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Home My WebLink AboutHampden Township Republican Assoc. - 2016 6th Tuesday Pre-Primary Illlllllllllll�lnl ll�ll�llllll I�II t Reset Form J Print Form Io 0058 Commonwealth of Pennsylvania.CampaignFinance Report (Note:This report must be clear and legible.It should be typed) Filer Identification 8300058 Report Filed By Candidate L11Committee 177 Lobbyist Number (Mark X) n Name of Filing Committee,Candidate or HAMPDEN TOWNSHIP REPUBLICAN ASSOCIATION Lobbyist Street Address 6300 SALEM PARK CIRCLE eiry MECHANICSBURG State PA Zip Code 17050 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"a Friday 3-30 Day Post 4-6th Tuesday 5-2n4 Friday 6-30 Day Post 7-Annual Special 2" Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Of Election Year Amendment Termination (MM/DD/YYYY) 2016 Report Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures 1/1/16 3/31/16 A.Amount Brought Forward From Last Report $ 3,757.43 a �' on S B.Total Monetary Contributions and Receipts $ M < (From Schedule I) 160 C.Total Funds Available $ 3,917.43 '�— CIN (Sum of Lines A and 8) 0 A D.Total Expenditures $ 3,000 0 -a. (From Schedule III) CZ E.Ending Cash Balance $ .7 (Subtract Une D from Une C) 917.43 F.Value of In-Kind Contributions Received (From Schedule Il) G.Unpaid Debts and Obligations . $ 0 (From Schedule IV) Affidavit Section 1 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 on paper,Is to the best of my knowledge and belief true,correct and complete. , Sworn to and subscribed before me this 3 day of &ri20 /4 �gn Lure of Person u C greport L� b4✓�r. r,YYli Signature Printed Name My Commission expires A/L11 _-y lL�� 7/7 7G C—y6 9/ MO. DAY YR. Area Code Daytime Telephone Number Part II-If this Is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act 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 OF PENNSYLVANIA Notadal Seal Jacqueline Marie Hamer,Notary public Lower Paxton Twp.,Dauphin County MY Comm on Ezpllps Mardi 24,2017 MEMBER,PENNSYIVANfA A550QATION OF NOTARIES I M SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identi0wtion Number 6300058 1.1.1nitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 160 2.Contributions of$50.01 to 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 Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 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 fAdd and $ enter amount totals from Bozes 1,2,3 and 4;also enter this amount on Page 1,Report 160 Cover Page,Item B) SCHEDULE III Statement of Expenditures Filer Identification Number: 8300058 To Whom Paid Date[MM/DD/YYYY] $ HAMPDEN TOWNSHIP SCMOiARSHIP ASSOCIATION 2/2/: 3,000 House q Street ress Description of Expenditure City MECHANICSBURG State PA de 17050 3-$1,000 SCHOLARSHIPS To Whom Paid Date[MM/DD/YYYY] $ House k treet Address Description of Expenditure City 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 ff 1 Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House$1 Street Address Description of Expenditure City State Zip Code To Wham Paid Date[MM/DD/YYYY] $ House H Street Address Description of Expenditure City State Zip Code To Whom Paid Date]MM/DD/YYYY] House ft Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House it Street Address Description of Expenditure City State Zip Code