The URL can be used to link to this page

Home My WebLink AboutFriends of Greg Rothman - 2016 2nd Friday Pre-Election Commonwealth of Pennsylvania Page 1 of CAMPAIGN FINANCE REPORT (COVER PAGE) . (NOTE: This report must be clear and legible.It may be typed or printed in blue or black ink.) Filer IdentificationReport 1. 2. 3. Number: p' 20150209 Filed By: CANDIDATE COMMITTEE X LOBBYIST 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 8TH TUESDAY • 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? YES NO X 8TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION (place X to PRE-ELECTION PRE-ELECTION X POST ELECTION REPORT? YES NO x the right of , report type) ANNUAL REPORT 7. YEAR 20 6 /��? (lUNV G CHECK ONEMETHOD ' PAPER X DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Representative in the General Assembly MO. DAY YEAR Number Code Code Code 11 08 2016 87 STH REP 21 (SEE INSTRUCTIONS FOR CODES) MO. DAY YEAR MO. DAY YEAR - FOR OFFICE USE ONLY Summary of Receipts poo. 05 17 2016 10 24 2016 n and Expenditures from: To .-. a, } = A. Amount Brought Forward From Last Report $ 63,255.30 r : B. Total Monetary Contributions and Receipts(From Schedule 1) $ 30,282.49 r - t ) C. Total Funds Available(Sum of Lines A and B) $ 93,537.79 i -1 D. Total Expenditures(From Schedule III) $ 56,797.64 c , -- f E. Ending Cash Balance(Subtract Line D from Line C) $ 36,740.15 r� F. Value of In-Kind Contributions Received(From Schedule II) • $ 5,009.04 _� C G. Unpaid Debts and Obligations(From Schedule IV) $ 0.00 `, / 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 or computer diskette,are to the best of y knowledge and belief true,correct and complete. Sworn to and subscribed beforeA. methis I; , •x5 day of V�fD6�~ 20 I‘ ignature of ••nSthmi•ingReport lop • Tthig-' 1; ----aHVII‘S Signature MONWEALT{1 O Printed Na,e My commission expires d�' 1.46otary public —�11 qg3 MO. B6�GLAST Dauphin Coun201g Area Code Daytime Te e � phone Number i of Kafftsburg, •s August 06, PART II .-If this is a report of a C•r*"=1! uthorized 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 }� LIU S • day ignature of Candidate ...2.04... �� of GGZLoG�� 20 %l • .1::-_ � p•,::OVUPAnut::: . W• &Re& 'RoThMAN Sign-11.T NOTARI' S Printed Name My commission expires• d.' .I,.'�� ,ST,RICKARD' pp19 •1 l� 511". 33if S MO. MY COW isston tires ' •• Area Code Daytime Telephone Number — DSEB-502(7-99) Department of State • Bureau of Commissions,Elections and Legislation - 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 SCHEDULE I Page 2 of CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS—$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 100. (1) $ 170.00 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees(Part A) $ 3,050.00 All Other Contributions (Part B) $ 5,950.00 TOTAL for the Reporting Period Op. (2) $ 9,000.00 3. CONTRIBUTIONS OVER$250.00(FROM PART C AND PART D) Contributions Received from Political Committees (Part C) $ 8,600.00 All Other Contributions (Part D) $ 12,512.49 TOTAL for the Reporting Period 1100. (3) $ 21,112.49 4. OTHER RECEIPTS-REFUNDS, INTEREST EARNED,RETURNED CHECKS,ETC. (FROM PART E) TOTAL for the Reporting Period Op. (4) $ 0.00 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 011 $ 30,282.49 1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.) OSEB-502(7-99) PART A Page of • CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to$250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributing Committee TMO.. DAY `-YEAR $ 250.00 Buchanan Ingersoll E. Rooney Comm. For Effective Gov. 10 12 2016 Mailing Address MO. DAY,,YEAR $ 301 Grant St, 20th Floor 1 Oxford Center City State Zip Code(Plus 4) MO. DAY 'YEAR.. $ Pittsburgh PA 15219- Full Name of Contributing Committee MO: DAY -YEAR:y $ 100.00 Committee for Free Enterprise 09 04 2016 Mailing Address MO. 'DAY" YEAR $ P.O. Box 60005 City State Zip Code(Plus 4) MO. DAY ' YEAR: $ Harrisburg PA 17110- Full Name of Contributing CommitteeMQ. DAY YEAR $ 250.00 Crisci Associates PAC 08 26 2016 Mailing Address MO, DAY YEAR 204 State St City State Zip Code(Plus 4) MO. DAY YEAR $ Harrisburg PA 17101- Full Name of Contributing Committee MO. DAY -YEAR,, $ 150.00 Eckert Seamans PA Government PAC 09 15 2016 Mailing Address MO. DAY YEAR 600 Grant St 44th Floor $ City State Zip Code(Plus 4) MO, DAY YEAR, $ Pittsburgh PA 15219- Full Name of Contributing Committee MO,, DAY YEAR $ 200.00 HAPAC-State 10 07 2016 Mailing Address - MO, DAY YEAR P.O. Box 8600 $ City State Zip Code(Plus 4) MO. DAY YEAR $ Harrisburg PA 17105- Full Name of Contributing Committee MO, DAY,. YEARv $ 200.00 Highmark PAC 09 23 2016 Mailing AddressMO. DAY YEAR 1800 Center St $ City State Zip Code(Plus 4) MO. DAY YEAR,: $ Camp Hill PA 17089- Full Name of Contributing Committee "-Mo.