HomeMy WebLinkAboutSimpson, Mark - 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:
14 rk 140/1/4.5,4.Street Address:
��
3 73 ,ti. 2— 5�r„f _-P'
Cityio H/// State Zip/70
// -
TYPE OF 6TH TUESDAY 1' 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4' 2ND FRIDAY 5. 30 DAY 4 6' TERMINATION YES NO
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION ' REPORT7
the right of ANNUAL 7. YEAR FILING METHOD PAPER DISKETTE
report type) REPORT ( ) CHECK ONE ,
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
MO. DAY YEAR
/11,—yo 1--- 1 ", 7.4,!7
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR MO.. .DAY. YEAR
and Expenditures from: 110ea 6 ZaP) To /ff 23 ZO// C 4
A. Amount Brought Forward From Last Report $ ' ) C O --
��11 m (--) •
B. Total Monetary Contributions and Receipts (From Schedule I) $ -11'' XI —4
r— N
C. Total Funds Available (Sum of Lines A and B) $ d, R
Q,V
D. Total Expenditures (From Schedule III) $ �. <1 -0
nz
C)
E. Ending Cash Balance (Subtract Line D from Line C) $ ,r/j .i N
", W
F. Value of In-Kind Contributions Received (From Schedule II) $ a .� -< v7
G. Unpaid Debts and Obligations (From Schedule IV) S (")
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 before me this
day of 20_
Signature of Person Submitting Report
Signature Printed Name
My commission expires
MO. 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 an and subscribed before me this
�
gi , day of 1 7V f ./U 20 r 1:,...10,27..,„--------
I
// 9 � gnature of Candidate
If 2 Yi ' I. a/r.V'20.A l4 1 +1J.�/ //�. /4 r,� 1 !9
Si. :` 'IALSEAL /Print Na
MEGAN E GRIDS 71 "7 �y -7V.L/
My commission expires Notary Public
J
CaBLIOFNQ
1 MthAND�2019 Area Code Daytime Tel hone Number
My omm ssl on aR res m14.201*.
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99) 6)
PAGE OF
, • SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
4- „Sp-AAfay\ From To
To Whom Paid SijMii`. ' .t7DAY YEAR &TIM t
/1. 6.,-,k 473x0,,v ic,;r /4,./gr Amount 7/ S(7
Mailing Address -- Description of Expertditure
A.). z6+1Th 4- r_ayvx,.-,9,-, /44 r
City State Zip Code (Plus 4)
Cce.i/v)/41 71/4 49 /170/1 —
To Whom Paid MO DAY''; ,7YEAR-al Amount
I $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid Amount
::4YEAll Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
.
To Whom Paid : !011: ::',; ;.:"O.A.Y., .:-YEARA Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid , M41:,:,:".: 'DA1!"i' '‘.Z*EAR,1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ' '.MO r!.;.., DAY,'"i YEAR :j Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid :i,MO; :,! .. 1):*.-Y. '::YEAR,1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 7-"Z:100. ,.:.: 'DAY.t, !YEAR'1 Amount
I $
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. $ 4/69,512
DSEB-502 (7-99)