HomeMy WebLinkAboutCroutch, Michael - 2017 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF
r 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 , Report 1. 2. 3.
Number: Filed By illiCANDIDATEX COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
P 1c..NP\E L C4.cto 4 c$ .
Street Address:
13 PA(ksu AGe ST
City. State: Zip Code:
EtAlU11--LE PA 1.)L4.1 -
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3AMENDMENT
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY X REPORT? YES NO
6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION
PRE-ELECTION PRE-ELECTION. POST ELECTION ' REPORT? YES NO
(place X to
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
^�' C r n f' Y� s MO. DAY YEAR
1 V G�V I LLE e U 1`t N G F I \A7 G R 5' /(, 1) (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR. MO. DAY YEAR
Summary of Receipts II0 .
and Expenditures from: r �- X0 I) To 6 5' LAI') n ry
C c
A. Amount Brought Forward From Last Report $ ___ ,_ ..i
B. Total Monetary Contributions and Receipts (From Schedule I) $ (MTI C
:Cf Z
C. Total Funds Available (Sum of Lines A and B) $ r— l
a cn
D. Total Expenditures (From Schedule III) $ —4-5-7,�I 0 >y
me
E. Ending Cash Balance (Subtract Line D from Line C) $ s- 0
C
F. Value of In—Kind Contributions Received (From Schedule II) $ —� „
.,`'-t {V
tr•
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 l' <1.
1 I I -Signature of Person Submitting Report
, .0 ( _
II W *.✓� ' • J[ t — ' C 1'i '1 c f-1 c &. Qtt0 LAT u-1
co y , . :1.5. , ;- Printed Name
My commission eXAKIIIIRIAL. EAC`,' )I 1 ) .4 -8 ._l 3
8ETANY SAMOA) DAY' YR. Area Code Daytime Telephone Number
,rlMer..0.4..,.
rant,eI•s..nen..,.,.' talt IN imil1
PART II —M1 pir; , .
)0fif f2wndida -'s Authorized Committee, candidate shall sign here. _
I swear (or affirm) that to the best o my ' ••ge 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
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99) /
PAGE OF
SCHEDULE Ill
•
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
011 LH A g- I-- C_Rtu-r g• t-ii From Yi Li I/ To GiT'Il)
To Whom Paid vio:','",..':',45A*''',-,`,-YtAflAmount,
to re (!,tir1.- s_ Isc )i--) $ 1 gbICSI
Mai I ing Address Description of Expenditure
C;Sb E 1-1;91,, Si Sit 6o-e) Pr4,,i;A 9
City State Zip Code (Plus 4)
Pi 003 —
To Whom Paid U11110,:',-•.2A"`e 5. ,.',YEAP):3:1Amount t S Pkt "S e.;f-v k.e., 1.- c sl)() 1 $
.
Mailing Address Description of Expenditure
T1 WQ-Sk S- p osteL50._ c\S- reV0.11-(2 (1
City State Zip Code (Plus 4)
Nkv) u;11.e_ PA li/41 --
To Whom Paid i 1010,, -'i .<1:)AY ;:,''',1EARKI Amount
I $ ,.
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
'To Whom Paid '..!"140. ,;. •.:'.!.ti*Y., ,.YEAlicAmount
.,,?,
-.....- -
Mailing Address Description of Expenditure
-, •
City - State Zip Code (Plus 4)
To Whom Paid '.:.41101.' .',• tiAy ,!:;: EAR.::. Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ,<AMCI;•,'....:A7)A`r•- a-YEA R"Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
i
To Whom Paid ,'';MO:.,,.',..•-:CiA*, ; Y.EAR';.1 Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ',:AVICC'., ..: ,DAY-t ::'YEAW '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. $ ‘?...,1"-?,
DSEB-502 (7-99)