-!DAY " YEAR $ 250.00 Home Builders Assoc. of Metro Harrisburg PAC 10 18 2016 Mailing Address MO. DAYSYEAR' 2416 Park Dr $ City State Zip Code(Plus 4) MO, DAY YEAR, $ Harrisburg PA 17110- 1 Full Name of Contributing Committee MO. DAY YEAR $ 100.00 I Like Eich 08 26 2016 Mailing Address MCO DAY YEAR 643 Hillside View Dr $ City State Zip Code(Plus 4) MO. DAY YEAR $ Duncansville PA 16635- DSEB-502(7.99) • PART A Page of CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to$250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributing Committee ?MO. `iAY YEAS' $ 250.00 PA Committee for Affordable Housing 10 18 2016 Mailing Address MO. .DAY"""YEAR $ 2509 N Front St City State Zip Code(Plus 4) :MO. 'DAY ;'YEAR' $ Harrisburg PA 17110- Full Name of Contributing Committee MC>,. DAY' YEAR $ 250.00 PA Medical PAC 09 04 2016 Mailing Address ;MO. ;'DAY.':YEAR, $ P.O. Box 8820 City State Zip Code(Plus 4) MCS,•'DAY YEAR Harrisburg PA 17105- Full Name of Contributing Committee MO: DAY" YEAR $ 250.00 PAMIC PAC 08 30 2016 Mailing Address MO DAY YEAR $ 1017 Mumma Rd Suite 103 City State Zip Code(Plus 4) MO. DAY YEAR $ Wormleysburg PA 17043- IFull Name of Contributing Committee MQ, DAY YEAR $ 200.00 PAW-PAC 09 23 2016 Mailing Address MO, DAY YEAR 800 W Hersheypark Dr $ City State Zip Code(Plus 4) MO. QAY YEAR $ Hershey PA 17033- Full Name of Contributing Committee MO '`DAYf, YEAR $ 200.00 Pennsylvania Manufactured Housing Assoc. PAC 08 26 2016 Mailing Address MO. :DAY `YEAR. 315 Limekiln Rd $ City State Zip Code(Plus 4) MO "'DAY''YEAR' $ New Cumberland PA 17070- Full Name of ContributingCommittee MO. A ._ DAY YEAR. $ 200.00 Transportation Construction Industries PAC 09 23 2016 Mailing Address MO: DAY YEAR $ 800 N 3rd St Suite 500 City State Zip Code(Plus 4) MO.; DAY.,YEAR $ Harrisburg PA 17102- Full Name of Contributing Committee MO, DAY: ,YEAR $ 200.00 UGI State PAC 10 07 2016 Mailing Address MOk DAY: :YEAR $ 2525 N 11th St P.O. Box 1267 City State _ Zip Code(Plus 4) ' MO;, DAY''YEAR $ Reading PA 19612- PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 3,050.00 DSEB-502(7-99) PART A Page of CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributing CommitteeMO. yDAYn`:Y(=AR $ 250.00 PA Committee for Affordable Housing 10 18 2016 Mailing Address tvlO. ;DAY 'YEAR 2509 N Front St City State Zip Code(Plus 4) 'MO.' DAYYEAR" $ Harrisburg PA 17110- Full Name of Contributing Committee MO. "DAY -YEAR: $ 250.00 PA Medical PAC 09 04 2016 Mailing Address MO., DAY.;;YEAR P.O. Box 8820 y $ City State Zip Code(Plus 4) MO ' DAY YEAR Harrisburg PA 17105- Full Name of Contributing Committee MO. DAYS YEAR $ 250.00 PAMIC PAC 08 30 2016 Mailing Address MO DAY YEAR 1017 Mumma Rd Suite 103 City State Zip Code(Plus 4) MO. DAY YEAR Wormleysburg PA 17043- Full Name of Contributing Committee MO. DAY YEAR $ 200.00 PAW-PAC 09 23 2016 Mailing Address MO, DAY YEAR 800 W Hersheypark Dr City State Zip Code(Plus 4) MDs DAY. YEAR $ Hershey PA 17033- Full Name of Contributing Committee MO. DAY YEAR $ 200.00 Pennsylvania Manufactured Housing Assoc. PAC 08 26 2016 Mailing Address MO. DAY YEAR 315 Limekiln Rd City State Zip Code(Plus 4) MO. ' DAY' YEAR $ New Cumberland PA 17070- Full Name of Contributing Committee MO. DAY YEAR $ 200.00 Transportation Construction Industries PAC 09 23 2016 Mailing Address ;-MO. DAY YEAR 800 N 3rd St Suite 500 City State Zip Code(Plus 4) _MO. DAY YEAR $ Harrisburg PA 17102- ,...... _... _. ._.._._.....