HomeMy WebLinkAboutPacker, Alissa - 2017 2nd Friday Pre-Election 11 III I'Fset Form_ r Print Form
11
1 Oammonwealth of Pennsylvania-Campaign Rnance Report
(Note:This report must be dear and legible.It should be typed)
Fier Identification Report Fled By ( ndidate f� CommitteeLobiyyist
Number (Mark)3 �/ .
Name of Filing Committee,Candidate or
Lobbyist A It's Slfi� P�G(%�
li 3reet Address 60 I ,%-y! ill 9"1OYI /9-0L
aty ( - '""p i'I rate
P" Zip Code
17°I (
Type of Feport(Race x under report type)
1-6th Tuesday 2- 2nd Friday 3.30 Day Pod 4-6thTuesday 5-VI Friday 6-30 Day Pod 7-Annual Elpedal 2'v`Friday q3edal 30 Day •
Pre-Primary Pre-Primary Primary Pre-Bedion Pre-Bedion Bedion Pre-Eledion Pod-Eled ion
V
Date Of Election Year Amendment Termination. .
(MM/DO(YYYY) I) /D1 Jj 7 U I 1 Report Fbport
Summary of Fbceipts and From Date To Date :For Office Use Only I
Expenditures ' ' !
0D l0
69 fil I0 /23// 7
A Amount Bought Forward From Lad Report $ Q
B Total Monetary Cbrttributionsand Receipts $ o
(From Schedule I) 3�v '"
C Total FmdsAvailable $ ,/� 3
(Sum of UnesA and El) C6( 3 i.J
D.Total Expenditures $ q� s-..,- Na
(From 3tiedule Ill) i. 0'r° _' 'ti_
E Ending(osh Balance F $ 6 �,
(BibtradLine Dfrom Line Q -- — C> =
F.Value of In-lOnd.CbntributionsFeceived $ :- .
-(From 3ttedule II)- - .
G.Unpaid Debtsand;Obligations`. $ ----i
(From 3itedule IV)' ? .
Affidavit 52dion • -
Part 1-If this isa Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,induding the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete.
SNornnto and subscribed before me this
f 74 day of QcIZJP6c20 i 7
agnature of Fbrson at(--? e/ie---
g iz /ke
a�' - 1`.. NOTARIAL SEAL . Printed Name
NlyCbmmissondpires .O0Nt4A'K MOPE >10 a-5ei— (,o l Ox
� N Pnbt((4, AreaCbde Daytime Telephone Number
, CAMAtal.BORreUMBERAND'COUNTY .
�4x rnmmiccinn Pi LIAR Mar 15.2019
Part I1-If this isa - ate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief thispolitical committee has not violated any provisions of the Act of Wm 3,1937(RL 1333,NO.320)as
amended.
Sworn to and subscribed before me this
day of 20 •
9gnature of Candidate
Sgnature . .. Printed Name
My Commission exPires
MO. DAY 1R. . Area Cbde Daytime Telephone Number
0
90i®ULEI
Cbntributionsand Receipts
Detailed Summary Page
4 filer Identification Number I I
1.Unitemiaed Contributions and Fieoeipts$50.00 or Less per Oantributor
Total for the reporting period (1) $ .
,3 00
2.Oontributionsof$50.01 to$250.00(From
Part Aand Part B)
Cbntributions Foceivedfrom Political Committees(Part A) $ D
All Other Contributions(Part B) " $ di 00
Total for the reporting period (2) $ $ 00 '
3.Cor tributionsOver$250.00(From Part Cand Part D) •
Cbntributions Fboeived from Political Cbmmittees(Part Q $ o
i
All Other Cbntributions(Part D) ; $ ,µ O
Total for the reporting period (3) $ dp 0
4.Other Receipts.Pefunds,Interest Earned,Returned Checks ETC(From Part E)
Total for the reporting period (4) $
It0
Total Monetary Cbnt ribut ions and Fbceiptsduring this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Fbport 1 0 FQ
Cover Page,Item B)
{
I®ULEIII
Statement of Expenditures
Aiecaide 1tfti atton Nurr er �j
{ ., .. as s. ., /i
To Whom id'*` f• /
i�Xof C-iJ� IJsate[t4tIMJtDLVYcYY�YJ � $ �`fg'Jr 10
F��'a.° �k�x'�r�,'� �. �+a \}
to/ is f,or7 ,_ .,
ilo0*A gr
K- d�l1 9 jf}� ( eD o Irtlon ofs itUte�c Ra p " x
Q # f.
rgate10-0.i .
