION To Whom Paid MO DAY YEAR REVELATION PHOTOGRAPHY Mailing Address 1935 SPRING RD 1 7 2016 $ 159.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 PHOTOS To Whom Paid MO DAV YEAR L2 POLITICAL Mailing Address 18912 North Creek Parkway, Suite 201 1 9 2016 $ 275.00 City BOTHELL State - Zip Code(Plus 4) Description of Expenditure WA 98011 HD-199 (PA) To Whom Paid MO DAY YEAR HRCC Mailing Address 500 N 3rd St FI 3A 1 13 2016 $ 130.00 City HARRISBURG State Zip Code(Plus 4) Description of Expenditure PA 17101 CAMPAIGN GEAR To Whom Paid MO DAV YEAR REAM PRINTING COMPANY Mailing Address 515 FARMBROOK (ANE, PO BOX 2891 1 13 2016 f 5,746.09 City YORK State Zip Code(Plus 4) Description of Expenditure PA 17405 PRINTING & POSTAGE 4/14/2016 11:26:24 AM PAGE 15 To Whom Paid MO DAY YEAR TARGET Mailing Address 6416 Carlisle Pike 2 11 2016 $ 21.18 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 STATIONARY To Whom Paid MO DAY YEAR GRAZIELLO'S PIZZA Mailing Address 5 W Main St 2 2 2016 $ 206.91 City PLAINFIELD State Zip Code(Plus 4) Description of Expenditure PA 17081 PETITION SIGNING EVENT To Whom Paid MO DAV YEAR FEDERATION OF REPUBLICAN WOMEN, CUMBERLAND COUNTY Mailing Address 1111 TUNBRIDGE RD 1 15 2016 i 650.00 City MECHANICSBURG State Zip Code(Plus 4) Description of Expenditure PA 17050 LINCOLN DAY DINNER To Whom Paid MO DAY YEAR REAM PRINTING COMPANY Melling Address 515 FARMBROOK LANE, PO BOX 2891 1 30 2016 $ 1,367.40 City YORK State Zip Code(Plus 4) Description of Expenditure PA 17405 PRINT AD To Whom Paid MO DAY YEAR MARCELLO'S Mailing Address 900 CAVALRY ST 2 3 2016 S 391.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 PETITION SIGNING EVENT To Whom Paid MO DAY YEAR SEVE-N-DOTS Mailing Address 40 E LAUTHER ST 2 4 2016 $ 53.36 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 PETITION SIGNING EVENT 4/14/2016 11:26:24 AM PAGE 16 To Whom Paid MO DAV YEAR STEPHEN BLOOM Mailing Address 2100 LONGS GAP RD 2 10 2016 S 20.00 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 FACEBOOK AD To Whom Paid MO DAY YEAR STEPHEN BLOOM Mailing Address 2100 LONGS GAP RD 2 10 2016 S 42.39 City CARLISLE State Zip Code(Plus 4) Description of Expenditure PA 17013 PETITION SIGNING EVENT @ DUNKIN DONUTS To Whom Paid MO DAY YEAR ORRSTOWN BANK Mailing Address PO BOX 250 3 16 2016 $ 28.95 City SHIPPENSBURG State Zip Code(Plus 4) Description of Expenditure PA 17257 RE-ORDERING CHECKS To Whom Paid MO DAY YEAR PA DEPARTMENT OF STATE Mailing Address 302 North Office Building 2 11 2016 $ 110.00 City HARRISBURG State Zip Code(Mus 4) Description of Expenditure PA 17120 STATE FILING FEE To Whom Paid PMO DAV YEAR ayPal, Inc Mailing Address 2211 North First Street 9513 2 2 2016 $ 3.20 City SAN JOSE State Zip Code(Plus 4) Description of Expenditure CA 95131 PAYPAL TRANSACTION FEE To Whom Paid MO DAV YEAR PayPaI, Inc Mailing Address 2211 North First Street 9513 2 27 2016 s 1.7s City SAN JOSE State Zip Code(Plus 4) Description of Expenditure CA 95131 PAYPAL TRANSACTION FEE PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D. $ 17,206.23 4/14/2016 11:26:24 AM