HomeMy WebLinkAboutFriends of Greg Rothman - 2016 30-Day Post-Primary Commonwealth of Pennsylvania Page 1 of "7
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or p4ted in blue or black Ink.)
Filer Numborntlfication 20150209 Report "CANDID RTEr t. COMMiIh`E 2.X LC�BBYIST=� s.
rs
i Filed By: --i:r:..•wr-�r•t-,.:.a. r»c<k37oL= rGs::
Name of Filing Committee,Candidate or Lobbyist:Friends of Greg Rothman
Street Address: P.O.Box 1471
City' Camp Hill State: PA Zip Code: 17001-
TYPE OF eTHTUESDAyr— 1. �g 2NDFi31DAY.-cZ-,C'� Z, r30 DAY+a t^sem ; 3. AMENDMENT' � + T �+
PjiEP.ROv1ARY'+"` $PR@-PRIMARY}",N$ xP05r PRIMARY -+ ;REPORT? YES: azi X
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the right of +I .p. ....at: ...r _1 ...4 _..h..... ,it ty- '!+"
report type) Y ANNUAL; 0 7. YEAR +FILI NG.METHOD I �
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REP_OR7 2016 (` a)CHEQK ONE, PAPER X DISKETTE
Name of Office Sought by Candice* . • . • District OfficeParty County
I M017 DAY: -YEAR£; Number Code Code Code
Representative in the Genera)Assembly I
04 26 2016 87 STH REP 21
(SEE INSTRUCTIONS FOR CODES)
IMO.{ DAY: )5k-YBAR'ja .M05 DAY. 2.YEAR4F „•a.+. ,<'.FOROFF.ICEIJSEONt:Y;srT.e;:r�t
Summary of Receipts 04 12 2016 05 16 20J6 n cv
and Expenditures from: To �= c
I a+
r A. Amount Brought Forward From Last Report $ 73,4 0.72 r --J'-
B. Total Monetary Contributions and Receipts(From Schedule 1) $ 6,2 0.00 �n• r�
C. Total Funds Available(Sum of Lines A and B) $ 79,7L72 C7
D. Total Expenditures(From Schedule III) CD S
$ 16,45.42 CD
E. Ending Cash Balance(Subtract 'Line D from Line C) $ 63 25.30
F. Value of In-Kind Contributions Received(From Schedule II) $ 3,20.57 ,< O
G. Unpaid Debts and Obligations(From Schedule IV) $ 0.00
PARjI�Ift�is Js��Com�ttlftee�re09rt,"lreasilrer g)qri-(tere'�llthfs:fs'a;;Candldate jrepq�l,Gaadidate�sigri,hare`��"�'kL,+' ;�7k!3f I,�;_y
I swear(or affirm)that this report including the attached schedules,on paper or computer diskette,are to the best of r iy knowledg and belief We,correct and complete.
