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HomeMy WebLinkAboutFriends of Georgianne R Diener - 2017 30-Day Post-Primary II¶ Reset Form I Print Form 1 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer identification Report Filed By Candidate ,x Committee Lobbyist Number (Mark X) x Name of Filing Committee,Candidate or l� Lobbyist /t'/ it"te/eiP/OS d/---- t/�l7iez,/�!?/,/e 0/E-K/ Str•et :.dress % .:,- i •- ' - 1 i . /O €id66pD.e% d,f / State P4- Zip Code / ?O�- es Type of Report(Place x under report type) 1-6`h Tuesday 2- 2nd Friday 3-30 Day Post l-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"O Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election x • Date Of Election Year Amendment Termination (MM/DD/YYYY) or s-- ! Ao/7 Report Report74 cL�(J- ' Summary of Receipts and From Date To Date For Office Use Only 1 Expenditures 0,5:4%_ !/ (9AiL "a0/7 A.Amount Brought Forward From Last ftreport $ B.Total Monetary Contributions and Receipts $ = (From Schedule I) /ae , /fd o3 c_ C.Total Funds Available $ mPJ 2 (Sum of Lines Aand B) //7,9 ,4 E ' cn D.Total Expenditures $ 2 (From Schedule ill) /7 7 5 a S' ci3,, E.Ending Cash Balance $ C) -.'- — (Subtract Line D from Line C) D 0 F.Value of In-Kind Contributions Received $ 2 (From Schedule II) ^D G.Unpaid Debts and Obligations $ (From Schedule IV) _ ^U Affidavit Section Part 1-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,is to the best of my knowledge and belief true,correct and complete. Swornland subscribed before me this `"—day of ! 20 n • vV �1 i Si na 9ureof Person ubmitti rt L ,,k. . 4 IL tb v -r. Printed Name • NO•ARIAL At fry Commissioi@g N4Y SAL'ZARULO '7/7 -79 .—a9 41 NotaryRAY YR Area Code Daytime Telephone Number CARLISLE BORO:CUM6ERLAND Ci4TY �IEMlllftigi�li Cil i rla 2 17 Pr II-Ii is a,r-•• ,n n eto s �elruisae 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 me this j� • a day v� 20 ii • nc c.L� ��V-...X..4-Qrt-(-.f�� n, o ► Signatureof Candida ] G' ` ,►, . .t 1.• I `s't,U! •`I c ' <�E0e6 i!-i, ,uE K r E ve/L S•nab e Printed Name M Com„,':,.u'lAi TH Of PENNSYLVANIA . . 117 1(9S--SIy7 NOmIfst SERI„ YR. Area Code Daytime Telephone Number BETHANY.SAtZAR0(( • Notary Publlc i , ! .. Myqj►i li3sioa Explfts,Oct 7.2017 V SCHEDULE 1 Contributions and Receipts Detailed Summary Page I Filer Identification Number I Ii Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 2.Contributions of$50:01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ - - 2--- All Other Contributions(Part B) $ /D D, o c' Total for the reporting period (2) $ / Od, o 3.Contributions Over$250.00(From Part C•and Part D) • Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) • Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 00 ` r�/ Cover Page,Item B) l lJ�? PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) I Filer Identification Number: I Full Name of Contributor Date[MM/DD/YYYYJ $ RO66/e ' ISIS (a,5"..--6,1/.711,./0 Aoo . House# Street Address Date IMM/DD/YYYY $ .56 %l) p4/v.r.cc/sr )64 4 , City State Zip Code Date(MM/DD/YYYYI $ ()YC1I'4 Vic. 69QPU A- r deo Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY) $ City State Zip Code Date IMM/DD/YYYY] $, Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY). $ House ft Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY]. $ Full Name of Contributor Date IMM/DD/YYYY] $ House it Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ SCHEDULE III Statement of Expenditures Filer Identification Number. I I To Whom PaidDate[MM/DD/YYYY] $ fX 5/ &A/ /Mlo k 46 EL, 6cjj/ c7/7 (/?3 -� 8 House# ,.Street Address ,/� Descript n of Expenditure (Ci(s e5/44Em C{�Ciec� kccA z, CityState Zip /,OS 7/9&e—a/2d/27/I/C.E'G. WJE'(-N11iu/cs 10e6, Al Code /7d /3UWozx,5e7 Q FFoe 07i Eyes To Whom Paid Date(MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code r To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code