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Home My WebLink AboutEast Pennsboro Democratic Club - 2016 2nd Friday Pre-Primary IIn10�I�11�11111 I Reset Form Print Form F009261 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible. It should be typed) Filer Identification ist Report Filed By Candidate ❑ Committee \ Lobby Number 2004261 (Mark X) n Name of Filing Committee,Candidate or Lobbyist East Pennsboro Democratic Club Street Address P.O.Box 63 City Enola State PA Zip Code 17025 Type of Report(Place x under report type) 1-6M Tuesday 2- 2n°Friday 3-30 Day Post 4-6MTuesday 5-2nd Friday 6-30 Day Post 7-Annual Special2 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election E Fx1 1:1 E] 1:1 1:1 EL 171 1:1 Date Of Election Year Amendment ❑ Termination ❑ (MM/DD/YYYY) 04/262016 2016 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2016 04/11/2016 A.Amount Brought Forward From Last Report $ 77.59 C7 C B.Total Monetary Contributions and Receipts (From Schedule 1) 1,485 IC�.72 C.Total Funds Available $ :;k-q (Sum of Lines A and B) 1,562.59 D.Total Expenditures $ 2?_ (From LSI (From Schedule III) 440.8 C 3"c E.Ending Cash Balance (Subtract Line D from Line C) 1.121.79 b c_ F.Value of In-Kind Contributions Received (From Schedule II) $ 88 W G.Unpaid Debts and Obligations $ 328.6 (From Schedule IV) Aff' Section - Part 1-If this is a Committee report,treasurer sign here.If this is a Candidat port, didate sign here. 1 swear(or affirm)that this report,including the attached schedules on pa , o the be of my knowledge and belief true,correct and complete. Sw�ii�iior��rnn to and subscribed before me this 11 /}9,� /� /I day of 20 1 In S``� �P .j - Ali i• ,J /'/�+ / ZY Signature of Person Submitting report �.D J:1fin l�, 0.SIi. Signature �a. p< y Printed Name My Commission expires to 1I11.5I I� �.4~��.D �O s7U L/ya - )vlp MO. DAY YR. A �O�'��-� �� Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Ct mittee,ca ate shall sign here. I swear(or aff rml that to the best of my knowledge and bNthWitical committee has not violated any provisions of the An of June 3,1937(P.L.1333,NO.320)as amended. Sworn to and subscribed before me this day of 20 Signature of Candidate Signature I Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE! Contributions and Receipts Detailed Summary Page Filer Identification Number 2004261 S.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period {i) 55 '78 2.Contributions at$50.01 to $250.00(From Part A and Part R) Contributions Received from Political Committees(Part A) S 100 All Other Contributions(Part B) 520 Total for the reporting period (2) $ 620 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 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) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,1,3 and 4;also enter this amount on Page 1,Report Cover Page,Item BJ 1,485 SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: 2004261 Name of Creditor Matthew Naas Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 103 Sgrignoli lane [MM/DD/YYYY] City State Zip 328.6 Enola PA Code 17025 Description of Debt Yard Signs Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] city StateZip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City StateZip Code -Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address' DATE DEBT INCURRED $ r [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] city State Zip Code Description of Debt 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 Identfiution Number 2004261 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Jim Hertzler100 04/10/2016 House# street Address Date[MM/DD/YYYY] $ �PO BOX 43 City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributing Date[MM/DD/YYYY] $ Committee House L# 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 Contribu[Ing Date[MM/DD/YYYY] $ Committee HLOStreet Address Date[MM/DD/YYYY] $ CiState Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City I 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] $ 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.) Filer Idemification Number: 2004261 Full Name of Contributor Date[MM/DD/YYYY] $ Alicia Stine 03/14/2016 60 House# Street Address Date[MM/DD/YYYY] $ 1 Windswept Way City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Harold Hinton 03/15/2016 60 House# Street Address Date[MM/DD/YYYY] $ 815 Acri Road Qty State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Matthew Franchak 03/23/2016 . 60 House# EL-g- E�R-n Street Address Date[MM/DD/YYYYI $ 17 LtyaState Zip Code Date[MM/DD/YYYY) $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ Stephen Franchak 03/28/2016 60 House# Street AddressAcri Date[MM/DD/YYYY] $ 911 Road City State Zip Code Date(MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date]MM/DD/YYYY] $ Ronald Griffith 100 03/31/2016 House# Street Address Date[MM/DD/YYYY] $ FPOBOX 207 City State Zip Code Date[MM/DD/YYYY] $ Summerdale PA 17093 Full Name of Contributor Date[MM/DD/YYYY] $ George McManus 60 04/10/2016 House# Street Addres Date[MM/DD/YYYY] $ 312 Glenn Road City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 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.) Filer Identification Number: 2004261 Full Name of Contributor Date[MM/DD/YYYY] $ Rosemarie Ryder 04/10/2016 60 House# Street Address Date[MM/DD/YYYY] $ 228 Glenn Road City I Camp Hill PA State Zip Code Date[MM/DD/YYYY] $ 77011 Full Name of Contributor Date[MM/DD/YYYY] $ Leesa DeMartyn 04/10/2016 60 House# Street Address Sandy Court Date[MM/DD/YYYY] $ 8 City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ L 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[MM/DD/YYYY] $ House Street Address Date[MM/DD/YYYY] $ Gty tate SZip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ lHouse# Street Address Date[MM/DD/YYYY] Gty 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: 2004261 1. UNITEMIZED-IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.000R LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 88 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from bones 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 88 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identfflution Number: 2004261 Full Name of Contributor Date[MM/DD/YYYY] $ Matthew F.Franchak 03/01/2016 g House# Street Address Date(MM/DD/YYYY] $ 17 Logans Run City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Description of Contribution Postage for Fundraiser Mailing 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 IMM/DD/YYYY] $ HouseN 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] $ H6use# 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] $ House# Street Address Date(MM/DD/YYYY] City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: 2004261 To Whom Paid Date[MM/DD/YYYY] $ Center Street Grille 04/10/2016 440.8 House# 4 Center Street Street Address Description of Expenditure city Enola State PA Zip 17025 undraiser Expenses Code To Whom Paid Date[MM/OD/YYYY] $ House# treat Address Description of Expenditure - CityState 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] 1 $ House If Street Address Description of Expenditure city State Zip 1 11 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 If 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 Description of Expenditure City State Zip Code