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