HomeMy WebLinkAboutFriends of Jonathan Birbeck - 2017 2nd Friday Pre-Election 11 11 j Reset Form _Print Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate Committee ' Lobbyist
Number (Mark X) ��,K
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Name of Filing Committee,Candidate or (� ' /
Lobbyist �Y 1 e-rS 0 -f- J Cj� a-i-i 0-V\ i (beck
Street Address 10q S, 14anUr ely S/�"eii-
City ClN ✓li �� State I nA Zip Code 176(—3
Type of Report(Place x under report type) r
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday', 5-2"d Friday 6-30 Day Post 7-Annual Special 2w Friday Special 30 Day
Pre-Primary Pre Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11-7-03i7 ,Q01-7 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
to/(P/1'1 /a/)3//-7
A.Amount Brought Forward From Last Report $ .�DI�G ` C) N
0
B.Total Monetary Contributions and Receipts $
(From Schedule I) 25 rn n
C.Total Funds Available $ 73
-4
(Sum of Lines A and B) v p�qp to� A ON D.Total Expenditures $ =CD(From Schedule Ili) —0
E.Ending Cash Balance $ j
Z (s 'ibtract Line D from Line C) 301 96d l/0 01 CV
Value of In-Kind Contributions Received $ --I
'om Schedule II) "< GJ7
to. Cf -ZCa,Unpaid Debts and Obligations $
z —I > 4 f-om Schedule IV) 50 1606
W w:° o c a Affidavit Section
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IJ.. ,,Z m T, • rt 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
O Q m c nvear(or affirm)that this report,including the attached schedules on paper,is tot - .- t of my kn. • nd belief true,correct and complete.
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2 E r Printed Name
SU Signature r t1 - 74137
o Y `ti y Commission expires 10 1 U Zl 7/7 61% 3
MO. DAY YR. Area Code Daytime Telephone Number
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Q ,U rt II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here.
.�.i owear(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
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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.
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