__ Full Name of Contributing Committee MO, -:DAY YEAR' $ 200.00 UGI State PAC 10 07 2016 Mailing Address ' Ma:= DAY YEAR $ 2525 N 11th St P.O. Box 1267 City State Zip Code(Plus 4) MO DAY' YEAR' $ Reading PA 19612- PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 3,050.00 DSEB•502(7.99) • PART B Page of ALL OTHER CONTRIBUTIONS $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 period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 _ DATE AMOUNT Full Name of Contributor ►0 Deloitte Services, LP 09 23 2016 $ 200.00 Mailing Address MAW'S/IGAY, rAES $ 4022 Sells Dr City State Zip Code(Plus 4) ■MOIP M.WEARS $ Hermitage TN 37076- Full Name of Contributor ° MAI CM, $ 200.00 MELCO Enterprises 09 15 2016 Mailing Address vMOtsCA�rj"MEAN! $ 16464 Turnbury Oak Dr City State Zip Code(Plus 4) 'MOW ID44 111;IE* $ Odessa _ FL 33556- it Full Name of Contributor .0 MOM/ $ 250.00 Obermayer, Rebmann, Maxwell & Hippel, LLP 10 12 2016 Mailing Address -WOO IDAY'%Y.EARi $ One Penn Center, 19th Floor 1617 JFK Blvd City State Zip Code(Plus 4) VON SEMI WEAR" $ Philadelphia PA 19103- Full Name of Contributor 40 RJf31I1� VA $ 250.00 The Jason Grace Group, LLC 08 30 2016 Mailing Address 'IMOt�$ Yi■Y.EARII $ 514 Jonagold Cir City State Zip Code(Plus 4) was(DAPI WEARS $ Mechanicsburg PA _ 17055- Full Name of Contributor Mill A, $ William H Alexander 09 04 2016 100.00 Mailing Address *MOS KANi WEARi $ 16 Wagner St City State Zip Code(Plus 4) ■mogIDAa'41YEARi $ Hummelstown PA _ 17036- Full Name of Contributor y 0 $ Eugene J Anastasio, Jr. 08 26 2016 200. 00 Mailing Address IMO*11:X4 *EAR. $ 790 Brentwater Rd City • State Zip Code(Plus 4) MOM IEAYi►Y;EARit $ Camp Hill • PA 17011- Full Name of Contributor mitrggill E $ 100.00 Debbie J Anderson 08 26 2016 Mailing Address itro lliggY4 IVEAgi, $ 114 E Springville Rd City State Zip Code(Plus 4) EMONIIDAY1■Y.EAR! $ Boiling Springs PA 17007- Full Name of Contributor EMI=lErAll $ Ronnie Anderson 10 17 2016 100.00 Mailing Address 'itiviOili ; YilY.EARI $ 114 E Springville Rd City State Zip Code(Plus 4) woe$04. WEAR. $ Boiling Springs PA 17007= DSEB-502(7-99) PART B Page of ALL OTHER CONTRIBUTIONS $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 period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor MO.- DAY YEAR $ 200.00 Mari A Atchason 09 23 2016 Mailing Address MO DAY YEAR 303 Harmony Ln $ City State Zip Code(Plus 4) MO. DAY YEAR $ Camp Hill PA 17011- Full Name of Contributor MO; DAY,. YEAR $ 100 .00 Michael L Berney 10 23 2016 Mailing Address MO, 'DAY:; YEAR; $ 11 N 30th St City State Zip Code(Plus 4) MO,. DAY.,YEAR $ Camp Hill PA 17011- Full Name of Contributor MC'1:. DAY YEAR $ 200.00 Karen A Deklinski 09 23 2016 Mailing Address MO; DAYYEAR 406 N Front St City State Zip Code(Plus 4) MO.y DAY YEAR $ Wormleysburg PA 17043- Full Name of Contributor MO. DAY,,; YEAR $ 200. 00 Ellen M Dietz 09 07 2016 Mailing Address MO, . DAY:: YEAS;.. 740 Brentwater Rd City State Zip Code(Plus 4) MOz: DAY`'. YEAR $ Camp Hill PA 17011- Full Name of Contributor MO. DAY"FYEA $ John T Durbin 08 26 2016 250.00 Mailing Address MO; "`DAY' YEAR 12 Emlyn Ln City State Zip Code(Plus 4) . MO. DAY YEAR $ Mechanicsburg PA 17055- _ Full Name of Contributor MO. DAY, -YE YEART $ 100.00 C Reath Edwards 08 26 2016 Mailing Address MO. DAY,.YEAR; 1535 Jill Dr City State Zip Code(Plus 4) MO... DAY YEAR Hummelstown PA 17036- Full Name of ContributorMO;•'';DAY' 'YEARM $ 250.00 Andrew J Giorgione 09 23 2016 Mailing Address MQ,; "7DAYS'YEAR $ 2911 N. 2nd St City State Zip Code(Plus 4) MO; DAY YEAR $ Harrisburg PA 17110- Full Name of Contributor MO, DAY YEAR; $ 150.00 Stacy L Gromlich 06 30 2016 Mailing Address MO. DAY YEAR 934 Hummel Ave City State Zip Code(Plus 4) MO:., DAY; YEAR $ Lemoyne PA 17043- DSEB-502(7-99) PART B Page of ALL OTHER CONTRIBUTIONS $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 period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 ` DATE AMOUNT Full Name of Contributor $ 250.00 Larry L Hatter 09 24 2016 Mailing Address IMO IDAYl WEAN! $ P.O. Box 1218 City State Zip Code(Plus 4) IMOIllijDA41 WEAR $ Mechanicsburg PA 17055- Full Name of Contributor WI $ 250.00 David L Hollinger 09 07 2016 Mailing Address IMO/IOAYI ItEARI! $ 755 White Oak Rd City State Zip Code(Plus 4) 04011.IDAY&IIY.EAR. $ Denver PA 17517- Full Name of Contributor itti m," i 200.00 John F Jurasits 09 12 2016 Mailing Address jMO KW/WEARS $ 320 N 27th St City State Zip Code(Plus 4) *MOS WAYS l'YEARU $ Camp Hill PA 17011- Full Name of Contributor WM triVAMM $ 250.00 Andrew N Lick 08 26 2016 Mailing Address LIMO*IDA)"*YEARS $ 2404 Bradley Dr City State Zip Code(Plus 4) IMO.IOAYO WEIR. $ Harrisburg PA 17110- Full Name of Contributor U MI DEAR' $ Wallace Longton 08 26 2016 100.00 Mailing Address IMO*.1DA'4 WAR. $ 100.00 48 Hoke Farm Way 10 17 2016 City State Zip Code(Plus 4) IMO111 iDAY4 WEAR. $ Mechanicsburg PA 17050- Full Name of Contributor , A' Ma $ 100.00 John B Mancke 08 26 2016 Mailing Address WNtO*1DAYl,i►YEAI* $ 1216 Fleetwood Dr _ City State Zip Code(Plus 4) •MOIL lOAYa it EARL r$ Carlisle PA 17013- , Full Name of Contributor