HomeMy WebLinkAboutPickford, Susan - 2017 2nd Friday Pre-Primary 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: ► Filed By: 10, CANDIDATE COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
5-CiS,nd r Alei-v/-4 ,
Street Address: `� ` //,
OKL(/rx Ch=7 S/---
r
City: State: ,A, Zip Code:
, /0 / /I
L L
/
TYPE OF 8TH TUESDAY 1' 2ND FRIDAY 2. 30 DAY 3• AMENDMENT YES NO /
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? l�
8TH 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 7. YEAR FILING METHOD
report type) REPORT ( 1 CHECK ONE PAPER �DI$KETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
,,✓I MO. DAY YEAR
/'t�tCs/S T��/�C �/sTi�I c"T �i S4-7c 619-t-a.
65-14 /^7 (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR MO. DAY YEAR
and Expenditures from: ► 69. oil ,,71.e (7 To 0r 0 /7 .
C") ry
A. Amount Brought Forward From Last Report S C o
B. Total Monetary Contributions and Receipts (From Schedule I) S m
m a
C. Total Funds Available (Sum of Lines A and B) $
22.
D. Total Expenditures (From Schedule Ill) $ N
p SOaD� -0
E. Ending Cash Balance (Subtract Line D from Line C) $
-tg— W
F. Value of In-Kind Contributions Received (From Schedule II) $ 2=
--i
• G. Unpaid Debts and Obligations (From Schedule IV) S
AFFIDAVIT SECTION
PART 1 — 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 my knowledge and belief true,
correct and complete.
Sworn to and subscribed before m'e/this
o�n d day of Nay+ 20 /7
` /.,
Signature Person - bmitting Report
•i r •1 i e . Printed Name
My commission expires '" ' BANAL SEAL 7/7 es,9sr" -,1.1,9,V
MO. 1:unRIS. YR. Area Code Daytime Telephone Number
Pith tlli!f� i
•
PART II — If this is a
l
por1R Ne %d C.>mmittee, 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 /
Department of State • Bureau of Commissions, Elections and Legislation V
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 /�
DSEB-502 (7-99) /`�A�()
,-... PAGE P- OF g
,.--
4. - SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From 6 a A l/261r? ..5/06(.7
To Whom Paid : ',M0'.:', DAY '- YEAR A Amount
/c,ci—dx-r) r<d m Dr 6 3 „. e.- _01,4/71 $ ..S.-00 6, 6°
Mailing Address Description of Expenditure
/ .40 o 1/11,orKkd-_S-f- (/71.6 /$-4- do rtat--I-7 ert
city State Zip Code (Plus 4)
P4 170V3—
To Whom Paid : -.iiiii;.. ,.,..16Ay.,,,s YEAR :I Amount
1 $
Mailing AddressDescription of Expenditure
City State Zip Code (Plus 4)
To Whom Paid . MO.:, . c::.'D'AS1:3:•--YEAR1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ,-,,,IN10-..1 .'' ' DAY;''' iY.EAFt,:;1 Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid •'"1/.01/3."..• :;kbAY',:::- EABlAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 11/ ',..•: ',COV`i.-;:,',.YEAR,,,1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid . • ioihti.. ' DAY., ',,:72YEAFt;'. Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid :MO El : S'E.42",:,j Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
DSEB-502 (7-99)