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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 REPORT -.. . .� .i-a, tu•- ,.,a.. X #_.-.c...-{ :.ea,. ,.•e:a "15TH:TU§6DAY,¢ 4, It2ND FRIDAY. 5. :430 DAY- 6. ^TERMINATIDN (placOX to ?PRE-ELECTIONyZ PPRF_ElEG7IONi:'�! .�0$T1alECT10IJr REPORTY<'Sk,3'� �YE$. .NDi X the right of +I .p. ....at: ...r _1 ...4 _..h..... ,it ty- '!+" report type) Y ANNUAL; 0 7. YEAR +FILI NG.METHOD I � r ^ 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