HomeMy WebLinkAboutGrayson, Lisa - 2017 30-Day Post-Primary Commonwealth of Pennsylvania
Campaign Finance Report PAGE 1OFCa
(COVER PAGE
(NOTE: This report must be clear and legible. It may be t ped or printed in blue or black ink.)
Filer Identification Report 3.
Number: Filed by: 1.CANDIDATE .1 COMMITTEE z. LOBBYIST
LISA GRAYSON
Street Address: 161 SHATTO DRIVE
City: State: Zip Code:
CARLISLE PA 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3.1 AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO i
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT booYEAR ( ,, )CHECK ONE PAPER ✓ DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
MO. DAY YEAR Number Code Code Code
REGISTER OF WILLS OTH REP 21
5 16 2017 - -- -
(SEE INSTRUCTIONS FOR CODES)
MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
Summary of Receipts - n ry
and Expenditures from: 10P1 5 1 2017 To 6 5 2017 C= '
W
A.Amount Brought Forward From Last Report $ 0.00 rn C-
xl Y
B.Total Monetary Contributions and Receipts(From Schedule I) $ 0.00 17—
›*
— —"
p
Cil
C.Total Funds Available(Sum of Lines A and B) $ 0.00 Q
C) 3C
D.Total Expenditures(From Schedule III) $ 0.00 0
C I1)
E.Ending Cash Balance(Subtract Line D from Line C) $ 0.00 ...
-.-1 Cnl
F.Value of In-Kind Contributions Received(From Schedule II) $ 0.00 –C — •
G.Unpaid Debts and Obligations(From Schedule IV) $ 21,726.00
AFFADAVIT 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.
Swom to and subscribed before me this AP
Ry, , -
day of , 20/1 r
Signature of Person Submitting Rep.,
jAlii „ LISA GRAYSON
Sign
.y it NOF PENNSYLVANIA Printed Name
'"�`;�`�"'—�>i (717)580-1254
My;commIssion bxpires 01..._•.- 0 'w"i'iti`er a 'IAL SEAL
0. _ DaYiiigada& 7.eieer.Notary Public Area Code Daytime Telephone Number
. . . Earlisla Acro.Cumberland County
PART.II_If this is a report of a Candid fittiliN lgtiffOrki14.4atARshall 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.
Swom 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
J
Page of
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.
Name of filing committee or Candidate Reporting Period
Lisa Grayson From To 615/2017
Name of Creditor Outstanding Balance of Debt
LISA GRAYSON $21,726.00
Mailing Address MO, DAY YEAR
161 SHATTO DR 12 31 2016
City State Zip Code(Plus 4)
CARLISLE PA 17013-0000 -
Description of Debt
carry over expense from prior period
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor I Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor r Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
• Name of Creditor r Outstanding Balance of Debt
f $
Mailing Address MO. DAY . YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 21,726.00
DSEB-502(7-99)