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HomeMy WebLinkAboutFriends of David Freed - 2017 2nd Friday Pre-Primary ' Commonwealth of Pennsylvania CAMPAIGN FINANCE REPORT PAGE I {}F (COVER PAGE) (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Opp, Report CANDIDATE 1• COMMITTEELOBBYIST 3. Number Filed By: 110. Name of Filing Committee,Candidate or Lobbyist lt.i Feu s of: p Ik/ • FL+F-,6„(3 Ge-.ti, , -r rC-6_ Street Address: Po ►3 ax 8.--12 City: State: ZiP;o^ PA 00) M •YYPE,,QF •, eTH TUESDAY 1• 2ND FRi4A'f 20 DAY 3• AMENDMENT •Y£$ NoREPOI 'g !RE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? X f3 STH TUESDAY 4• 2ND FRIDAY 30 DAY S• TERMINATION YES NO{place X t0PRE EI.ECTIQN PR£ ECTION POST£LECTION REPORTT the right of , ANNUAL 7. YEAR FILING METHOD lib, XDrSKETTE report type) REPORTCHECK ONE PAPER Name of Office Sought by Candidate: DATE OF ELECTION District ' Office Petty ' County � /��. MO. DAY YEAR Number Code Code Code "'" 't 1 511 —' Cl. P C o - •.`a. • 1 3 1 (SEE INSTRUCTIONS FOR CODES) ' FOii OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR Summary of Receipts and Expenditures from: 1 1 201'1 To s i 2¢x'1 G c A. Amount Brought Forward From Last Report $ [.0 Ct 12 o m•3( A B. Total Monetary Contributions and Receipts {From Schedule I) $ ... --<r— I C. Total Funds Available (Sum of Lines A and B) $ H512 . 5(D o Cfl D. Total Expenditures {From Schedule III) $ 210•dd c) me E. Ending Cash Balance (Subtract Line D from Line C) $ (.j Z •3(0 c -- F. Value of in-Kind Contributions Received (From Schedule iI) $ !I "" -< C.) 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. candidata sign here. 1 swear for affirrf'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. .rte Sworn tt vi subscribed before me this ‘231/4/2 ��day of C.��I („d t' 20 / / / , Signature of Per q+Submi}ting Report )u MO rEALTHOpsYLV *sturo Printed Name My cdihQl tPd�lfra8$AI, "� C3/ oil a.)0 '7 l 7 3 5 — /6 4Soni`a E.Myers,NotaryPubl DAY YR. Area Code Daytime Telephone Number iuh1afG auiu,t,bN,ut:r��n2>_1.nlir�ty higerjti&140Ifellikeitialyrilbol028f a Candidate's Authorized Committee, candidate shill sign here. . I swear for 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. 3201 as amended. Sworn to and subscribe• before me this t day Of ze 17 w.►.—� ( �� t), s Signature of Candidate 7L- l'N,si , • (�YL-640 Signature qPrinted Name My commlaaion expires 7 Cat 4: 0...) 0 --,11.22(.• 3011 MO. DAY YR. Area Code Daytime Telephone Number / uvivffi7biV wGNL in yr Alkii.v..i..,r.-u NOTARIAL SEAL Sonia E.Myers,No j Men' of State i Bureau of Commissions, Eiections and Legislation Carlisle Boro,Cttmbc�r gi �ffiee Building • Harrisburg, PA 17120-0029 • (717) 787-5280 OSEE-I,dihlltiission expires July 31,2020 r a SCHEDULE Ill Statement of Expenditures Filer Identification Number: I I To Whom Paid Date[MM/DD/YYYY] $ Lay$. PAtiAN-N o a fA cr-J f Zed l Zc.t 1 2 S 1.°C.) Mailing Address Description of Expenditure 112. Si*cC- ST City State YZip atti6xb.,tc, PA Code 111 O% G o v^M 05%-"S\I:IN-] To Whom Paid `Date[MM/DD/YYYY] I $ Mailing Address Description of Expenditure 'City State Zip Code To Whom Paid • , Date[MM/DD/YYYY] $ • Mailing Address r Description of Expenditure City State 'Zip • Code To Whom Paid Date[MM/DD/YYYY] - $ 1 Mailing Address Description of Expenditure `City State ''Zip---• To Whom Paid = Date[MM/DD/YYYY] $ I Mailing Address Description of Expenditure City State Zip Code e To Whom Paid '''Date[MM/DD/YYYY] $ I Mailing Address • ' i'Descfiptief if Expenditure City 'State` ; Zip_.,_.', Code To Whom PaidDate[MM/DD/YYYY] $ I I I Mailing Addiess Description of Expenditure City 'State Zip Code To Whom Paid Date[MM/DD/YYYY] I $ Mailing Address Description Of Expenditure • City "State' Zip—___ Code