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Home My WebLink AboutFriends of Nicole Miller - 2017 30-Day Post-Primary IIM Reset Form 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 Committee 7 Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist hr t-e►'1 ds o. N Cc o le Irl I'I I<r Street Address 35i 1 CDux)A-r'JS1c(z Lr City State Pct. Code I I ro�I�P Ali I1 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6d'Tuesday 5-2nd'Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Y Date Of Election Year Amendment Termination (MM/DD/YYYY) SIJC9I Ii Zo Ii Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 5-2- I-I 6-5-I1 A.Amount Brought Forward From Last Report $ 1 g3 39 B.Total Monetary Contributions and Receipts $ O C o (From Schedule!) I D , Cr C.Total Funds Available $ O� c_ it (Sum of Lines A and B) 333, I CO C •' 0.Total Expenditures $ r— ._ ? (From Schedule III) a,I-I'S, a Lp n .- n• E.Ending Cash Balance $ fig' 13 0 (Subtract Line D from Line C) C7 i F.Value of In-Kind Contributions Received $ O F (From Schedule II) D C G.Unpaid Debts and Obligations $ --f4— (From Schedule IV) O ID 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. Sworn1to and subsc'bed before me this ^1 /1 n 114.4k day o� 20 I l l../Vvl.(/Sb-A . 1. JCA 'f^ c Q /10'- -4'C[ l __p v I —►"i ref Person/ ��+Q pon 1 OiNN VANIA ' iA_h-ll`c__UA Printed Name iirommoriam MyCom M WHthil> 11-7 3 SO - I Da L-{- EGAN E WIRIS•MO. D YR. Area Code Daytime Telephone Number :Notary Public CAlILISLi CYMYE �Q g;,,,,,i,-3.i,�, �8!?� �ate's uthorized Committee,candidate shall sign here. GU-mfrni1 thaw t P hest of my nowledge 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 thisi 4411 ( p �/� day of �l.l?_ 20 7 • "f ii, �, ! Signature of"Ca i ate t 44Lug frib iv1COle ff n �� Signature pull]i'c__. Printed Name ,,FNMO[1lIVAj,1gPENNSYLVANIA T(-1 142 t _ 30-/.U) NOTARIAL SEA;t, DAY YR. Area Code Daytime Telephone Number MEGAN E ORRIS ..Notary Public My Commission Expires Jan 14,2019 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ //�- { J 50. ,Tho 2.Contributions of$50.01 to $250.00(From Part A and Part B)' Contributions Received from Political Committees(Part A) $ O All Other Contributions(Part B) $ O O 1 ,n r Total for the reporting period (2) $ GG I -JO • 00 V I3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ D All Other Contributions(Part D) $ O 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) $ 0 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 O O Cover Page,Item 8 15 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.) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ M r i 5 t l Sn a vv .511 ()D11 ) O D, o House# Street Address Date[MM/DD/YYYY] $ 2713 3-e-c4 ysbn S+ City State Zip Code Date[MM/'DD/YYYYJ $ 44CLY,(1SbOv Pc\ I711 Full Name of Contributor Date[PAM/DD/MY] $ House# Street Address Date[MM/DO/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[MM/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 IMM/DD/YYYY] $ House# Street Address Date[MM/D.D/YYYY] $ City State Zip Code Date-[MM/DD/YYYY] $ Full Name of Contributor Date[MM/[NI/YM] $ House# Street Address Date{M•M/DD/YafYY] $ City State Zip Code Date[MM/DD/YYVY] $ SCHEDULE Ill Statement of Expenditures filer identification Number; To Whom Paid Date.[MM/DD/YYYY] $ Hoose# SpOY -L1 7 Nell Nay Fa' Description )7 / 00 �)O Street Address s �D 1 14,0) escriptin of Expenditure City „ State ' Y }=aFaire s v h -�G�a�X,9009 pa- Code ode 1705 1 ToWhomPaid Date!MM/DD/YYYYI $ 4 mpr n-E . corn 1 )I-1 1 5, 024a House# Street,Address Description of Expenditure 0 I `, CO�-,m ey c e. S1- P D 00)( ►' I State .2) City OsUS " I� W1 Code 51--t90 -DC Jubi)-ee a7y To Whom Paid Date IMM/DD/YY/Y]- $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid. Date tMM/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/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