HomeMy WebLinkAboutTravis, Michael Scott - 2016 30-Day Post-Primary Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible. It should be typed)
Fier
eqtitication, Report Filed By Candidate Committee LobbyiS'*=.
6e- - 2016 C 0572 '(Mark X) - x - ;�''-" „ 1-1
m Fill ICommittee;Candidate or,
; Michael Scott Travis
> .t..
ineet'Addrifin i 3904 Trindle Road
Camp Hill State PA Zip Code- 17011
Type of Report(Place x under report type)
1'-6!u4tiesday 1 2- 2n0 Friday 3.30 Day Post 4.61hTuesday 5-Lrd Friday 6.30 Day Post 7-Annual Special 2 Friday Special 30 Day.;,
•Pre`'-PpmaryPre-Primary Primary Pre-Election Pre-Election Election Pre-Election- - Post Election
-'
F F] El El Ej Ej
ate f Electron Year - Amendment Te
rminatlon ❑
11/8/16 2016
;(MMIOD/YYYY) Report Report ;
,Summary of•Receipts and From Date To Date For Office Use Only
tures c •f ,gip) ,°Stir rwr,
k
mount Sroug t Forwar ..From'Last Report S
0.00
otal o etaryConhihuhonsandReceipts i
(F_r hed3f"e 3,126.34
n�.
:C.Total.Funds Available 8
(S1T5 61fbdesAandB):± . ;.
;,R*,TottatiExpend tures
1(Frofg'$cfiedule,llq ;:.". 3,12126.34 v ^,
Ein 8 Cash Bala }; o . S c:,
Su tracf'L'i e D from Line C).._ r" 0.00 i? �!
a e plAWKlnd Contributions Receive S •' �� t
dF_ ScheNdi'e II( :F?"x,t v1r 250.00 •rt 7l
tGU�tpald•Debts an hl gat ons - ��
�((F,G�-o�-m�Scfiedi`ilelV) s�.` 2,852.00 1
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G
Affidavit Section
Part 1-Itis is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(ora firm)that this report,Including the attached schedules on paper,Is tote best of my nowle ge-
Her true,correct and compete.
Sworn to and subscribed before me this
7
S gnature of Person Submitting report
MTrhaal q- Tra i c
Signature r Printed Name
- 2 / .7
My Commission expires 717 731-9509 ,
M0. DAY YR. Area Code Daytime Telephone Number -
Part II-If this Is a report of a Candidate's Authorized Committee,candidate shall sign here.
swear(oraffirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,19 ( . .1333, 0.320)as
amended.
Sworn to and subscribed before me this
ignature of Candidate
^hal 2 Travis
Signature Printed Name
MyCommisslon expires '. 7/- / ,7 717 731-9509
M0. DAY YR. Area Code Daytime Telephone Number
COMMONWEALTH OF PENNSYt.v,,,,-.
Notarial Seal COMMONWEALTH OF PENNSYLVANIA
Leslie A, Jones,Notary Pudic Notarial Seal
Franklin Twp.,York County Leslie A.Jones,Notary Public
My Commis*rl Expires Feb.21,2017 Franklin York County
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES My Comms'i
MEMBE PENS Feb.21,2017
R, NSYLVMIA ASSOUATION OF NOrAR1ES
SCHEDULEI
Contributions and Receipts
Detailed Summary Page
tBeridentlogggOu he_r
® 2016 C 0572
r1'Ll demized!Contributions and Receipts-S 50.00 or Less per Contributor
Total for the reporting period (1) s
Ion!n u tons o o rom
tP.artA`aPart6) ..,,,;;,.,__._K,�
Contributions Received from Political Committees(Part A) S -
All Other Contributions(Part B) 9
3,125.34
Total for the reporting perio (2) S
Contrihutions Over 8250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) 8u
All Other Contributions(Part D) 8 -i
Total for the reporting period (3) 8
4mOther•Recelpis-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) .:arrw,
Total for the reporting period (4) 8
Total Monetary Contributions and Receipts during this reporting period (Add and 8
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B)
PART B
All Other Contributions
850.01 T08250
Use this Part to itemize all other contributions with an aggregate value from
850.01 TO 8250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
2016 C 0572
Full Name of Cont nbutor Date[lVIW tYy. qI >
F.r
Michael S. Travis, Candidate to 4/22/16 p ) 61 .52
p.�sW,,. I eet�Address gW0,1[.:...�
y 6 y Oakwood Court 4/25/16 89.82
pityk State'f ZigC, .ems Date;I,� .:f .D,. t�.;
Camp Hill PA 17011
Yam ' --
IDate[MMi
w '
Denise Travis, Loan 5/2/16 1 ,000.00
House_p 6 Striee!Att ess c
Oa caood Court t;,
t i
Ctty,' ,State' ZipCode Date,[M %DD)YY,Yf • .
.� CAmp Hill !t PA s• r 17011
s ull�tan�e of.�;8nt�boto[' 1Date[MMIDDIYI',Y�Y
� ��� Travis Law Office, loan 4/20/16 ,� 68.45
<HO s' 5t�ddi gate @' �a
3904 Trindle Road 4/21 /16 62.70
_x
City µ jState,:; Zip:Co e' ? ?Date[NI OD,YYY1 .