Dot etoyi,p lbw
��� Prue -i w".7M7W1J
61'''
:#•' gree#+Add
„ /r7�� cess /'//ry/(Q chit- cl;,69#101on of 6q�etVii_t 1 � "''
itif , f 'A:i 1r Fed t�'FtA. '}9':+.f 4n Y y ..1` r
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r M1104-3 (ja — p
&�`.. �` '' Y n'�" „.0 , Yin tin °S'�' C ,' .
To,WlmmPaid ''. Date{[MM%DUI,r;' ,E; O $:
i, #' 1,2,_-, orirov loess ``of t3q�enditure` 5
lig !/til ,4 ` . 1 /tel :j'''- ! a���IG'��j'n"'_`-'. Ave,"" 144.440-0.1.0, `M 0,:., "44-, ..
x rA: .rys.., xs`
Katy Safer Zt a
_;fi y°''- "oma �,'tt 3 r 1—' Si 2J ns
v~ToiVYlibiti�'"afd,-'1,, C�r}!�t[�(�"�y`a�/a/��a./�./��1 $�p$�s �t(�,
tfelt:r.x A fi Q'. / !v 1l' Y Y Y i exF *� 5_r "
ft b�U9,j6; igkehriAdiftiO Dev-4.i ,pwi ctdit to r r c" a .
�' R4' Gf' „I* +� �� . ;fir ��
Ctty'. state pv4, - 1.
`+*} .. $ fJ1'R_'" JG�"M1'� 12.—
l
•
intyIiam,PaId €[)2te/[MM1PAI' Y;1tY) ',`i$ / .
1 —1 ,.
' s 3 t, �r Lf ! V Cll(��l' �r� 1In sari:'
6111.'ingtif Street Add s (CIeSK?J tption`�ofg6�se'r>diture x" "' ,*"
jV{)�/y�,JJa ' ,,flj�O
br
L7 rn a— 'sate' ks p- ? j &g/63 Z32P ett,-*�}
1 TohWfwm�Paid tate[MMJ ,MYYYYj 1°$p
1I ( /�n ( PM ,o47m.4 ! rk..... /0 �? 331
'oft efitflttuer ti; x
e #: 23 G2 " 1. C,L,it-d.411--Lt k -G e otokil €
eti0164
Rzom
(ep► E Ott-- k f° A- _ i �t a 3 Tr" te, 5 I
d R Y xpa a
'Tp-p unpaid
a r,. ''. ei[MMIDa/YYYYj
shat Addrao 1904)-lion"of 6cperxid40-AI.4�� , " ` r ?` ,1 •
mil .. 44ricyiripg, .
Tolttcxri,Paid r„.,,-..i Date MM/DIYaYY.14 i'4...;
R7.
lli
Meuse#”: Stteett'Add Desaiptioriof Aieiiditure 4'Poor
PARE B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other cont ributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Bcdude corttributionsfrom political committees reported in Part A.)
IFiler Identification Number: I
Full Name of tbntributorDate[MM/DD/WWJ $
kc y YDci<&l V i +2 to//5/x/7 s oo,t
House# n Sreet Addr Date[MM/DD/YYYYJ $
aty , �p _ j I E( Sate pi Zp(ode 110 'I Date[MM/DD'YYYYJ $
Full Name of Contributor Date[M M/DLYYYYYJ $
House# Rreet Add Date[MM/DD/YYYYJ $
aty Rate by O de Date[MM/DLYYYYY] $
Full Name of(bntributor 7Date[M M/DIY YYYYJ $
House# RreetpdDate[MM/DD/YYYYJ $
f�
City Rate Zptbde Date[MM/DD/YYYYJ $
Full Name of Contributor Date[MM/DLYYYYYJ $
House# Rreet Addr Date[MM/DD/YYYYJ $
aty Rate Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MNI/DD/YYYYJ $
House# RreetAdcress Date[MM/DD/YYYYJ $
City ¶ Rate ZpCbde Date[MM/DD/YYYYJ $
Full Name of Gbntributor Date[MM/DO'YYYYJ $
Holm# Sreet Address Date[MM/DD'YYYYJ $
aty Rate ;ZpCode Date[MM/DDYYYYY] .$
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