MI lbri PM 200.00 Gerald K Morrison 09 23 2016 Mailing Address IMO*I1)04 YEAR#. $ 188 Huckleberry Ln City State Zip Code(Plus 4) 'liMO*iDAYi#1Y.EARt $ Harrisburg PA 17112- . Full Name of Contributor WM MOM"q"R $ Angela M Moyer 09 07 2016 250 .00 Mailing Address IMO*IDAY1 WEAR; $ 106 Redwood Dr City State Zip Code(Plus 4) MON IDAYkCEARII $ Enola PA 17025- DSEB-502(7-99) PART B Page of • ALL OTHER CONTRIBUTIONS $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 period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT - '- — Full Name of Contributor 6 _, , _ 100 .00 John A Obrock 10 23 2016 $ Mailing Address 11M01101g4-6Y8ARII $ 2210 Wynnwood Ct City State Zip Code(Plus 4) IMO,IDAY4,11YEARII $ Enola PA 17025- Full Name of Contributor °, ommil $ 100.00 Stephen C Oldt 10 07 2016 Mailing Address IM$ OPVAIWEAF.4 $ 206 Chestnut Dr City State Zip Code(Plus 4) @MOM IDANOYARI $ Shippensburg - PA 17257- Full Name of Contributor W61, 7 FOra. $ 100. 00 Brian A Rider 09 07 2016 Mailing Address VIVI IIPATYINIVEARII $ 35 Emlyn Ln City State Zip Code(Plus 4) WO"IDAVVEAR. $ Mechanicsburg PA 17055- Full Name of Contributor I1M EVNIPM1 $ 200.00 Richard S Ruble 10 23 2016 Mailing Address goviole solphY,E#R, $ 235 E Lauer Ln City State - Zip Code(Plus 4) IIMOIBIDAYASYEARII $ Camp Hill PA 17011- Full Name of Contributor 6. Ma, IE M e 250.00 Daniel C Schwab 09 04 2016 4° Mailing Address WO*IDAYillINJARII $ 4216 Prosperous Dr City State - Zip Code(Plus 4) IIMOIII IDIVY411Y,E.AR, $ Harrisburg PA 17112- Full 0 wmovms Name of Contributor $ 100 .00 Michael A Serluco 08 26 2016 Mailing Address M011,10A0"'WA.RI $ 17026 Passage Island, N City State Zip Code(Plus 4) IMO*IDAYI WEARS $ Jupiter FL 33477- Full Name of Contributor0. eng FrIAM - $ • 200 . 00 Mark RT Simpson 09 23 2016 Mailing Address .001 IDAY1 ilY,EA4 $ 113 Turtle Hollow Dr City State Zip Code(Plus 4) •IMPIIOAN4YEARS $ Lewisberry PA 17339- Full Name of Contributor MOM MR $ 200.00 Debra D Stark 09 23 2016 , Mailing Address 0401 IDAYI IIY.E4fRil $ 245 N 27th St City State Zip Code(Plus 4) imps WAWA WEAR, $ Camp Hill PA 17011- DSEB-502(7-99) PART B Page of ALL OTHER CONTRIBUTIONS • • $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 period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor 707-6-Ar 7-few MC1r"DA -`°:Yew $ 150.00 Debra L Stumpf 09 04 2016 Mailing Address -'MO: ::DAY'..'; YEAR 87 Greenwood Cir $ City State Zip Code(Plus 4) MG ;-"DAY'.,- YEAR Wormleysburg PA 17043- PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 5,950.00 DSE8-502(7-99) PART C Page of CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES • OVER$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value over$250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 _ DATE AMOUNT Full Name of Contributing Committee W° 1 g a trE,Z 2 $ 1, 000.00 Capozzi and Associates PAC 06 08 2016 Mailing Address 0 2933 N. Front StAY�1rYE. . $ City State Zip Code(Plus 4) $MOM IDAYj,%Y..EAR4 $ Harrisburg PA 17110- . Full Name of Contributing Committee Mt,IMI Men $ 500.00 CUPAC 10 07 2016 Mailing Address •MOI IDAY WEAR' $ 4309 N Front St City State Zip Code(Plus 4) ;,SMO .IDAYA WEAN $ Harrisburg PA 17110- - Full Name of Contributing CommitteeI roVil,MA $ 300.00 Farmer PAC 08 26 2016 Mailing Address IM0111IDAY/WEAR, $ P.O. Box 8736 City State Zip Code(Plus 4) etvpa IDAY]WEAN $ Camp Hill PA 17001- Full Name of Contributing Committee ,ti° MA Mal $ 500.00 IFAPAC - PA 10 18 2016 Mailing Address WO.IDAY&&Y.EARI $ 4811 Jonestown Rd Suite 233 City State Zip Code(Plus 4) 1MO%1DAY1 WYEARI $ Harrisburg PA 17109- Full Name of Contributing Committee PM ffAll VEM, $ 500.00 Norfolk Southern Corp. Good Government Fund 10 07 2016 Mailing Address 101011 IDAY/WEAR' $ Three Commercial Pl City State Zip Code(Plus 4) IMO*WAY/iY,EAR± $ Norfolk VA 23510- Full Name of Contributing Committee MI Mt IM.4 $ 1, 000.00 PA Future Fund 09 15 2016 Mailing Address lMOI IDAYI WEARS P.O. Box 6128 $ City State Zip Code(Plus 4) IMOI IDAYAr sY,E 4F.t1 $ Harrisburg PA 17112- Full Name of Contributing Committee y o, MUM. $ 2, 000.00 PA Realtors PAC 09 16 2016 Mailing Address *.MO*IDAY4I ',EARI 500 N 12th St $ City State Zip Code(Plus 4) —IMO*ID/Y'SY.E4kR1\ $ Lemoyne PA 17043- 0 Full Name of Contributing Committee . MA ITEM 300.00 Pennsylvania Amusement & Music Machine Assoc. PAC 07 24 2016 Mailing Address AMON IDAY!