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Home My WebLink AboutGrayson, Lisa - 2016 Annual Report Commonwealth of Pennsylvania Campaign Finance Report PAGE 1OF (COVER PAGE (NOTE: This report must be clear and legible. It may be t ped or printed in blue or black ink.) Filer Identification ` Report 1. 2. 3. Number: / Filed by: CANDIDATE COMMITTEE LOBBYIST LISA GRAYSON Street Address: 161 SHATTO DRIVE City: State: Zip Code: CARLISLE PA 17013 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3. AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? 6TH TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO (place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? the right of ANNUAL , YEAR 2016 FILING METHOD 7PAPER ✓ DISKETTE report type) REPORT ✓ ( � )CHECK ONE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Number Code Code Code REGISTER OF WILLS MO. DAY YEAR OTH REP 21 11 5 2013 (SEE INSTRUCTIONS FOR CODES) MO. DAY YEAR MO. DAY YEAR FOR OFF USELY Summary of Receipts - `"— and Expenditures from: 10' 1 1 2016 To 12 31 2016 pp -71 m r-n X O[7 A.Amount Brought Forward From Last Report $ 0.00 N) CA) B.Total Monetary Contributions and Receipts(From Schedule I) $ 0.00 p C7 "0 C.Total Funds Available(Sum of Lines A and B) $ 0.00 C) = D.Total Expenditures(From Schedule III) $ 394.43 'C- ---1 N) E.Ending Cash Balance(Subtract Line D from Line C) $ 0.00 ED F.Value of In-Kind Contributions Received(From Schedule II) $ G.Unpaid Debts and Obligations(From Schedule IV) $ 20.000.00 AFFADAVIT SECTION PART I—If this is a Committee re.ort,treasurer si.n here. If this is a Candidate re•ort candidate si.n here. I swear(or affirm)that this report,including the attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct and complete. Swom to and subscribed before me this NOTARIAL SEAL /� �1 rlb nay of,e-&-u°�'r.A JODIk TH NOTARY PU L , Signature of Person Submitting Repo S, Syv-,>u Carlisle Boro, Cumberland C i ntyS,4 RAYSON � , Signatu�r My Commission Expires April ' 21 Printed Name - __ - - 80-1254 My commission expires 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 Printed Name My commission expires MO. DAY YR. Area Code Daytime Telephone Number Page of SCHEDULE III STATEMENT OF EXPENDITURES Name of filing committee or Candidate Reporting Period LISA GRAYSON From 1/1/2016 To 12/31/2016 To Whom Paid MO, -.DAY YEAR Amount Friends of Lisa Grayson 12 31 2016 $ 394.43 Mailing Address Description of Contribution 161 Shatto Dr deposit City State Zip Code(Plus 4) Carlisle PA 17013-0000 _ To Whom Paid MO. DAY.:-?- YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO `.;; :.DAYYEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid a MO, , „DAY YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO. DAY,„;' YEAR Amount $. Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid ma- , DAY YEAR-; Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO.71,r:. DAY .-;..YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid MO. DAY 'YEAR Amount $ Mailing Address Description of Contribution City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $394.43 DSEB-502(7-99) Page of SCHEDULE IV 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 LISA GRAYSON From To 12/31/2016 Name of Creditor Outstanding Balance of Debt LISA GRAYSON $20,000.00 Mailing Address MO. DAY YEAR 161 SHATTO DR 12 31 2016 City State Zip Code(Plus 4) CARLISLE PA 17013-0000 - Description of Debt W Loan to Friends of Lisa Grayson. Partial forgiveness of$3,469.83. Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY YEAR City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY YEAR City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY, YEAR City State Zip Code(Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt $ Mailing Address MO. DAY YEAR City State Zip Code(Plus 4) Description of Debt Name of Creditor • Outstanding Balance of Debt Mailing Address MO. DAY YEAR City State Zip Code(Plus 4) Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 20,000.00 DSEB-502(7-99)