Camp Hill
F A tit 17011 4/22/16 200.00
F4t4tk?!l� 9Jso0#p0uto' pate[M., Dp ;
" Travis Law Office loan 57.85
uq Street;Addres5 Rate[, DD/ •, r
3904 --,,r Trindle Road
x 4/28/16 750.00
-a
Camp HIll' A MAC PAe 17011 Date3l.._NI`
i... �. .;"g=_:
)nn on
14.���P,Ii�2Jl>;rfb.� , patal td 'OD'
Travis Law Office, loan 5/4/16 236.00
iw"M StPe
a� 3904 tet) Trindle Road 5/8/16 200.00
rAmn Will PA 17011
''at" D
t a
i
SCHEDULEII
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED
/USE TxtS-10HEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
/ DETAILED SUMMARY PAGE
/ �tllean ..alloTi'
2016 C 0572
i..- UNITEPdQ 11 KING,CONTRIBUTIONS RECEIVED-VALUEOF150.00 OR LESS PER CON,TRIBU701,"':
rc«.
TOTA' ta;Ca reporting period (t1 S
{�1,d�' L ..D 00NTRIBU i1.ONS RECik_VED VAL'E OF t 50,01 TO t 250,00 tFRO h"PART F)
TOTAL reporting Period 2 S - -
_,i;;F3tvD CONT"?,3eU10!!RECEIVED-VALUE OVER t250.00{FROtA PART G}
TOTAL Icr;ne reoortine oenod (31 t
� zso.aa
TOTAL VALUE OF IN-K11110 CONTRIBUTIONS DURING THIS REPORTING t
PERI 00(Add and enter amount totals from boxes I,2, and 3:also enter
on Page 1,Report Cover Page,Item F) 250.00
t
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2016 c 0572
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SCHEDULE III
Statement of Expenditures
low 0
2016 c 0572
PAW(
Alphagraphics MM'/DpJ;Y;Yp;]� i
4/12/16 200.00
Steet`r/lalf e-ss pescriptori jT6pExpen to�rel'{y TM +H v
4609 ,
Gettysburg Road
?State)
Mechanicsburg, i? PA17055 signs
o ad :d 7Date)[MM/DD'/,YYtYfY]" ,iF*
The Guide/Fr Communications }� 236 00
w„dr`�.. 4/15/16 �
ousel& tY'`et]Ae'n ,- u _ 40.&pe.n..4,d1.�d�iG^1171800 W Church Road . . !,},
._s. .
�SfaI ` Zip!(,' ;'•
Mech. rF, ;;:; PA Code 17055 advertising
',jpAte)[MM(DD%,Y,,YjYYJiP'1ki!?,
Alphagraphics 4/20416 fC 68.45
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1 .w tr&e ftf , rI)escnpt anrof�E�pre-.rd,fTFe''��'{Y „fix,+;' .%;3.,
4609 Gettysburg Road cid r4fi�j']
Mechanicsb' i ;iPACode sd4
d p Datet[MM%D.:.%1lY:YAY,I[i'> =
Voice broadcasting 4/21 /16 . 61 .52
ous tie ` dd YD ysctipi�ondfJExpendor �r }K''` ';r + ¢)
t 152721 S Cooper Street
tatty =$tate>. 7Zip:y'7,,;;5s
Arlin on wi>;S! TXCgdep ' 7
aid
Voice broadcasting4 4/25/16 rti 89.82
SU d s d i[eu i:Descnptioppo Lcpen ture
•sax' m *hs, R7eJP(yk'15 1a"�.
1527 r ,o S Coo _r Street sa,i e YsrCY:r?A.4
'o .ald” SDateS[_,M''/DD%,YyYtY;Y�)!•'yi i ,
tFf Alphagraphics4/27/16 57 83
alis tet. d--- escrnpt 'o
Gettysburg Road [c:C,.-
�,
State4 -
ec ant�'«�...de� z
- tl {Dat4e%/[M2M8/1R6 , SIfi
750.00_x
Te Guide/Fry Comunications H
P f au dAre'ss S.Nscnpuronx]o1�Exp�n Ito
tl?1800 W Church RoadN'dt `.,'i;L'`"°+x_y ;
^ tate.
Mechanicsburg �C76pPilR 17055
s'e S e;eytiAy�d`Qi�ye.}s's Oescnpt onrof2 xpen dure.6} s e yJr
Code"
SCHEDULE III
Statement of Expenditures
2016 C 0572
.Date,'[MM/DD/YYYY]' ;V
Alphagraphics
`•hx •_ 5/2/16 200.00
` 5 e }ddP"ess
DespriptiprotExpe-nd1wre
4609 Gettysburg Road
�Stzteg Lp
Mech PA1 X08 .:
�-`yJhom,Qyd - Date MM/DD/YYYY]; 'i '
L : c. The Guide/Fry Communications 5/2/16 1 ,000.00
oose# treet;AGdress Descnptwn of Expenditure'
800 41 td Church Road
:State - Zip';:._
Mech :_rf .; PA Code; 17055
+ Date[MM/DD(YYYY], 'V .
,,,;, .;,_ , , I Alpp ics 5/4/16
fa epjAddYfgsg Descript orA,p(;ERpen_.juYe
460
Cl-
Mech sta,e PA Zp' 17055 signs
L Cdde.=t
iTo d - • , ,Date.[MM/DD/YYYY]," S
Alphagraphics 5/8/16 200.00
y t` Orem DescpptiAn o1 Expenditut•_e
4609 ,, Gettysburg Road 1
F i•-
Mech Code
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PILA
%p&P4d. Date[MM/DD/YYYY]' '
pp t. J The Guide/Fry Communications
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.o,}Lse 5 rgjddyess .D .escnp on,of Expe17 jlu[e:
;v 3
?v A Mechanicsburg !sta e,;' PA Cade:' 17055 mailers/advertising
Date[M,M/DD/YY.YY]' ''•i
Descrlptioopt.Expepitu�e
�C�,t State"" Zip•:-
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iDate{MM/DD
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