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Friends of Lisa Grayson - 2017 2nd Friday Pre-Primary
• Commonwealth of Pennsylvania Campaign Finance Report PAGE 1OF (COVER PAGE (NOTE: This report must be clear and legible. It may be tlYped or printed in blue or black ink.) 1. Filer Identification 0 Report �1 CANDIDATE COMMITTEE 2� LOBBYIST 3. Number: Filed by: t Friends of 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 Y 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 reporttype) 2017 CHECK ONE PAPER ✓ DISKETTE p REPORT t ) Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County MO. DAY YEAR Number Code Code Code REGISTER OF WILLS OTH REP 21 5 16 2017 (SEE INSTRUCTIONS FOR CODES) - FOR'OFFICE USE ONLY Summary of Receipts MO. DAY YEAR MO. DAY YEAR and Expenditures from: , 1 1 2017 To ©IIII 2017 C) C o CJD z A.Amount Brought Forward From Last Report $ 1.189.95 111 7:2- M M —G B.Total Monetary Contributions and Receipts(From Schedule I) $ ^ r- I LD C.Total Funds Available(Sum of Lines A and B) $ D.Total Expenditures(From Schedule III) $ ) = E.Ending Cash Balance(Subtract Line D from Line C) $ ', 1 81 q S C F.Value of In-Kind Contributions Received(From Schedule II) $ 1,726.00 ----4 — G.Unpaid Debts and Obligations(From Schedule IV) $ 21,726.00 AFFADAVIT 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. Swom to and subscribed before me this /CV • t (J r day of � 1_20 /U /,� Signature of Person Subm/ g Report _J' Ci� !'n.,/ Katharine McDowell LivelyfffflSiii at-re.•(i7lc/1//C �v" Printed Name My commission expires 6 7 VS— /,, (717)226-5585 COMMONWEALT}N F PENNSYLVANIA YR. Area Code Daytime Telephone Number NO A weir PART I M.W RR9sAa weir 1,Ereg cAuthorized Committee,candidate shall sign here. �,r1 T r{Zrin,ct muul I swear(o1��f��rj,)d;a{I�tfie�ds.ot my kno ppj t elief this political committee has not violated any provisions of the Act of June 3,1937 (P.L.13:3Mfp.( J11I 64Ires ApnAli5 Swom to and subscribed before me this /y� Aday of frill . 20�fL Signature of Candidate �j/ %� .,a4./( Lisa Grayson Signature Printed Name � ,_ R. (717)580-1254 4 My commissi (r • ____.4rz= r r Area Code Daytime Telephone Number ti,CI('ARIA(:3CAL MOrj6ric A.Wevodau,Notary Public Silver Spring Twp,Cumberland County commission expires April 05,2018 Page of, SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Name of filing committee or Candidate Reporting Period Friends of Lisa Grayson From 1/1/2017 To 5/1/2017 1 k,�gUNITEMI ED IN KINDDCONTRIBUTIONS RECEIVED-VAL'UEiOF.$50 00 RzLESS4PER`CONTRIBUTOR * "7 TOTAL for the Reporting Period (1) I $ 2. N KIND CONTRIBUTIONS,RECEIVED :-vALUExOF$50.01 TO$25[104 (FROM PAR " TOTAL for the Reporting Period (2) I $ 3 IN-KIND','CONTRIBUTIONSI RECEIVED VALUEsOV R$250.00 (FROM ART G)� TOTAL for the Reporting Period (3) I $ 1,726.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from boxes 1, 2, $ 1,726.00 And 3; also enter on Page 1, Report Cover Page, Item F.) DSEB-502(7-99) Page of SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER$250.00 Name of filing committee or Candidate Reporting Period Friends of Lisa Grayson From 1/1/2016 To 12/31/201E DATE AMOUNT Full Name of Contributor SMO 'r I'IAY,.i -AYE/VS','''P Lisa Grayson 5 1 2017 $ 1726.00 Mailing AddressMD ," 74AOAY AWFARS 161 Shatto Dr $ City State Zip Code(Plus 4) ' MO DAY, .rYEAR Calisle PA 17013-0000 - $ Employer of Contributor Occupation Cumberland County Register of Wits Employer Mailing Address/Principal Piece of Business Description of Contribution 1 Courthouse Sq,Carlisle PA 17013 various,see campaign report for detail Full Name of Contributor MO h'®,,_f7AY YEAR4 Mailing Address - MOW-` -DAY" "EAR $ City State Zip Code(Plus 4) °'":MO, "'"YEAftll $ Employer of Contributor Occupation Employer Mailing Address/Principal Piece of Business Description of Contribution Full Name of Contributor MO :,i QDAY;- l'EAR„ $ Mailing Address MO'- v Di( EABlaABFf $ City State Zip Code(Plus 4) w MOV ,,DAY YEAt Employer of Contributor Occupation Employer Mailing Address/Principal Piece of Business Description of Contribution Full Name of Contributor MO. tfAY H YEAR`. $ Mailing Address MO a DAYS EAR $ City State Zip Code(Plus 4) SMO :; ` DAY' PlEAFM Employer of Contributor Occupation Employer Mailing Address/Principal Piece of Business Description of Contribution Full Name of Contributor �CIAY YtF6i+;`'` $ Mailing Address MO• t .'DAYINi&EARV City State Zip Code(Plus 4) aMbtiVW2114'4YEAR4.4 Employer of Contributor Occupation Employer Mailing Address/Principal Piece of Business Description of Contribution PAGE TOTAL Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed $ 1,726.00 Summary Page, Section 3. 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 5/1/2017 Name of Creditor Outstanding Balance of Debt LISA GRAYSON $20,000.00 Mailing Address MO. DAY YEAR • 161 SHATTO DR City State Zip Code(Plus 4) CARLISLE PA 17013-0000 - Description of Debt carry over debt from prior reporting period Name of Creditor Outstanding Balance of Debt Lisa Grayson $1,726.00 Mailing Address MO. DAY YEAR 161 Shatto Dr 5 1 2017 City State Zip Code(Plus 4) Carlisle PA 17013-0000 - Description of Debt expenditures made on behalf of committee 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. $ 21,726.00 DSEB-502(7-99)