*Y.EAR', $ 200 N 3rd St Suite 1500 City State Zip Code(Plus 4) WON WAY.WEAR4 $ Harrisburg PA 17101- DSEB-502(7.99) PART C Page of CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value over$250.00 in the reporting period. • Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributing Committee CM MI $ 500.00 Pennsylvania Bankers Public Affairs Committee 09 12 2016 Mailing Address SM01049A0 WEAN. 3897 N Front St City State Zip Code(Plus 4) IIIlM01CIDAY.IrYEdR# Harrisburg PA 17110- Full Name of Contributing Committee '° j um 500.00 PPL People for Good Government State Account 09 23 2016 Mailing Address UMO1I WAWA 0'04 Two N. Ninth St City State Zip Code(Plus 4) •MOI/$3 1#Y.E*1. $ Allentown PA 18101- Full Name of Contributing Committee $ 500.00 Strategy PAC 09 23 2016 Mailing Address iM0i11 IDAYS1Y+EAR4 403 N 2nd St Suite 2 09 23 2016 $ 500.00 City State Zip Code(Plus 4) /M?1'DAY/IKEA,J$ $ Harrisburg PA 17101- Full Name of Contributing Committee $ 500.00 Walgreen Co. PAC 10 12 2016 Mailing Address *MOM#DAY1 LY.EARU $ 104 Wilmont Rd City State Zip Code(Plus 4) IMb1DAY4 tl:Ei4R1 $ Deerfield IL 60015- PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 8,600.00 DSEB-502(7-99) • PART D Page of ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor VIM YE li $ 500.00 Hallowell and Branstetter 09 23 2016 Mailing Address itil►T ? IAYiEvs i 3031 Logan St City State Zip Code(Plus 4) iM0111,1DAY Camp Hill PA 17011- Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor NOM DAYIrenl $ 500.00 Jamie B Berrier 08 26 2016 Mailing Address *AMM IMMEZEAft. $ 100.00 519 Middlesex Rd 10 18 2016 City State Zip Code(Plus 4) ds, MAIYEAfill Carlisle PA 17015- $ Employer Name Occupation RSR Realtors Realtor Employer Mailing Address/Principal Place of Business 3 Lemoyne Dr, Lemoyne, PA 17043 Full Name of Contributor Michael A Brenner 09 A � 1, 000.00 09 04 2016 Mailing Address 2222 Paxton St P.O. Box 1955 City State Zip Code(Plus 4) INKM WAIII WEARS $ Harrisburg PA 17105- Employer Name Occupation Brenner Family of Dealerships Owner Employer Mailing Address/Principal Place of Business 6271 Carlisle Pk, Mechanicsburg, PA 17050 Full Name of Contributor 1577117 ' $ 500.00 Matthew J Brouillette 09 23 2016 Mailing Address b 1 MIS $ 5 Plum St City State Zip Code(Plus 4) IMO,�A Wik1_EA "f Annville PA 17003- Employer Name Occupation Commonwealth Partners President Employer Mailing Address/Principal Place of Business 5 Plum St, Annville, PA 17003 Full Name of Contributor rvr c 157741FM1 $ Ryan M Colquhoun 08 30 2016 500.00 Mailing Address o,. 115M 1E $ 1410 Summit Way City State Zip Code(Plus 4) tma row wan Mechanicsburg PA 17050- Employer Name Occupation Self employed Realtor Employer Mailing Address/Principal Place of Business 1410 Summit Way, Mechanicsburg, PA 17050 DSEB-502(7-99) PART D Page of ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor MO: DAY YEAR 300.00 Patrick Curran 09 23 2016 $ Mailing Address ( TAY—YEAR- 7090 A" `._.,YE 7090 Beaver Spring Rd City State Zip Code(Plus 4) tb; '13A"%:-YEA`l - $ - Harrisburg PA 17111- Employer Name Occupation Wells Fargo Sales Manager Employer Mailing Address/Principal Place of Business 30 N 3rd St, Suite 100, Harrisburg, PA 17101 Full Name of Contributor f MO DAY-YEAR. $ 500.00 Donald C Donagher 09 23 2016 Mailing Address '' WAY rp 3 Penns Way Rd City State Zip Code(Plus 4) TRY7 rA `"YEAR Mechanicsburg PA 17055- Employer Name Occupation Penn Credit Corp. CEO Employer Mailing Address/Principal Place of Business 100 Scenery Dr, Suite B, State College, PA 16801 Full Name of Contributor MO. DAY.`YEAR 500.00 Paul D Fisher 09 23 2016 $ Mailing Address ""QA ,YEAR $ 14 Cherish Dr City State Zip Code(Plus 4) Tm-0 :13 V YEA` " Camp Hill PA 17011- Employer Name Occupation Boyer & Ritter CPA Employer Mailing Address/Principal Place of Business 211 House Ave, Camp Hill, PA 17011 Full Name of Contributor Ma,.DAY; YEARv $ 500.00 Don S Geistwhite, Jr. 09 23 2016 Mailing Address I' 'VA V Y 18 Circle Dr City State Zip Code(Plus 4) W A"h""' I✓A"R- Carlisle PA 17015- Employer Name Occupation Carlisle Car & Driver Service, Inc. Owner Employer Mailing Address/Principal Place of Business 18 Circle Dr, Carlisle, PA 17013 Full Name of Contributor (MO. JW DAY :YEARS $ 500.00 James Grandon 10 17 2016 Mailing Address Cti170 'MT $ '� 3913 Market St City State Zip Code(Plus 4) 7"1)-ATTY W $ Camp Hill PA 17011- Employer Name Occupation Self employed Developer Employer Mailing Address/Principal Place of Business 3913 Market St, Camp Hill, PA 17011 DSEB-502(7-99) PART