Swom to and subscribed before me this
q day of 20 /` (� g(na�tyu Sbbb&tting Report
slg�ature'I FT'ENHSY6 IA �✓�-179✓
IS
OOMMONW�`LTH Printed Name
My commission expires df N I ES AN tery Put
�I GN4,���
Mo. LA Dauphin County Area Code 110aytlme Telephone Number
City of He r9•fes August Oe,2019
PART 117 F1f,thla�ls a reDort_ofa'(. ate"5Au`fliorlied-Co-"m(ttee'X:candate shall sign tlerp
I swear(or affirm)that to the best of my m, edge and belief this political committee has not violated any provisions o the Ac Af June 3,1937(P.L.1333,No.320)as
amended. u ,
Sworn to and subscribed before me this
/61day of "f./ 20_Z,(, SI na re of Candidate
Al
Signature WEALTH OF =RN YL�r IA G Printez.d Name
My commission expires OS O 00MMON LyIALSEAL utift
DB,NoteN
MO. I DA T. Dauphin Area Code Daytime Telephone Number
of Harrlsbur9. Au at 08,ty 2019
MY ^ '
OSED502(7-e9) De artment of State • Bureau of Commissions,Elections and Legislation
210 North Office Building • Harrisburg,PA 17120-0029 (717)787-5280 �Vy4�►/(tT'.J.,
SCHEDULEI Page 2 of 14/
CONTRIBUTIONS AND RECE PTS
Detailed Summary Page
Name of Filing Committee or Candidate Repc rting Period
Friends of Greg Rothman
�� From 4112/2016 To 5/16/2016
!ED
TOTAL for the Rep rting Period lop, (1) $ 0.00
�41MWWSMMMIKMM (Woo"W"Pr-ORIM 100
Contributions Received from olitical Committees(Part A) $ 0.00
All Other Contributions(Part ) $ 550.00
TOTAL for the Repdrting Period 11p. (2) $ 550.00
Contributions Received from Political Committees(Part C) $ 3,250.00
All Other Contributions(Part D) $ 2,450.00
TOTAL for the Reporting Period 0i. (3) $ 5,700.00
TOTAL for the RepJ rting Period (4) $ 0.00
i
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD I (Add and enter amount totals from Boxes $ 6,250.00
1, 2, 3 and 4,also enter this amount on Page 1;Report Cover Page, Item 8.)
I
OSEa582(T.98)
PART A Page 2 Of _4-Y
CONTRIBUTIONS RECEIVED FROM POLI TI AL COMMITTEES
$50.01 TO$250.00
Use t is Part to itemize only contributions received fro political committees
wil h an aggregate value from $50.01 to $250.00 in tfie reporting period.
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
� From 4/12/2016 To 5/16/2016
DATE AMOUNT
PAGE TOTAL
Enter Grand Total of Part A on Schedule i, Detailed Summary Page, Section 2. g 0.00
I
I
I
OSEB-502(7-99)
PART B Page --�L of -4!5(—
ALL OTHER CONTRIBUT1014S
$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 pe nod.
( xclude contributions from political committees r ported in Part A.)
Name of Filing Committee or Candidate Reporting Period
Fri e ds of Greg Rothman
Fro 4/12/2016 To 5/16/2016
DATE AMOUNT
Full Name of Contributor- 'A' ' $ 150.00
Edward Jamieson i 04 30 2016
Mailing Address AM O: s`l: $
1170 Sacramento St 13B
City I State Zip Code(Plus 4) dv9 ",x° .T.§' $
San Francisco CA 94.1 08_
Full Name of ConVibutor � $ 250.00
Zachery P Moore 04 18 .20161
Mailing Address -42M AYAAA
810 Breezewood Dr $
City State Zip Code(Plus 4)
State College ( PA 16801-
Full Name of Contributor 15 0,00
Richard A Russell, Jrl 04 20 2016 $
Mailing Address $
7 Gunpowder Rd
City I State Zip Code(Plus 4) fM :$ i $
Mechanicsburg PA 17050-
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ 550.00
DSEB50417-B9t
PART C Page 5' of 14
CONTRIBUTIONS RECEIVED FROM POLITII AL COMMITTEES
OVER$250.00
Use t Is Part to itemize only contributions received from political committees
I with an aggregate value over$250.00 in the reporting period.
