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Home My WebLink AboutFriends of Jim Hertzler - 2016 30-Day Post-Primary Reset Form__ Print Form_ J Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Fled By Candidate Committee \ Lobbyist Number (Mark X) n Name of Fling Committee,Candidate or Lobbyist FRIENDS OF JIM HERTZLER Street Address PO BOX 43 Qty ENOLA State PA Zip Code 17025 Type of Report(Place x under report type) 1-61 Tuesday 2- 2n°Friday 3-30 Day Post 4-616 Tuesday 5-2"4 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 0 ❑ Ox 0 0 0 0 0 ❑ 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 04/12/2016 05/16/2016 A.Amount Brought Forward From Last Report $ 1,596.47 C7 oN C B.Total Monetary Contributions and Receiptsn,., $ 0 m (From Schedule 1) 13 W rn 4 C.Total Funds Available $ (Sum of Unes A and B) 1,596.6 N D.Total Expenditures 250 �- Cn (From Schedule III) S E.Ending Cash Balance (Subtract Une D from Une C) 1,346.6 E5 F.Value of In-Kind Contributions Received $ ' - j (From Schedule 11) 0 tit-< W G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section 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 1Y s(/ / COMMONW ALTH OF PENNS 1/La/.t'�s'C�i9/ day of Ma�20 1 N ARIAL SEAL Leonardo'C er Jr., Nota Si nature of Person Submittingren d64=4t 71quahann Twp., Dauphi Signature My Commis n Expires July 16, 2019 Printed Name //�' My Commission expires 07 f6 E ,PENNSYLVANIA ASSOCIATION A IES $01: =Wa l MD. DAY YR- Area Code Daytime Telephone Number Part II-If this is a report of a Candidates Authorized Committee,candidate shall sign here. 1 swear(or affirm)that to the best of my knowledge and belief this political committee 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 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemlxed Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0 2.Contributions of$50.01 to From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part 8) $ 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) $ 0 Total for the reporting period (3) $ 0 4.Other Recelpts-Refunds,Interest Earned,Returned Checks,ETC(From Part E) Total for the reporting period (4) $ 0.13 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Itern 8) 0.13 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 Iden cation Number: Full Name Americholoe Federal Credit Union House# 2175 Street Address Bumble See Hollow Road Qty State Zip Date[MM/DD/YYYY] $ Menhanlaburg PA Code 17055 04/30/2016 0.13 Receipt Description Dividend full Name House# Street Address Qty State Zlp Date[MM/DD/YYYYI $ Code Receipt Description Full Name House# Street Addres Qty State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House It Street Address Qty State Zip Date[MM/DD Code Receipt Description Full Name House# Street Address Qty State lip Date[MM/DD/YYYY] Code Receipt Description Full Name House# Street Address Qty State ZIp Date[MM/DD Code Receipt Description SCHEDULE III Statement of Expenditures Filer IdentiFtation Number: To Whom Paid Date[MM/DD/YYYY( $ Shapiro for DennsyWania 00/14/16 L50 House# Street AddressDo sox lzaa Description of Expenditure City Norristown State DA Copde 19404 Donation To Whom Paid Date[MM/DD/YYYY) $ House# treet Address Description of Expenditure Ciry I State I I Zip Code To Whom Paid Date(MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY) $ House# street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State I Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY) $ House# Street Address Description of Expenditure P City State Zip Code