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Home My WebLink AboutFriends of Jim Hertzler - 2016 2nd Friday Pre-Primary I��Im Reset Form Print Form IIWII Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee \ Lobbyist Number (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friends of Jim Hertzler Street Address PO BOX 43 city ENOLA State PA Zip Code 17025 Type of Report(Place x under report type) 1-61 Tuesday 2- 2n0 Friday 3-30 Day Post 4-6v Tuesday 5-2n0 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' ❑ a ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Of Election year Amendment Termination (MM/DD/YYYY) 04/26/2016 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 5 1,974.81 n no G B.Total Monetary Contributions and Receipts (From Schedule 1) 0.6 C.Total Funds Available $ M 1,975.41 a (Sum of Lines A and B) r— D.Total Expenditures $ _ C.rt (From Schedule III) 378'94 E.Ending Cash Balance (Subtract line D from Line C) 1,596.47 p 6 C F.Value of In-Kind Contributions Received $ J UI (From Schedule II) Q G.Unpaid Debts and Obligations $< (From Schedule IV) I — u — pidavit Section Part I.If this Is a Committee report,treasurer sign here.If t is a Cangligi freport,candidate sign here. I swear(or affirm)that this report,including the attached scl%Q Julep&ilio is to the best /o/ff may,kenoowwl�edge and belief true,correct and complete. Sworn to andy subscribed before me this '' d' 75 "dan` m _ z .i S" ature of Pe Subml rfg re rt r _- < w < Ma PtA) . n��0.k Slgnatu ~O g'o` is Printed Name < z� m2 My Commission expires Z .�� o10/g ii:W ` .'E MO. DAY YR. =O E a v Area Code Daytime Telephone Number J -pi Part II-If this is a report of a Candidate's Authorized Commit candid at all sign here. I swear for affirm)that to the best of my knowledge and belis litlml mmittee 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 day of 20 Signature of Candidate Signature Printed Name My Commission expires M0. DAY YR. Area Code Daytime Telephone Number SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Democratic Committee 03/29/2016 250 House ft 46 Street AddrWest Lomher Street ess Description of Expenditure City Carlisle State PA C Ae 17013 undraiser Advertisement To Whom Paid Date[MM/DD/YYYY] $ Kanhaus Marketing 28.94 04/06/2016 House it 544 Gettysburg Road treet Address Description of Expenditure 3 city Camp Hill State PA C de 17011 Advertisement Design To Who Whom Paid Date(MM/OD/YYYY]] $ 100 East Pennshoro Democratic Club 04/10/2016 House 47 Street Address PO BOX 63 Description of Expenditure city Enola State PA I C Ee 17025 Donation LTo Whom Paid Date[MM/DD/YYYY] $ HouseStreet Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/OD/YYYY] $ House# Street Address Description of Expenditure Gry State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House p Street Address Description of Expenditure city State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House M Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure Gry State Zip Code ' 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 Identification Number: Full Name Americhoice Federal Credit Union House# 2175 Street Address Bumble Bee Hollow Road city State Zip I Date[MM/DD/YYYY] $ Mechanicsburg PA Code 17055 01/31/2016 0.17 Receipt Description Dividend Full Name Americhoice Federal Credit Union House# 2175 Street Address Bumble Bee Hollow Road City State Zip Date[MM/DD/YYYY] $ Mechanicsburg PA Code 17055 02/29/2016 0.17 Receipt Description Dividend Full Name Americhoice Federal Credit Union House# 2175 Street Address Bumble Bee Hollow Road city State Zip Date[MM/DD/YYYY] Mechanicsburg PA Code 37055 03/31/2016 0.16 Receipt Description Dividend Full Name House# Street Address city State Zip Date[MM/DD/YYYY] 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[MM/DD/YM] Code Receipt Description