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HomeMy WebLinkAboutFulham-Winston for Council - 2017 30-Day Post-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 Identification2 Report 1. 2. 3. Number. 0, Z / 3 � Filed By: 1111 CANDIDATE COMAAITTEE X LOBBYIST. Name of Filing Committee, Candidate or Lobbyist: FuIharm - tarns-top c Cou r)cLI Street Address: 2111 Vialv.uf Sf. • . City: State: Zip Code: Carlcs.le. 1 PA- 7v(3 TYPE OF 6•rH TUESDAY 1• 2ND FRIDAY 2• --SCD-AY • 3: .A T -- ._ _ REPORT PREs`PAIMARY PRE=PRIMARY 1, ._ POST PRIMARY REPORT? YES X . Nod. 6T4I TUESDAY 4. 2t IrRIDAY_. 5- 10 DAY, 6• , �TSRNM1NAITIDN , (place X to • PRE ELECTION PRE ELE_CT SON •POST•.>LECTION REPORT?. the right of .ANNUAL 7. YEAR FIIiUNG;METi D ' ,*•*:,,`.,..;,. , report type) REPORTPAPER DISKETTE ( : )#fFCK ONE: Name of Office Sought by Candidate: • DATE OF ELECTION District Office Party County MO. D •,wA,Y7 • .,.. Number Code Code Code > YEAR (SEE INSTRUCTIONS FOR CODES) ' FOR•.4' JCE WE:ONLY Summary of Receipts Mo. DAY YEAR .1413:: ,DAY'" YEAR and Expenditures from: 10. 5 2 2°17 To (o 5 2© Il A. Amount Brought Forward From Last Report $ 5-00, O Q C cz B. Total Monetary Contributions and Receipts (From Schedule I) $ - 0 - co . c_ • r n Yi. C. Total Funds Available (Sum of Lines A and 8) $ 5-©eY. p0 xi GJ D. Total Expenditures (From Schedule III) S ?1 , 6 C? c E. Ending Cash Balance (Subtract Line D from Line C) SC? zr JL 3e3I 0 F. Value of- In-Kind Contributions Received (From Schedule II) $ • -- •• G. Unpaid Debts and Obligations (From Schedule IV) S -. ..II AFFIDAVIT SECTION ' PART I - If:this is a Conlrmittee .reAort. treasurer,slgn 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 emd subscribed before me this 31ST day of \V•Ip1g- 20 IS ) Signature of Person Submitting Report 1 I� r •"'ENNSYLVANIA / It ii Li' ti.----- ::4- t- ta. .l. :13rwi� -)a—t1 O l d gQ V,- SignetulfllJTARIAL SEAL — Printed Name LORIS GEISTWHITE `1 My commission expires Notary Public 7( 7 2-[.6-- 2A. 2.6- CAINLE KORO,@SI44BERLANO' UNTY Area Code Daytime Telephone Number v.r PART III - If this is areport 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 violated any provisions of the Act of June 3, 1937 (P.L. 1333, No. 320) es amended. Sworn to and subscribed before me this t^' I� day of A_,% C 201 /� ll' �� ,) , \\ Signature of Candidate _, , f t` %,,! ;_Nit _ prm1j 'ALTH OF PENNSYLVANIA -b0\A eX(U\ -0`i\gAr(h _ III SignatureNOTARIAL SEAL Printed Name My commission expires LORIS GEISTWHITE ..(`l SK 1i(I�i ((��Pub1C nNQ1 ici c ano liMRFRlic l I ANT y JY Area Code Daytime Telephone Number My Commission Expires Feb 14.2021 Department of State • Bureau of Commissions, Elections and Legislation 303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 DSEB-502 (7-99) III Printrm J Commonwealth of Pennsylvania-Campaign Finance Raport (Note:'Misreport must be dear and lejible.It should be typed) Fler Identification Report Fled lay Candidate — Committee lobbyist — Number g2-1Z3615e? (Mark)q Fl Name of RlfngQamrittee,thndidateor lobbyist 1 GUlklam- Nin s fon�' IJ - V i1CI greet Address 2-11-2_ W a(h u l- 5+ . Qty Car lis (e gate PA Zap axle I i a!3 Type of Rport(Race x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Thy 5-2nd Friday 6-30 Day Post 7-Annual ,edal 2nO Friday *eciai 30 Day Pre-Primary Pre-Primary Primary Pre-Rection Re-Section Election Re-Section Post-Election X Date Of Section Year Amendment Termination (M M/DIY YYYY) Report Raport &E mry of Raceiptsand From Date To Date For Office Use Only Rcpenditures 5--2-,-/7 6-J=/7 A.Amount&ought Forward Rom last Fbport $ C o B.Total Monetary aantributionsand Raoeipts $ (From atredule I) d 73 z C Total Rands Available $ / Q f 31 r— 1 a (arm of LinesA and B) a/ D.Total EJgaerxlitures $ ci (From&hedule Ili) 376. 6? 