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Home My WebLink AboutFriends of Tony Adams - 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.) 1 >:F'I FilerIlliloo.Report : . I :: 3 AICA •—COMM EiNumber: Filed B • ; t Name of Filing Com ittee, Candidal or Lobbyist ------.) V- r' I ew& cc-V-- ( ov.e. p_c),,,,,,. Street Address: . t PeQ...b,A.�, rn � City: Stat Zip Code: \� �,,1- �P►A ( 7 a • d - TYPE OF . . :'.f.4W.......... .fit A.Y............ 1 :;:;<s:$0•: MIN£•:;•:;•::-:.::_. 3' gi***Aiii 001 ligig REpoRT ::::=s;:#?13 :^::![31;Ht1k#'f:•:::::=:=:: : :::z:3!lt>r:.!?1#M4it!f.:::...... :.....; : :p£t#IftEA#1.<::<:•:t:: l::»::::»:»;::.::.>:;;.;;:.: az.::: :.;: >s:�.71i>"ft�c,3-'. E9::#'!#:Fi1iK`i?:`:;:;::^:; :;.r� .•:i:-:+;::-;;:�:::.. . ........... .:............... ....:....... .....-.n:::::•}'{:.�:• ice:.. .1 Qi!Ess <� :�{;��;iiY.•}}ji":i:4iii:-i`�i::iiiii'•:r::.^:; ;��:it:{•iiiv:iiiiii_iiiiiii:is?' :i:;ii::T ;�GYG�[;):;l:4i1[):::i�.•:? ~:•+i:!:: •F.liv: C,�11:7:1-.\'f4�i:'.-:v::i: xi i: . 't ,1��i�F �,•�,� (Place X Le :. �T17.iiiTlii� 1F.::x•: •::{, ',.,.-X:1+):a:(:i::-$i::vi:::::-is:ii•?-::. mioi 7t e right of -t1 :::< : 0 . YEAR .:. • . .... ...:•:•: .: .::::..:. : <;nr. ..d: :f . report type) : pooX gmEgmi h ESE ..... ........... Name Moff Office Sought by C di te: s. f_ DATE OF ELECTION District Office Party County 1,\b I'S �(- 0.� IS `r l G� • .„.„, Number Code Code Code vbCf liar?i 41 ;3i% '”#i0p_ 0, `1 67 t7 Q I (SEE INSTRUCTIONS FOR CODES) Summary of Receipts :...:►: ► ....... : a»: >:# ::::<:<::>:?F <:::>; and Expenditures from: , 5 0. , I 7 To 6 073 07617 A Amount Brought Forward From Last Report $ ( S O . _S C7 r' B. Total Monetary Contributions and Receipts (From Schedule I) $ 0 . 0 m .� �/ C C. Total Funds Available (Sum of Lines A and B) $ 15c . 5'9 m n 73 —t D. Total Expenditures (From Schedule III) $ r— E. Ending Cash Balance (Subtract Line D from Line C) $ Q • d C.) cam3 3 F. Value of In—Kind Contributions Received (From Schedule II) $ 0 , 0 b C CO G. Unpaid Debts and Obligations (From Schedule IV) $ II Q l SLI q . y G z O • AFFIDAVIT SECTION . 1it#iCts:. ......:.:t?': '�r::s? ts::�er8. :. .:;;. ;;:- .<•. �t�`t....... �.....:. • . ;:.:.ti:.:.....f�..?m�.��iff:-;.:� .. ands .:::::: I swear (or affirm) that this report, including the attached schedules, on pap-, or c^ uter diskette, are to the best of my knowledge and belief true, correct and complete. < c CDc Sworn to an subscribed before me this < O a .-7 >:, 9 0" .b...„..----Z, CJ 3r day of 0 CSV UJ Com _ 20 1 I } 9 c r _� a Signature of Person Submitting Report .iliti,P6ii.QA Z . ou.:. _,, OU_ CN r)(\j N) ex w•.S Signature O Z Printed Name My commission expiresC b7 aWe = Y a j -7 (43 -- 5'g '4 D> O. DAY YR. Q r�o 'rea Code Daytime Telephone Number ?�:,of �Itets �.r. d.'.�. .. ...'. ....,:, ':: ::: r:,.;:t, tr �:::>::>:•>:;:,:<>:::r:::>::;:.;:�>:;<:::<:�::;;::::<.�:::::::.. :: :r:.� ......... �� :.��..:-�'� ::::?�.:�;::::. :::: ::::.:::: .:::.:- :::.:;:...;;..•;:: ::>:::<: ::::fir"::::>; I swear (or affirm) that to the best of my knowledge and belief this po cal colicr ):e has not violated any provisions of the Act of June 3, 1937 (P.L. 1333, No. 320) as amended. 0 " U t� Sworn to airrV( subscribed before me his .. (/) 1- , ` a day of V— 20 I/ n Signaturefof Candidate _)1)a `I'o/yd,�LaCy to/\ k\ i AN'CVan ADO Q C. + Signature /�� Printed Na a �t (.,� My commission expires oC bq 0Acb r f 7 Va.` 54 ( MO. DAY YR. Area Code 1 Daytime Telephone Number COMMONWEALTH OF PENNSYLVANIA . NOTARIAL SEAL Kelly S. Baker, Notary Public - Shippensburg Bow Cumberland County DSEB-502 (7-99) My Commission Expires Feb, 7, 2020 Ti'-, = • SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number I t 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor fTotal for the reporting period (1) $ r� O ' o 0 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 13.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ t(/. . 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 V/^K • o M Cover Page,Item B) V SCHEDULE III Statement of Expenditures I Filer Identification Number: t-r,e_1 )0). (-)--c � ins �s 0 To Whom Paid ``;; Date[MM/ D/YYYY] $ / • V•J rNo-rN 1M S A /7 l ��l House# Street Address DeScripti of Expenditure City State Zip Ne�� P r7a YO ee� N��o� Code (pa N �{ "..t\vy\ev\i 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/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 • 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: �-1-�-] i P IQ rS roc , Lk P VV\ O Name of Creditor (1, it K_1 1 A,00,_ (\_ ._ _ C Outstanding Balance of Debt House#' Street Address ,V ( ` �j\ 7—DATLECDE_BVT INCURRED $ p(� I S P� LO 65 .0 [MM/DD/YYYY] i 4 1 ect•R ' [/FJ /—/3-1 / 7 1 City Q. ( State Zip 77� O �Q Code P l y Description of Debt LcoN Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt r 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