Name of Filing Committee or Candidate Repoling Period
Frieluds of Greg Rothman
Fro 4/12/2016 To 5/16/2016
DATE AMOUNT
Full Name of Contributing Committee "M I.A • $ 1,000.00
Citizens
for
Grove 04 13 2016
Mailing Address c'.M21k H. : $
1854 Ashcombe Dr
City State Zip Code(Plus 4) LN!zi_ ' » $
Dover I PA 17315-
Full Name of Contributing Committe6 '�M' =ry" Wf IlYbRI $ 750.00
Friends of Bryan Cutler 04 18 2016
Mailing Address $
P.O. Box 624
.Citytate Zip Code(Plus 4)
Quarryville PA 1.7 6- $
Full Name of Contributing Committee --MMEM $ 1,000.00
I Like Eich 04 13 2016
Mailing AddressI %' .� kD' :.kYEAW
643 Hillside View Dr $
City State Zip Code(Plus 4) PWEARO $
DunCansville PA 16635-
Full Name of Contributing Committee lg. - $ 500.00
Rite Aid PAC ( l 04 25 2016
Mailing Address �P „$WYEA
P.O. Box 3165-iff $
iry State Zip Code(Plus 4) m
Harrisburg PA 17105- ( $
PAGE TOTAL
Enter Grand Total of Part on Schedule 1, Detailed Summary Page,Section 3. $ 3,250.00
DSEB-502(7-99)
PART D Page _,_(�_ of y
ALL OTHER CONTRIBUTIONS
OVER$250.00
Use'this Part to itemize all other contributions with a aggregate value of
over$250.00 in the reporting perioh.
( xclude contributions from political committees reported ported in Part C.)
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
Fro i 4/12/2016 To 5/16/2016
DATE AMOUNT
Full Name of Contributor $ 1,000.00
Shelly Capozzi 04 20 2016
Mailing Address I TAUT�Imm Mw
1655 Holly Pk i $
City ( State Zip Code(Plus 4) w $
Carlisle PA 17015-
Employer Name Occupation
S and L AntiquesI Own r
Employer Mailing AddressJPrincipal. lace of Business
1655 Holly Pk, Carlisle, PA 17015
Full Name of Contributor '"
Michael H Park I 04 122 12016 Is 500.00
Mailing Address
2753 N Quebec St
Citytate Zip Code(Plus 4) $
Arlington VA 22207-
Employer Name Occupation
Alston and Bird, LLP Atto ney
Employer Mailing Address/Principal place of Business
950 F St, NW, Suite 1, Washington, DC 20004
Full Name of Contributor
John Sheesley I 04 25 2016 $ 500.00
Mailing Address mm ^
5915 Sunrise Dr , 04 k25 2016 $ 150.00
Clty I State Zip Coe lus 4) W07€6A�'S $
Minneapolis Y. 55419-
Employer Name i Occup ition
Dacotah FurnitureComp .my, Inc. Manager
Employer Mailing Address/Principal Place of Business
1014 Marquette Ave, Minneapolis, MN 55419
Full Name of Contributor .k 300.00
Lee Stinnett 04 13 016 $
Mailing Address
501 Gale Rd $
City I State Zip Code(Plus 4) $
Camp Hill PA 17011-
Employer NameOFC—up tion
Salzmann Hughes Attorney
Employer Mailing Address/Principal Place of Business -
105 N Front St, Suite 1205, Harrisburg, PA 17101
PAGE TOTAL
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 2,450.00
OSEB-502(7,99t
PART E page of I q
OTHER RECEIPTS
REFUNDS, INTEREST INCOME, RETURNED C ECKS, ETC.
Use t 'is 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
Frie�ds of Greg Rothman
Fro 4/12/2016 To 5/16/2016
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. g 0.00
i
i
DSEB-50217-99j
SCHEDULE II Page of
IN-KIN CONTRIBUTIONS AND VALUABLE HINGS RECEIVED
USE THIS 0 r1rIJULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
FriVs of Greg Rothman
Fro i 1 4/12/2016 To 5/16/2016
TOTAL for the Reporting Period (1)
PT
25q� PAR
go—
TOTAL for the Reporting r ing Period jill (2) 1 0.00
33,, INX P; _,qj
TOTAL for the Reporting Period 1p. (3)1 $ 3,250.57
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, $ 3,250.57
and 3;also enter on Page 1, Report Cover Page, Item F.)
