HomeMy WebLinkAboutSabadish, Dale - 2017 30-Day Post-Primary iReset Form f 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 X Committee Lobbyist -
Number (Mark X)
Name of Filing Committee,Candidate or -
Lobbyist DALE SABADISH
Street Address 5 SURREY LANE
City MECHANICSBURG State PA TIP Code 17050
Type of Report(Place x under report type) 1
1_6.Tuesday 2- 2nd'Friday 3-30 Day!Post 4-6thT ay 'S-2"d Friday 6-30 Day Post 7-Annual Special 2od Friday Special 30 DDay
Pre-Primary Pre-'Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 05/16/2017 2017 Report Report
Summary of Receipts and From Date To Date For Office'Use Only
Expenditures
05/02/2017 06/05/2017 ,
A.Amount Brought Forward From Last Report $ 500 C) rr"=,
I B.Total Monetary Contributions and Receipts $ "...'
(From Schedule!I) 0 m C
C.Total Funds Available $ =
N
(Sum of Lines A and'B) 500 T
D.Total Expenditures $
(From Schedule ill) 2,500 d =
C) =
E.Ending Cash Balance $ Q
(Subtract Line D from Line C) -3,000 C W
F.Value of Gln-kind Contributions Received ' $ o
(From Schedule ll)
G.Unpaid'Debts and Obligations $ - V
(From Schedule IV) o
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• y kno. e`i':and belif true,correct and complete.
Sworn to nd subscribe before me this COMMONWEALTH OF PENNSYLVANIA /f
/
f/ day of ml YJ.WEID ER,Notary Pub'�•• -
•
�, ECSC P s ro Tw ,Cumberland Coul !, ignae of Pers• u it' g r p /s, .
A vl.. ..i✓� fission E was June 28, i rI /� r ! /�
S': a •r' / / Printed Name
My Commission expires 0[(/ �V av0 • 717 "76 6 - r4 7fMO. DAY YR. Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee,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
•
•
V
SCHEDULE III
Statement of Expenditures
Filer Iden ificat on Number:.
rTo'Whoin-Paid Date[MM/DD/YYYY]' `$
FRIENDS OF DALE SABADISH 2,500
l',Ho1se:#H5 Street Address SURREY LANE ; Description of.Expenditure
City '..I MECHANICSBURG State PA Zipde 17050 LOAN TO CAMPAIGN
Co
;To'Whoin`Paid Date[MM/DD/YYYY]' $
House# Street Address Description of Expenditure
City State Tip
Code
`To Whom Paid Date[MM/DD/YYYY] $
rHouse.# Street Address Description of Expenditure
-City State Tip
Code
:To Whom Paid Date[MM/DD/YYYY] $
-House# Street Address Description of Expenditure
City State Tip
Code
"To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State I Zip
Code
"To Whom.Paid Date[MM/DD/YYYY] !I $
House#' Street Address Description of Expenditure
City State Tip
Code
T,o.Whom Paid Date[MM/DD/YYYY] ,1 $
House#! Street Address Description of Expenditure
City State Tip
Code
-To Whom Paid Date.[MM/DD/YYYY] $
House# Street Address Description of Expenditure
'City State Tip
Code