D Page of ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor IrAMDAY c R1 500.00 Scott Kuhn 08 30 2016 $ Mailing Address —119iMign inAn $ 1961 Landis Valley Rd City State Zip Code(Plus 4) nom r5-Ara-An wanif $ Lancaster PA 17601- Employer Name Occupation Wells Fargo Bank Executive Employer Mailing Address/Principal Place of Business 931 Harrisburg Ave, Lancaster, PA 17603 Full Name of Contributor Namoremktraq $ 500.00 Silvan B Lutkewitte, III 09 23 2016 Mailing Address RIM 1DAY4'I I AIS $ — 171 Bittersweet Dr City State Zip Code(Plus 4) WM MAW iia Hershey PA 17033- Employer Name Occupation Targepeutics, Inc. President Employer Mailing Address/Principal Place of Business 475 W Governor Rd, Hershey, PA 17033 Full Name of ContributorTIRAWAVIIIM1, 5 • 00.00 John K Murphy 09 23 2016 Mailing Address VVIDIMAY4,1WIVPit. $ 565 Brentwater Rd City State Zip Code(Plus 4) It {UAW MARI Camp Hill PA 17011- Employer Name Occupation Alpha Consulting Engineers President Employer Mailing Address/Principal Place of Business P.O. Box G, New Cumberland, PA 17070 Full Name of Contributor Y. A- $ 662.49 Wayne M Pecht 08 15 2016 Mailing Address °. UPI'Tem $ 250.00 35 High Ridge Trl 10 18 2016 City State Zip Code(Plus 4) WAN Wan Mechanicsburg PA 17050- Employer Name Occupation Pecht & Associates Attorney Employer Mailing Address/Principal Place of Business 1205 Manor Dr, Mechanicsburg, PA 17055 Full Name of Contributor U I $ 1,000.00 Joyce A Reed 08 30 2016 Mailing Address IMO.' a.14WW1 $ 3 West Lawn Cir City State Zip Code(Plus 4) –11-KO:: tricl llrYm Wormleysburg PA 17043- _ Employer Name Occupation Self employed Real Estate Employer Mailing Address/Principal Place of Business 3 West Lawn Cir, Wormleysburg, PA 17043 DSEB-502(7-99) PART D Page of • . ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor - To IDA, WW1 , 4 . $ 1, 000.00 William F Rothman 08 26 2016 Mailing Address WM 11:Wi jignin 553 Bridgeview Dr City State Zip Code(Plus 4) jr6101:inATIWARI Lemoyne PA 17043- Employer Name Occupation RSR Realtors Real Estate Employer Mailing Address/Principal Place of Business 3 Lemoyne Dr, Suite 100, Lemoyne, PA 17043 - , Full Name of Contributor II fOritrMi 500. 00 Robert L Shaw 09 24 2016 Mailing Address MikirjA7.Y1 JIMIN:i 2215 Dickinson Ave City State Zip Code(Plus 4) , 1'0 IDAYiltil.EMV1- Camp Hill PA 17011- $ Employer Name Occupation Allstate Insurance _Insurance Employer Mailing Address/Principal Place of Business 4811 Jonestown Rd, Suite 121, Harrisburg, PA 17109 Full Name of Contributor o , 400.00 John Sheesley 10 21 2016 Mailing Address ;MCI WI Vain $ 5915 Sunrise Dr -64 State Zip Code(Plus 4) FAA imi"raw-- s Minneapolis MN 55419- Employer Name Occupation Dacotah FurnitureCompany, Inc. Manager Employer Mailing Address/Principal Place of Business 1014 Marquette Ave, Minneapolis, MN 55419 Full Name of Contributor500.00 Richard W Stewart 09 12 2016 $ Mailing Address 'Y 61, grim Irmo- s 1811 Warren St ity State Zip Code(Plus 4) PrOVEVAYMMX— $ New Cumberland PA 17070- Employer Name Occupation Johnson Duff ie Attorney Employer Mailing Address/Principal Place of Business 301 Market St, Lemoyne, PA 17043 Full Name of Contributor IM11 , 0- -, EOM c 250.00 Gregory L Sutliff 08 26 2016 Mailing AddressCCM iff.4,7iVirAla $ 200 .00 P.O. Box 1307 09 12 • 2016 City State Zip Code(Plus 4) pookirpm WWI $ Harrisburg PA 17105- Employer Name Occupation Sutliff Chevrolet Auto Dealer Employer Mailing Address/Principal Place of Business 13th St & Paxton St, Harrisburg, PA 17104 DSEB-502(7-99) PART D Page of ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Full Name of Contributor Mb.. Yui : $ 250.00 Robert M Walker 08 30 2016 Mailing Address 100.00 23 Irongate Ct 10 23 2016 City State Zip Code(Plus 4) i. }„ i A `w" Mechanicsburg PA 17050- Employer Name Occupation Self employed Attorney Employer Mailing Address/Principal Place of Business • 3810 Market St, Suite B, Camp Hill, PA 17011 Full Name of Contributor MQ",,;DAY` YEARp $ 500.00 Elizabeth R Zucker 09 07 2016 Mailing Address M ,; WAY"':yE% : $ P.O. Box 836093 City State Zip Code(Plus 4) MPJ'„ Richardson TX 75083- . SAYE'/ $ Employer Name Occupation Resources Global Professionals Senior Consultant Employer Mailing Address/Principal Place of Business 15301 N. Dallas Parkway, Suite 1050, Addison, TX 75001 PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 12,512.49 DSEe.502(7-99) PARTE Page of OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this 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 Friends of Greg Rothman From 5/17/2016 To 10/24/2016 PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0.00 • DSEB-502(7-99) • SCHEDULE II Page of IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED • USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 E1G11Zta I ` .,:.4-D Cs 111 -1BU ISD t►. VED ti o_p,,: , z:.i� 1 +`. ` 0-11:01319 o - TOTAL for the Reporting Period 1100, (1) $ 0.00 TOTAL for the Reporting Period (2) $ 0.00 RIVEN I Gb' IVE S -cerM ttatK �2 c iii j� ,.. 