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HomeMy WebLinkAboutFriends of Justin Klamerus - 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 01, Report , CANDIDATE 1 X COMMITTEE LOBBYIST 3y. Number: Filed B Name of Filing Committee, Candidate or Lobbyist: /" _ tA _)%..(1. "- k." Y—\Glel,v - -S . Street Address: dr��1k City: State: Zip Code: CSS- P� -)6`� - 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. 7. YEAR FILING METHOD DISKETTE report type) REPORT ( ) CHECK ONE ► Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Codet ,N,'^4oc 0 E C 1&Q Number Code Code 1 9( ` � MO. DAY YEAR SkO A,4n-A (SEE INSTRUCTIO S FOR CODES) FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR Summary of Receipts ► ` w\"� To and Expenditures from: ` I CIY1 hJ A. Amount Brought Forward From Last Report $ 0 C o ....1 B. Total Monetary Contributions and Receipts (From Schedule I) $ 36 ay ,,vo t7Dnom,,, rn –< C. Total Funds Available (Sum of Lines A and B) $ 36—Irv .c.A) r I v D. Total Expenditures (From Schedule III) $ .1 Crlr0 •CA) 0 a E. Ending Cash Balance (Subtract Line D from Line C) $ 0 j MC k:D F. Value of In—Kind Contributions Received (From Schedule II) $ 0 _ f an G. Unpaid Debts and Obligations (From Schedule IV) $ 0 � 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 an• subscribed before me this i ii t :-.7:v7,,.410 Ia . day of i V\� 20 l • #,�/c �~, ' ` Signature of P son Submitting Report .`:•_•3.r:,,,,_ .... a.; _ ,a_�.� -�•:1►. 1✓ �,- ‘0- Id s- �,x�ln •, ,RIA 4 , •nature Printed Name ��fTHANY SA 4.:RULQ ', 11 - 11 V ' My ommission p� � ta, CARLISLE BORO;,CUMApILANQ��DAY. YR. Area Code Daytime Telephone Number MV 4 (t{mli7tvn�wy..J.»1_17„WYE PART I - fT 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 viol d any provisions of the Act of June 3, 1937 (P.L. 1333, No. 320) as amended. Sworn to and subscribed before me this AP 411 day of ( t 20� ,` _ Signature o Candidate =�i� er���s�� �� V �- Svl�\- ”' '(yta1 S•, ature Printed Name C01MI-,,,.6{L1H Of PE VAN 1.111 c u�0.-oy My commission -~•�~.iAL S RFTllem/cam. �_ DA YR. Area Code Daytime Telephone Number rNotary Public CARLISLE 8OROLCUM8ERLAN C Y C*61ision fiiongRa iii of •tate • Bureau of Commissions, Elections and Legislation - . . . • ' . .uilding • Harrisburg, PA 17120-0029 • (717) 787-5280 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 From To DATE AMOUNT Full Name of Contributor mo: , DAY ", , YEAR', $ I /p\-) Mailing Address MO.. .- `= DAY YEAR, $ City( Sta e Zip Code (Plus 4) ,5M.O., ;',,DAY , YEAR, IS-Crkl\"\:j S5Nes ii* I W'-1 _ $ Employer Name Occupation Employer Mailing Address/Principal Place of Business .,..------..---------.—.------r Full Name of Contributor 1V10. ,A "-DAY. -, YEAR'..". $ Mai ling Address ' MO.... '-DAY ..YEARS:,- $ City State Zip Code (Plus 4) Mb .- " DAY - $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor MO , ,'DAY , . YEAR .•, $ Mailing Address MO. ; ,DAY $ City State Zip Code (Plus 4) -MO:''' ' DAY , ' YEAR _ $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor MO. ":: DAY , YEAR, $ Mailing Address MO. ,, : DAY' "YEAR- $ City State Zip Code (Plus 4) MO. DAY ' ,YEAR, _ $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor MO.-.., -.DAY ''' Mailing Address ' MO.'- -7DAY,.. , YEAR,'. $ City , - State Zip Code (Plus 4) .41.0 '.='. ,." '"DAY . '-.YEAR',. _ $ Employer Name Occupation Employer Mailing Address/Principal Place of Business PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. ,CA DSEB-502 (7-99) PAGE OF SCHEDULE III , - STATEMENT OF EXPENDITURES • s Name of Filing Committee or Candidate Reporting Period From i\‘\\--k To To Whom Paid MO ,;.',;,:-DAY. ' .YEAR 1 Amount i\&C•li<5‘\ A\\ .C1-CV\ i9 . \'-1 $ 3 C2 ) . VO Mailing Address Description of Expendit e ey-\\•\A53 '`‘).\iv-06 A(*Ic)\ Zip Code City tate t,Z1110)(7.1.7 (Plus 4) To Whom Whom Paid ,i,,t ..,;,•:.:,-EiAy,,,:.,ii6R:1 Amount i $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) 1 To Whom Paid :;. MO. i•.,,':,,,i3Ay, ;'' 'YEAR1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) _ < To Whom Paid •:'MO: j-. r.'litAll;.2 YEAR'"'Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom PaidMO: ,, ',jai.A.Y. ••••,.YEAR1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ''.'„iMd.F':' DA YEAR'YEAR '1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid '':MO: . DAY..:'.'t','..YEAR A Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ;1441' :,:r•IDAY,•:,•:, •Vf.ARA Amount I $ 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. $ 3 cn.PD .eC DSEB-502 (7-99)