3 E Ending trill Balance $ / ) q, 3/ ta7 (aabtrad line D from line C) .: w F.Value of In-I0nd axmibutions Received $ -< %‘-- (Rom a edule I I) 0 G Unpaid Debts and Obligations $ 0 • (Rom Sbhedule IV) Affidavit Section Part 1-If this is a Cbmmlttee report,treasurer sign here.If this is a Cbndldate report,candidate sgi here. I swear(or affirm)that this report,indudingthe attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Suvorn to and subscribed before me this }��'� �� day of Ik"✓:�! • fl /c��'."..-Q lNt.. 1 4w,VI Sgeatureof Fbrson aa�� ���. ;�► ,..,. •,n, 1!_ a .�• iL i7©n/,4 L-2) kA cr?t4-1i • chi'' + , • Rioted Name N.TARIAL,�SE :L • 7 24S—' -4:..2.5"— Daytime to L S y(bmmisaor�Y 5At 1IlfIULO .. 7 Notary pjil c DAY YR Area(ode Daytime Telephone Number CARLISLE iSORo:CUMgyERR11•ANDyO.n Ft:,rr L_N rtiattittiVOY P ra t orfaec Cbmmittee,candidate shall dgi here. I swea(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisonsof the Act of June 3,1937(Pt 1333,NO.320)as amended. Shorn to and subscribed before me this day of �, I, 0 20 k� tX, Wkl,),x‘ivio,.1 1 Sglature of Candidate -- )d. �' • �•� Q,� `"S/3 Ft)L/SAM—w/N-STo tit Smghatu - + Rinted Name COMMO AWALTH 0 ' NNSYLVANIA , , • My Cbmmisson expiretiOTARIAL:SEAL . 7C7'7 2 S5-- H 1/t 8 I. 8ETi1ANISAL1l f,10 YR Area(bde Daytime Telephone Number Notary Public CARLISLE B0R0i,CUMBERLAND,ONLY My L iiihHiluri t?tyt(aa 00173017 µ MEDDLE! Qmtributionsand Receipts Detailed Simmary Page Flier Identification Number I Z ^ , 3` C ^ 1.Unitemiaed Oantributionsand fboeipts$50.00 or Less per Oantributor Total for the reporting period (1) $ 2.Contnbuttonsot$&).01 to $250.00(From Part A and Part13) CbntributionsFbceived from Fblitical Cbmmittees(Part A) $ �` All Other Cbntributions(Part 8) $ vD Total for the reporting period (2) $ C> l 3.CbntributionsOver$250.00(Rom Part Cand Part D) I CbntributionsPaceived from Fblitical Cbmmittees(Part C) $ All Other Cbntributions(Part D) $ 0 Total for the reporting period (3) $ I4.Other Fleaeipts•F>trfundA Interest Earned,Returned Checks,ETC(From Part I Total for the reporting period (4) $ C) Total Monetary( ntributions and Paiptsduring this reporting period(Add and $ enter amount totals from Sixes 1,2,3 and 4;also enter this amount on Page 1,Feport D Cover Page,Item E$ WHEDULEII I N-KI ND OOIVTR Bill ONS AND VAWABLE THI NQS FSI EV® Ug THIS&HB)ULFTO REPORT ALL IN-14 NDQONTREU11ONSOFVALUABLE THINGS DURNGTHEFBORflNGPB1OD DETAILS)SUM MARY PAGE Filer Identification Number: g2 � 12. 3 ( ( 59 1. UNITEMI2a37 IN-KIND QO(TRBUT1ONSFIBVED-VALUEOF$50.00 OR LEES 1 RcCN iRBURCJR TOTALfor the reporting period (1) $ 0 2. IN-FIND OOTTRBUT1ONStE8VED-VAWEOF$50.01 TO$250.00(FROM PART TOTAL for the reporting period (2) $ O I 3. IN-FINDQXVFRBUI1ONF GVB)-VALUECWEFi$250.00(FHM PART G) TOTAL for the reporting period (3) o TOTAL VALUE OF IN-FINDCXJMNBU 1ONSDURNGTHISFiffCRT1NG $ PIROD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cbver Page,Item F) SCHEDULE III Statement of Expenditures filer Identification Number: 36 (S 1 To Whom Paid Date[MW DD/YYYYJ $ Office Max 7.41 5/1/17 House# 650 greet Address'E Hgh a.,8e.600 Description of Bcpenditure City gate Carl ide PA aCbde 17013 Amounting Ledgers To Whom Paid Date[MM/DD'YYYYJ $ Infinity Rint Qaphics 9( 9 t 2.S 5/7/17 House# 121 greet Address N.Rtt s. Description of Btpenditure City Carlisle gate PA Zee 17013 Yard 9gns To Whom Paid Date WNW DDVYYYYJ $ House# greet Address Description of Btpenditure City gate Zip (bide To Whom Paid Date[MM/DLYYYYY] $ House# greet Address Description of egienditure City gate Zip Cbde To Whom Paid Date[M M/DIY YYYYJ $ House# greet Address' Description of Btpenditure City gate Zip Cbde To Wham Paid Date[MM/DiYYYYY] $ House# greet Address' Description of Bpenditure City gate Zip Code To Whom Paid Date[M M/DCY YYYY] $ House# greet Address! Description of B penditure City sate Zip Code To Whom Paid Date[MM/DIY YYY1 $ House# greet Address' Description of Btpenditure Oty sate Zip Cbde