011111111111.1111111111111111.11111111 TOTAL for the Reporting Period poo. (3) $ 5,009.04 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, Ii $ 5,009.04 and 3;also enter on Page 1, Report Cover Page, Item F.) DSEB-502(7-99) SCHEDULE II Page of • PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 DATE AMOUNT Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 2. 0.00 DSEB-502(7-99) SCHEDULE U Page of PART G • IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER$250.00 Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 — DATE AMOUNT Full Name of Contributor ,MOT 17A147WW- . t 5, 009.04 House Republican Campaign Committee 10 21 2016 Mailing Address 7#07—MT—TRW' $ P.O. Box 11787 City State Zip Code(Plus 4) 70107TCTAT Ts7ISM k $ Harrisburg PA 17108- Employer Name of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Data and Printing Enter Grand Total of Part G on Schedule U, In-Kind Contributions Detailed PAGE TOTAL Summary Page,Section 3. $ 5,009.04 DSEB-502(7-99) • SCHEDULE III Page of STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 To Whom Paid WA,I[bX toofttAmount Greg Rothman 05 18 2016 $ 245.25 Mailing Address Description of Expenditure 1 Gunpowder Rd Reimbursement City State Zip Code(Plus 4) Mechanicsburg PA 17050- To Whom Paid JIMA-IMY1 AYE iR1 Amount Maverick Finance 05 18 2016 $ 100.00 Mailing Address Description of Expenditure 403 N Second St, 2FL Design City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid PioITDAYI asieggi, Amount + Centric Bank 05 31 2016 !$ 5.00 Mailing Address Description of Expenditure 1625 Market St Service Fee City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid IMt 11 IIDANI LM.21 Amount Gunn Mowery 05 31 2016 $ 951.51 Mailing Address Description of Expenditure P.O. Box 900 Insurance premium City State Zip Code(Plus 4) Cam Hill PA 17001- To Whom Paid WON 1tbAY,1 Wall Amount House Republican Campaign Committee 05 31 2016 $ 1,_000.00 Mailing Address Description of Expenditure P. 0. Box 11787 Contribution City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid WO"IIDAY+i&YE'`R1 Amount DTR Consulting 06 01 2016 ,$ 500.00 Mailing Address Description of Expenditure 210 Kelker St _ Professional Services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid LM011157, !I1 M1 Amount House Republican Campaign Committee 06 14 2016 $ • 4, 000.00 Mailing Address Description of Expenditure P. 0. Box 11787 Contribution City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid 1110-01111DVI WEAR Amount Centric Bank 06 30 2016 $ 5.00 Mailing Address Description of Expenditure 1625 Market St Service Fee City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid IRA MI illrigF21 Amount DTR Consulting 07 01 2016 $ 250.00 Mailing Address Description of Expenditure 210 Kelker St Professional Services City State Zip Code(Plus 4) Harrisburg PA 17102- DSEB-502(7-99) SCHEDULE III Page of • STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 To Whom Paid Wolf=11 ZE 3"7 Amount Centric Bank 07 31 2016 $ 5.00 Mailing Address Description of Expenditure 1625 Market St Service Fee City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid 1Mo7i ?ie.EAt Amount DTR Consulting 08 02 2016 $ 250. 00 Mailing Address Description of Expenditure 210 Kelker St Professional Services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid PalEf3AY]VEAR1 Amount Doug Rickards 08 17 2016 $ 47.00 Mailing Address Description of Expenditure 210 Kelker St. Postage reimbursement City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid IIM05 MA VEVA Amount Maverick Finance 08 17 2016 $ 1,721.78 Mailing Address Description of Expenditure 403 N Second St, 2FL Printing and Postage City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid E(}1)irma IILYEAF.ti Amount Maverick Finance 08 23 2016 $ 167.91 Mailing Address Description of Expenditure 403 N Second St, 2FL Printing City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid igRAI IIpA1'A&7EAZ14 Amount Centric Bank 08 31 2016 $ 5.00 Mailing Address Description of Expenditure 1625 Market St Service Fee City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid !MN Taal I E R1 Amount Hallowell & Branstetter 09 02 2016 J$ 1, 952.52 Mailing Address Description of Expenditure 3031 Logan St Printing City State Zip Code(Plus 4) Camp Hill _ PA 17011- To Whom Paid ii101 1 1 E'l:�R1 Amount Hampden Township Republican Assoc. 