DSE9-502(7-99)
SCHEDULEII Page J__ of L
PART F
IN-KIND CONTRIBUTIONS REC EIVED
VALUE OF$50.01 TO$250.00
Name of Filing Committee or Candidate Reporting Period
Friehds of Greg Rothman
Fro 4/12/2016 To 5/16/2016
DATE AMOUNT
Enter Grand Total of Part r on Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 2. S 0.00
=0402 p-09t
SCHEDULEII Page /D of
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of Filing Committee or Candidate Repotting Period
Friends of Greg Rothman
Fro 4/12/2016 To 5/16/2016
DATE AMOUNT
Full Name of Contributor $
House Republican Campaign Committee 04 20 2016 1,740.63
Mailing dress �`� - $ 1,509.94
P.O. Box 11787 '05 16 2016
City State Zip Code
Harrisburg PA 17106-
Employer Name of contributor Occupation
Employer Mailing Address/Principal lace of Business Description of Contribution
Data and Printing
Enter Grand Total of Part G on Schedule 11, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 3.1
S 3,250.57
DSE9-60t p-99)
SCHEDULEIII Page of L
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidata Repoking Period
Friends of Greg Rothman
From 4/12/2016 To 5/16/2016
To Whom PaidI ' Amount
Churchill Strategies, LLC 04 20 2016 1,300.00
Mailing Address Description of Expenditure
23 N Front St Design
City State Zip Code(Plus 4)
Harrisbur PA 17101-
To Whom Paid I t).,. .� ' Amount
Greg Rothman 04 20 2016 S 1,335.16
Mailing Address I Description of Expenditure
1 Gunpowder Rd , Reimbursement
City State Zip Code(Plus 4)
Mechanicsburg PA 17050-
To Whom Paid x" � Amount
Keystone Report, LLC I I 04 120 12016 504.00
Mailing Address Description of Expenditure
1739 Creek Vista Dr Ads
City I State Zip Code(Plus 4)
New Cumberland PA 1 17070-
To Whom Paid - $ Amount
Churchill Strategies, LLC 04 21 2016 696.70
Mailing Address ( Description of Expenditure
23 N Front St Printing and Postage
CitY State I Zip Code(Plus 4)
Harrisburg PA 17101-
To Whom Paid =` ImfiyO J,- Amount ,
PayPal 04 22 2016 14.80
Mailing Address Description of Expenditure
2211 North First St Service Fee
City State Zip Code(Plus 4)
San Jose CA 95131-
To Whom Paide9l •' Amount
Jenise Harris +04 25 2016 2,500.00
atlmg ddress Description of Expenditure
403 N 2nd St Professional services
CityState Zip o e lus 4)
Harrisburgj PA 1 17101-
To Whom Paid ;(vl- d i r, ...._ Amount
PayPal I 04 25 2016 19.45
Mailing A cess Description of Expenditure
2211 North First St j Service Fee
TIT-
State Zip Code(Plus 4)
San Jose CA 95131-
To Whom Paid j,(YtI%L � r Amount
Centric Bank 1 ( X04 30 2016 5.00
Mailing Atldress ( Description of Expenditure
1625 Market St Service Fee
City State Zip Code(Plus 4)
Cam Hill t PA 17011-
To Whom Paid Amount
DTR Consulting 105 101 120361$ 500.00
Mailing Address i Description of Expenditure
210 Kelker St Professional Services
City J State Zip Code(Plus 4)
HarrisburgPA 17102-
DSEB607(7-99) j
1
SCHEDULEIII Page 1-2 of
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Repo ling Period
Friel ds of Greg Rothman
From 4/12/2016 To 5/16/2016
i
To Whom PaidDi(o*:•: .E.. .; Amount
DTR Consulting ( 04 12 2016 500.00
