HomeMy WebLinkAboutBeasley, David - 2017 2nd Friday Pre-Election + Reset Form I Print Form J
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist David Beasley
Street Address
409 Herman Ave
City Lemoyne State PA Zip Code 17043
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2hO Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
I X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/07/2017 2017 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
06/05/2017 10/23/2017
A.Amount Brought Forward From Last Report $ 0
B.Total Monetary Contributions and Receipts $ C) c
(From Schedule I) 0
ra
C.Total Funds Available $ 0 Cp
(Sum of Lines A and B) fTl
D.Total Expenditures $ N
(From Schedule III) 290 Cr,
E.Ending Cash Balance $ C3 -ti
(Subtract Line D from Line C) 290 C) =
F.Value of In-Kind Contributions Received $ 0 tV
(From Schedule Ii) 0 ':' --
G.Unpaid Debts and Obligations $ 0
(From Schedule IV)
Affidavit Section
Part 1-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,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribedbefore me this
OP day of CJ4 o 20 / • �'� i �iiillill.--
Signature o erson Submitting report
SignafAyreMWF.
j,il5RFKNNSYLVAN Printed Name 7
NOTARIAL SEAL •
My Commission expires. DONNA K HOPE 7/7 64/6"-- 6(4l Z
Mo. DAvotary'iblic Area Code Daytime Telephone Number
CAMP� � HILL BORO,CUMBERLAND COUNTY
Part II-If this is a reportof a CgNd?daOMorlignotr)t e20cta0didat,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
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
I
To Whom Paid Date[MM/DD/YYYY] $
Friends of David Beasley40
08/04/2017
House# 409 Street Address Herman Ave Description of Expenditure
City Lemoyne State PA Copde 17043 Donation
To Whom Paid Date[MM/DD/YYYY] $
Friends of David Beasley 250
10/19/17
House# Street Address Description of Expenditure
409 Herman Ave
City Lemoyne State PA Zip 17043 Donation
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
I
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code