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HomeMy WebLinkAboutFriends of Tony Adams - 2017 30-Day Post-Primary 1111 Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or LobbyistV. (� V- \ eN S oT \ plus Li Q,1�-,s 5 Street Address 1 � ` ��S -� c,- City State \ )A Zip Codede1 1. a f p CD Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre Election Pre-Election Election Pre-Election Post-Election Date Of Election Year Amendment Termination (MM/DD/YYYY) 54647 ad 1 7 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures .-+ 11 0 17 A.Amount Brought Forward From ast iteport $ (2 b5\.'4 B.Total Monetary Contributions and Receipts $ (From Schedule I) 3 ,, N`::'_.. C.Total Funds Available $ G(^ y -.J (Sum of Lines A and B) 1 3 O$3. S Zj COC_ I I'll D.Total Expenditures $ _ (From Schedule III) 11I (133. 3 1- T— .— ..) E.Ending Cash Balance $ (Subtract Line 0 from Line C) 1 50 • 5q c F.Value of In-Kind Contributions Received $ (From Schedule II) 0 • C.� -- G.Unpaid Debts and Obligations $ ---4 .C" (From Schedule IV) •I •C: -•C co C 5 ,;. t.vit Section Part 1-If this is a Committee report,treasurer sign here.If this a+Cade)e :.ort,candidate sign here:- I swear(or affirm)that this report,including the attached sche.,•l•s oa s,,to the best of my kno6v1edge and belief true,correct and complete. Sworn to and subscribed before me this z W it m ti 22C) W W m� • i� day of U IV� 20I 7 co 0 �L(/yt� 0---444,t/a—) OJQ . U x Signatureof Person SulRitft report C ).Y t ;• ZiQc ; G 'civ ccVV\\\\�ti Q�(,_5 Signature H a to o 7 Printed Name •-` O My Commission expires ri zi Z 6 '5-E ` 1 ( ( 4 3 - 5 6 -t a MO. DAY YR. ZO yc 0 !. Area Code Daytime Telephone Number 2 Y . 0 Part II-If this is a report of a Candidate's Authorized Committee ndidat'•.-�ign here. I swear(or affirm)that to the best of my knowledge and belief t oliti'::'_J,i i ittee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. Z =c•��� > 0UN � Sworn to and subscribed before me this > Z•o r: ac 1�� �� � day of9 �� 207 Q t'2"- m� `�' ‘ �— pp 1 t /),� *� alba? P. 8 //�t�Sii re of Candidate D0. � V Signature I— Printed Name O OW I �1 Fes— QYocz My Commission expires . 3(�) -. ~O `�m•oC 1 1 t c(a3" 56 cid, MO. DAY YR. i 2 Vj e E i Area Code Daytime Telephone Number Z p z O Y o m i IU C) E >+ 0 A� V SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number N (( /n� ( I e N c S c5 KI b—�-CSG. ((y� 1.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 8) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ ! P 3.Contributions Over$250.00(From Part C and Part 0) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ ci Total for the reporting period (3) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 01 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,Z 3 and 4;also enter this amount on Page 1,Report C • Cover Page,Item 8) -1 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid. Date[MM/DD/YYYYj $ tMVnno r)rt-1 )e. 0. 2-e 09 Soo Ccs 6 -l 7 v .00 House# Street Address 7 3 6 5 Description of Expenditure City State Zip She-e_A p� Code ll 3 CC:D t� 5 V 44 1' To Whom Paid Date[MM/DD/YYYYM $ EE siN,A.--\" e. scQ 5--9 ' t7 - C9U House# ��a Street Address CO ( Description of Expenditure b i N k v^e_ . `_ City O_0.`N`P ` l V State p,n Zip Code Im/O I ( Qk Y\I, des (C/ To Whom Paid V 1 Date[MM/DD/YYYY] $ N'tf\ *si N./C1 pN, 4,1. 1 5- [ 7 -17 a 70 • 79 House# .°t(4 Street Address Description of Expenditure Q---C-----e i.ss© s City 1, State /� Zip f h}p�(f'\S c.(' yk Code I I t L j�. �l+J •L� l tea•` To Whom Paid Date[MM/DD/YYYYJ $ COW.W\0iJ'i N)e_ c>tft \ ceS 5'-17- 17 7Soo . cO House# Street Address 6 5 Description of Expenditure p O cs�C Z City ` State /� Zip \� t..31'� Code la I' 3 Co. i. 5 v l 1'NI To Whom Paid Date[MM/DD/YYYYJ $ C) \VoL c- c e-c�k 5�-ro —L i' 7 3 L0 0 House# ( Street Address �I ' - .D.G Description of Expenditure City ^` 1 State /� Zip ( 1 v Q..43 v t \Q �/"t' Code 1 7 a:--1 -kra,,,..L ./GC) c_c,r s To Whom Paid Date[MM/DD/YYYYj $ U S ' s g-t8 -17 0c, q0 House# t a Street Address s S.Sn. S _--t Description of Expenditure City Iv eV,� `6v.1— State Q ,/� Zip Code ayb S4---0._ w� Vs s 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 SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number:I y n `t- i e iv S cc• 1 c_) tU A- C,'1NI Name of Creditor t1 , (�* V(� ( 0 oof\S Outstanding Balance of Debt House# Street Address r'- t,...) INCURRED $ `6 ce_o\e-S \` [MM/DD/YYYY] a 1 oco ' 06 i 13 i -7 City �O( � Vi-- A State n Zip 1 70/\46, 46 —c,t Code Description of Debt \ Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt. Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip. Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MMJDD//YYYY] City State Zip Code Description of Debt