Mailing Address Description of Expenditure
210 Kelker St I Professional Services
City State Zip Code(Plus 4)
Harrisbur PA 1 17102-
To Whom Paid I '�" p' 'Y' Amount
Greg Rothman !VII 2016 155.65
Mailing Address Description of Expenditure
1 Gunpowder Rd I Reimbursement
City ( State Zip Code(Plus 4)
Mechanicsburg PA 17050-
To Whom Paid - I *9'01'92AV' .t.WAR+ Amount
Hallowell & Branstetter 04 12 2016 272.42
Mailing Address Description o Expenditure
3031 Logan St Printing
CityState Zip Co a(Plug 4)
Cam I Hill PA 17011-
To Whom Paid . -GdR 2 A . . Amount
J&K Signs I 04 12 2016 I S 225..00
Mai mg Address Description of Expenditure
315 Ross Ave I Signs
City tate Zip ode(Plus 4)
New Cumberland PA 17070-
To Whom Paid Amount
PayPal 04 113 1 20161$ 9.00
Mailing Address Description of Expenditure
2211 North First St I Service Fee
City I State Zip Code(Plus 4)
San Jose , CA 95131-
To Whom Paid bm V ; a '. Amount
RSR Realtors 04 14 2016 IS 26.00
Mailing Address Description of Expenditure
3 Lemoyne Dr Postage reimbursement
Cit State Zip Code(Plus 4)
Lemoyne PA 17043-
To Whom Paid A = Amount
EPYAL 04 18 2016 375.00
Mailing Address Description of Expenditure
P.O. Box 41 Sponsorship
Cdy State Zip Code(Plus 4)
Enola PA 17025-
To Whom Paid Q.. Gi{(' '' „ Amount
Hallowell & Branstett r 04 118 12016 6,100.57
Mai ing Ad ress Description of Expenditure
3031 Logan St Printing and Postage
City State Zip Code(Plus 4)
Camp Hill PA 17011-
To Whom Paid I w _ 'D'k�. e, Amount
Maverick ss Finance 04 18 2016 752.00
Mailing Add
reDescription of Expenditure
403 N Second St, 2FL I commission
City state Zip Code(Plus 4)
Harrisbur PA 17101-
DAEB3A217-9A)
I _
SCHEDULE III Page 1 of
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
Frie ds of Greg Rothman
Fro 4/12/2016 To 5/1612016
To Whom Paid I - Amount
Greg Rothman OS 01 2016 75.27
Mailing Address I Description of Expenditure
1 Gunpowder Rd Reimbursement
ity State Zip Code(Pus 4)
Mechanicsburg PA 17050-
To Whom Paid f:9f: Pr. Amount
Postmaster 05 106 12016 9.40
Mailing Address , Description of Expenditure
Federal Square Statioh Walnut and 2nd St. , lst Floor Postage
City Slate Zip Code(Plus 4)
Harrisburg j PA 17108-
To Whom Paid +-"MO,: : At ,E 1T� Amount
Postmaster 05 09 2016 70.00
Mailing Address , Description of Expenditure.
1675 Camp Hill Byp I lRental fee
City State Zip Code(Plus 4)
Cam Hill ( PA 17011-
To Whom Paid `M?; .A Amount
Shelly Capozzi 05 110 12016 1,000.00
Mailing Address Description of Expenditure
1655 Holly Pk Return check
City I State Zip Coe Plus 4)
Carlisle PA 17015-
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D. PAGE TOTAL
'REFER TO INSTRUCTIONS FOF EXPENDITURE CODE NUMBERS. $ 16,445.42
F
f
I
OSEB-502(7.99)
SCHEDULE IV Page / of
STATEMENT OF UNPAID DEI TS
Use this Section to itemize all unpaid debts artd obligations
which are outstanding at the and of the reporting period.
Name of Filing Committee or Candidate Reporting Period
Friends of Greg Rothman
From 4/12/2016 To 5!1612016
PAGE TOTAL
Enter Grand Total of Unpa d Debts on Page 1, Report Cover Page, Item G. 0.00
DSEBZ02(7-99)
i