HomeMy WebLinkAboutWhitcomb, Al - 2017 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF
• CAMPAIGN FINANCE REPORT (COVER PAGE)
•Y (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification 10. Report1. 2. 3.
Number: Filed By. OwCANDIDATE COMMITTEE LOBBYIST
Name of Fling Committee, Candidate or Lobbyist:
14L_ l.Jbro443
Street Address:
I �d� i
Cit „ Stat Zip Code:
/ . lE• NOkCSe(41C a /20.57 -
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2. 30 DAY 3,. / AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY . 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
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
MO. DAY YEAR
00(0 i 2°LC–CYL S 14 2.(3‘7
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE'USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary of Receipts 110c r6- Z 6 17 To Oj b 20(7 c
andc
and Expenditures from: m
A. Amount Brought Forward From Last Report $ v— rn C
I— Z
B. Total Monetary Contributions and Receipts (From Schedule I) S .-. r�.--. I
D 03
C. Total Funds Available (Sum of Lines A and B) S
C) 3
D. Total Expenditures (From Schedule III) S ••.- 0
to
E. Ending Cash Balance (Subtract Line D from Line C) S — cv —
v
F. Value of In-Kind Contributions Received (From Schedule II) S Yet)• (G�
G. Unpaid Debts and Obligations (From Schedule IV) $ '- 0 —
AFFIDAVIT SECTION
PART I - Ifthis 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 ()LAN 1 20 l---)
i nature ofrP�e�rson Submitting port
likligitill Ak. 9, A -'._._. _,.. g- , _4 11.--.11 Cl'_ PI ( g(.... -
::a, • , • 1. re Printed Name
My •irirrtissiOn ex'i•WAfUY. I ' ' 7 (7
-7(..6., ,.` i6
novo S'AL`NRd1p DAY YR. Area Code Daytime Telephone Number
•
•
N.
t'&Q$tris nnowv,,,..I4,,.-
PA• II - � -,:: a ,,;, did e's Authorized Committee, candidate shall sign here.
I swear (or affirmf that to t e . • -ir.y—,m,..,odge 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) 1
SCHEDULE II PAGE OF
PART.G
A ' . IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name f Filing Committee or Candidate Reporting Period
.----
., L L-3 i'l k T(-o M3From PA P'<7 Z To ULA)15 )
DATE AMOUNT
Full/tame of Contributor '40/10. MAY -;. YEAR -
01,12-)Lci,e1,‘-- c)(44A) c5) en
'5 /"5- ( 7 $
Mailing Address —, MO. , , DAY *EAR
97 $
City Sy . Zip Code (Plus 4) MO. -DAY YEAR $
Employer of Contributor k:(I 174/
Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
L "
Full Name of Contributor ,,M0., MAY .YEAR
$
Mailing Address ,„„
,DAY ' •YEAR''
$
City State Zip Code (Plus 4) • MO. ':'" MAY"-''" YEAR '
' $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor 'MO., , DAY: YEAR ::: .-
$
Mailing Address MO.: YEAR
'', DAY • YEAR
$
City State Zip Code (Plus 4) ,MOr, ,IDAY,•< :NEAR ;
$
Employer of Contributor Occupation
• -
Employer Mailing Address/Principal Place of Business . Description of Contribution
Full Name of Contributor ,440--,, ;;;DAY'Y '?EAR
$
Mailing Address .,MO.:
City
'- ,,YEAR-7
$
City State Zip Code (Plus 4) 4010;„ ",MAY','"., ,YEAR•
_ $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor - WO: ' MAY-' ,..YEAR'
$ ,
Mailing Address ' MO.= ., - MAY.. >NEAR .".
$ .
City State Zip Code (Plus 4) f MQ. DAY ,:, 'YEAR <
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed
Summary Page, Section 3. $
DSEB-502 (7-55)