09 02 2016 $ 250.00 Mailing Address Description of Expenditure 2438 Lambs Gap Rd Contribution City State Zip Code(Plus 4) Enola PA 17025- To Whom Paid Alii sovi L'E`A'F31 Amount Maverick Finance 09 02 2016 $ 826. 03 Mailing Address Description of Expenditure 403 N Second St, 2FL Printing and Postage City State Zip Code(Plus 4) Harrisburg PA 17101- DSEB-502(7.99) • SCHEDULE III Page of • STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 To Whom Paid IN710'11 IbA(,' Amount Red Maverick Media, LLC 09 02 2016 $ 2, 306.00 Mailing Address Description of Expenditure 403 N. Second St. 2nd Floor Yard signs City State Zip Code(Plus 4) Harrisburg PA 17101- To Whom Paid 1 >�rtOXIIDAM,Wacti Amount DTR Consulting 09 04 2016 $ 250.00 Mailing Address Description of Expenditure 210 Kelker St Professional Services City State Zip Code(Plus 4) Harrisburg PA 17102- To Whom Paid UN1Oi17; _ ii i Amount Cumberland County Republican Committee 09 09 2016 $ 2, 500.00 Mailing Address Description of Expenditure P.O. Box 1495 Contribution City State Zip Code(Plus 4) Camp Hill PA 17001- To Whom Paid WA OM;Pal Amount Cheryl H. Corsa 09 14 2016 $ 153.79 Mailing Address Description of Expenditure 1290 Stark Rd Printing and Postage City State Zip Code(Plus 4) Bethlehem PA 18017- To Whom Paid IMOS iliAlt WOO Amount House Republican Campaign Committee 09 20 2016 $ 10,500. 00 Mailing Address Description of Expenditure P. 0. Box 11787 Contribution City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid 11X0111SD;""IA ferAl Amount West Shore Country Club 09 21 2016 ,$ 989.83 Mailing Address Description of Expenditure 100 Brentwater Rd Fundraising expense City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid IIMA MI WEA.11 Amount Centric Bank • 09 30 2016 $ 5.00 Mailing Address Description of Expenditure 1625 Market St _ Service Fee City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid IMON1rAVI LYE'AR11' Amount DTR Consulting 10 01 2016 $ 250.00 Mailing Address Description of Expenditure 210 Kelker St Professional Services City State Zip Code(Plus 4) Harrisburg _PA 17102- To Whom Paid KM L'A"f trognAmount Greg Rothman 10 01 2016 $ 69.95 Mailing Address ' Description of Expenditure 1 Gunpowder Rd Reimbursement City State Zip Code(Plus 4) Mechanicsburg PA 17050- DSEB-502(7-99) • SCHEDULE Ill Page of • STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 To 10/24/2016 To Whom Paid MO" DAY YEAR Amount Postmaster 10 06 2016 $ 47.00 Mailing Address Description of Expenditure 1675 Camp Hill Byp Postage City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid MO. DAY, YEAR Amount Pennsylvania Prosperity PAC 10 10 2016 $ 20,000.00 Mailing Address Description of Expenditure P.O. Box 1471 Contribution City State Zip Code(Plus 4) Camp Hill PA 17001- To Whom Paid MO,: DAY YEAR Amount House Republican Campaign Committee 10 16 2016 $ 500.00 Mailing Address Description of Expenditure P. O. Box 11787 Contribution City State Zip Code(Plus 4) Harrisburg PA 17108- To Whom Paid MO, DAY YEAR Amount PayPal 10 17 2016 $ 31.95 Mailing Address Description of Expenditure 2211 North First St Service Fee City State Zip Code(Plus 4) San Jose CA 95131- To Whom Paid MO;.. DAY YEAR Amount Hallowell & Branstetter 10 20 2016 $ 6, 900.22 Mailing Address Description of Expenditure 3031 Logan St Printing and Postage City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid r MO,' DAY YEAR Amount PayPal 10 21 2016 $ 11.90 Mailing Address Description of Expenditure 2211 North First St Service Fee City State Zip Code(Plus 4) San Jose CA 95131- Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL *REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. $ 56,797.64 DSEB-502(7-99) • SCHEDULE IV Page of STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of Filing Committee or Candidate Reporting Period Friends of Greg Rothman From 5/17/2016 • To 10/24/2016 • PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 0.00 DSEB-502(7-99)