HomeMy WebLinkAboutWilliard, Zachary - 2017 2nd Friday Pre-Election Commonwealth of Pennsylvania
PAGE 1 OF
1 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:
2o.cfnc '-1 E{ . W k \k'avCi
Street Address:
2S 33 Poiru ('.e(,..1 �c.)Q6
City: c
w \-�� 11 P�State: Zip Code:
i
o. �(� U l -
/
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO (I/
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4' 2ND FRIDAY 5- / 30 DAY 6. TERMINATION
YES NO ✓
(place X to PRE-ELECTION PRE-ELECTION �/ POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
C ' MO. . DAY' YEAR
J n 7 /F , (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR:. MO. DAY YEAR
and Expenditures from: III
6 17 To 10 3 3 17 n
A. Amount Brought Forward From Last Report $ Q
B. Total Monetary Contributions and Receipts (From Schedule I) $ O rri 73 c,
C. Total Funds Available (Sum of Lines A and B) $
0
D. Total Expenditures (From Schedule Ill) $ 7 3 7 , 5°//1.)p C:::1 .q
C) =
E. Ending Cash Balance (Subtract Line D from Line C) S O CD N
.
F. Value of In—Kind Contributions Received (From Schedule II) S Q z N
O
G. Unpaid Debts and Obligations (From Schedule IV) $ O
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 beforeme this ��
(Z day of 6M-6.0-- 20/7 C ^! t4 '
• 3...L.S
.9ignature of Person Submitting Report
IL i' 1/ ' :•t;i •1' ,. ,,,d5'N�' �9V.41_, �' 2o,C1�0. ' 14 W 11\ N-d
Signa(u :' ARIAt tit. Printed Name
My commission expires MEGAN E O (lcI717
R S6 5839
p 3pl .
p mipry�.Pyu011c _ / C4 O 1
CI(iE SLE 80RO.GLMBERLAND(IOUNTY Area Code Daytime Telephone Number
..17L L..,I....C.A__I_..II.SS(B
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 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 OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
. k.)J1.ki‘‘a d.Ck From 61611-1" To
To Whom Paid r:IEAR'-.. Amount
A46v ciôcoi co / t4ick7o1 10 R3 1 1s7 Pa°
Mailing Address Description of Expenditure
3 73 AL 4avuNpacyl
City e State Zip Code (Plus 4)
(AWN 0 I:1/ PA 17o '/ —
To Whom Paid MO DAY YEAR Amount
Mailing Address
Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid EAR : Amount
I $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid AYj YEAR;:,1Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid .„yEAfri Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 1 1 AY ,';'YEARlAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid : 1:$Ase.n YEAR..; Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid M0 1AR HI Amount
MailingIs
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. $ 737 3-lioo
DSEB-502 (7-99)