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HomeMy WebLinkAboutFulham-Winston, Deb - 2017 2nd Friday Pre-Election 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 ► 1. 2. 3. Number: Filed By: CANDIDATE COMMITTEE LOBBYIST Name of Filing Committee Candidate or Lobbyist: • Street.Address: City: State Zip Code: \is - (76 13 - TYPE OF 8TH TUESDAY 1. 2ND FRIDAY 2• 30 DAY 3. AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? _ 8TH TUESDAY 4. 2ND FRIDAY 5• 30 DAY 6. TERMINATION YES NO (place X to PRE-ELECTION PRE-ELECTION J POST ELECTION REPORT? the right of ANNUAL 7. YEAR FILING METHOD report type) REPORT 2011- ( ) CHECK ONE , PAPER I/ DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party - County CP,T O1 '6\42- —eve©u- t CC�uG\_ Number Code Code Code C,f MO. DAY . YEAR D, zo 11 (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY MO. DAY' YEAR.. MO. DAY YEARL.) c Summary of Receipts c _ O. / and Expenditures from: CP G 20 fl- To to 2Y 2014- . mc A. Amount Brought Forward From Last Report $ O � �--I r— B. Total Monetary Contributions and Receipts (From Schedule I) $ Z VI C. Total Funds Available (Sum of Lines A and B) $ 03:10C.) • D. Total Expenditures (From Schedule III) $ f;/Cj�'' 1 Z •d E. Ending Cash Balance (Subtract Line 0 from Line C) $ C.) GO F. Value of In—Kind Contributions Received (From Schedule II) $ C.7 G. Unpaid Debts and Obligations (From Schedule IV) $ 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. Sworn to and subscribed�befoorrer�,me this ^5 day of OC%�V CJl'.- 20 ,7 4), L.,19,0„ ,,..L„, (/1, Signature of Person Submitting Report t - :;L,,j�V Ilk- .. Printed Name My commission expir . IAl BEAL '1(\ Ls d- I I t L�/ . MfOAN E ORB I O T MO. Notat> � YR. Area Code Daytime Telephone Number t, UeLC UUTTUr ^•.t`nntA • PART II — If this is reddittt ilub L 1"" ' 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. 3201 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) PAGE i OF • SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate ( Reporting Period CUAh ' (� ` Y � From 2 ^(0 / q To /0 ,-2.3-1 .— - To Whom Paid MiVio., 'r' DAY. YEAR.I Amount CA(91+0I Ke✓ 4a ) 5 oq zi I"7 $ 105i, 7I Mailing Address Description of Expenditure 1 12 Z Gter i 02, `P( Il e 174r1-y izetai-cf(s -Fry- rvvu vQ.ise{ City State Zip Code (Plus 4) Car liSte PA (-It13 — To Whom Paid W .'SMD i bAYa<<. YEAR:3''° mount �',5 I/t'1 Gt h r5 Dei / 4 17 I $ "C. " Mailing Address Description of Expenditure 1414 Ccwt`sle Pike F-004-C-by- -Fvrx,dv-&Ise@ City State Zip Code (Plus 4) tecinCivl ` c5 bvrg 171 11o5o - To Whom Paid IVIo t DAYS';".Z8E4R1 Amount 1evec ge &K-p(ess oq zj /-i i $ 2 g, 1( Mailing Address Description of Expenditure City State Zip Code (Plus 4) C,011i 14'5(e PA 17013 - To Whom Paid4MO DAY.; NEAR"" Amount C`-7i an-F oR Za' 1-7 $ 7' el "- Mailing Address Description/oaf Expenditure 2555 S. 6 pe i rt y 4 ce rd.P 0 5i- . loaf - Fv v1 d r 4 t se( City State Zip Code (Plus 4) Cat/ iis1..e PA i7013 To Whom Paid ;1,40:4 >� '-' DAY, WYEAR:°" Amount -`cp1e5 ©q 2q 17 f $ 8= RCI Mailing Address Description of Expenditure ( do Noble 131v-A . "F‘leir ?ape'7. City State Zip Code (Plus 4) Carl isle ?k 17o13 — To Whom Paidr ,,<MO @F•''1 D'AY£ 1 YEAR: Amount iv1-Fivti 4-y ?(tn4 C-►fa�\ tc- 5 l 0 03 17 $ ZZ7. q-13 Mailing Address / Description of Expenditure 12-1 N , P(k-t Sr Door hAo5Al ' s CityState Zip Code (Plus 4) CAkflI-5l� ?64 %70r3 — To Whom Paid °' IMp ..:< DAY YEAR Amount tvnflA1-1-1 Vskv.k fGtfInfiC5 10 03 ii $ 338 . 67 Mailing Address Description of Expenditure IzI Ni , Pihh- 5+ . y 4/ 5.1 jn5 .a- 5+4ke$ City State Zip Code (Plus 4) CAV it's (re PR 170t3 — To Whom Paid x€,;iMO 4 '?'faAY'Z. YE4R1Amount $ 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. $ 9 5 5-,, S DSEB-502 (7-99)