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HomeMy WebLinkAboutWilliard, Zachary - 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 Identification ► Report , CANDIDATE 1X COMMITTEE 2 LOBBYIST 3 Number: FileddBy: Name of Filing Committee, Candidate or Lobbyist: ' o,Cb,Ov.) W ; \\;OVA Street Address: r` 2833 -cosi skw 2t 0-c\ City: ; State: Zip Co®: Cc.wp 1-Ir \` 'IN I I - TYPE OF 6TH TUESDAY 1' 2ND FRIDAY 2. 30 DAY 3v AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY JN REPORT? 8TH 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 .1 Number Code Code Code C14 i 11 Cho f out\/\ C O 1 MO. DAY YEAR �" U S 16 96 11 (SEE INSTRUCTIONS FOR CODES) MO. DAY YEAR MO. DAY , YEAR FORFICISE ONLY Summary of Receipts Jr a 2011 co and Expenditures from: To t� 5. 20(1 co c___ A. Amount Brought Forward From Last Report $ -�_. — C,.) B. Total Monetary Contributions and Receipts (From Schedule I) $ :==.-- v 3a mir C. Total Funds Available (Sum of Lines A and B) $ j D. Total Expenditures (From Schedule III) $ 9 La 5',p 0 o -< co E. Ending Cash Balance (Subtract Line D from Line C) $ ------- F. Value of In-Kind Contributions Received (From Schedule II) $ r - G. Unpaid Debts and Obligations (From Schedule IV) $ a.....-- ainimmonommoommoommimmi 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. Swornoto and subscribed before me this j l 1 / 544( day of Jf (�_ 20 !7 � e- W Al� / S nature of Person Submitting Report I .' I �T�l �,.�t ,* L C . QG�QY.� U�r.111 c.vk •• .. •. '„ `;.,,. Printed Name NO ARIAL'S , My commission expireL _Ci_E I1R f 7/7 /11 8 S c s-s1 MO. 440,4mmit , '0.1 Area Area Code Daytime Telephone Number .AL/ .r rest .lion 1: (1i9 y_4,--•t 1 PART II - If this is ommittee, 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 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 PAGE OF - SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period ZgCc - V..J \\\',:z.Nra. From To To Whom Paid2.1MO. DAY•"' 'YEARAmount `Recd �a,v_Qv-%'ck Uti-(o�' ck 5 a aoi U5. ©O Mailing Address Description of Expenditure 1 4 03 N.Ii-k SA.cov.d S j-Y Arli `-16°'r N and oc4 S $ S i h S City State Zip Code (Plus 4) 0-0,,.r,r ,a:~,`,,\ p 1 1-1101 — To Whom Paid •SMO :DAY.`�• YEAR`:y Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ':gMO °>;DAY•e - -YEAR;'ilAmount Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid .-4/10 A DA'Y ;' YEAR=•;Amount Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid -"Mt);';MO : p ' DAY � s YEAR.IAmount 1 Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid ,,:.*0., DAY `_"YEAR,'I Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ;>MO > DA`fg. •:'Y.E',AR ::Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid =°-,IVIa: r-DAY": YE4R;eaf 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 ,-15. 0 p DSEB-502 (7-99)