HomeMy WebLinkAboutLandreth, Talon - 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 Identification ► Nilo
f Report ► CANDIDATE IN COMMITTEE 2. LOBBYIST 3
Number: p I V Filed Br
Name of Filing Commie C ndi or L bbyist:cm ,
Street Address:
/vI`I/CII
«L10 PjJ-PvmorL
City pA_ (o���-vtJ�J State: Zi Code: —
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TYPE OF 8TH TUESDAY 1. 2ND FRIDAY 2• 30 DAY 3. AMENDMENT YES N0
REPORT PRE PRIMARYPRE-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 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE ► PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
kru n ���� MO. rDAY YEAR
(�T(y 5 l c 1 i (SEE INSTRUCTIONS FOR CODES)
'FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summand E of Receipts 00. 3 11 To / /
and Expenditures from: c ..".4
CO a
A. Amount Brought Forward From Last Report $ ;:j/ ITT -"C
B. Total Monetary Contributions and Receipts (From Schedule I) $ r- I
Z
C. Total Funds Available (Sum of Lines A and B) $ , C7
C7 g
D. Total Expenditures (From Schedule III) $ 67'9- f_ Q C
E. Ending Cash Balance (Subtract Line D from Line C) $ •—
F. Value of In-Kind Contributions Received (From Schedule II) S
54-1
G. Unpaid Debts and Obligations (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 or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sworn to and subscribed before me this
day of 20
Signature of Person Submitting Report
Signature Printed Name
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 m this n sem_
V. •�day of 6-- 20 / / e
0 AO" Signature of Candidate
pprry�,,�pp Si•n.tur- n //� Printed Name �Q (�
My co nimVr�rrllrtgsL °fS !7') _Ira -— (J t(
"' `f�OPLBi� YR. Area Code Daytime Telephone Number
rfil'"'1'A►•iIJ.AL
Janice L.Kennedy,Notary Public
Shippensburg Twp,hC�^mb: ani. o ptySt• e • Bureau of Commissions, Elections and Legislation (�
*Commission E b r• . ' '8 �(�
aiENaER,PEYYSYLVA '' S • . . •';Al ding • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
PAGE OF
. SCHEDULE III
•
STATEMENT OF EXPENDITURES
Name of Filing Committee Candidate
Reporting P rind
From 1 To qm
To Whom Paid I � MO. DAY YEAR Amoun a
30
Mailing Address k lDescri 'on of xpenditure
City US t Zip Code (Plus 4)
Ni(p�pL Db VA 1 ') )37
To Whom Paidj Puuo
MD y ye - Amount pLOl/] c)( l`A � 7. U(0
Mailing Address Descript n of Expenditure
69\11
City 1 CD1 RCJIAPPC State Zip Code (Plus 4) (y `
( ail - 0A 9)-134
To Whom Paid MO. DAY YEAR I Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR •Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR lAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR (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. $ '—'76?q. 0 a
DSEB-502 (7-99)