HomeMy WebLinkAboutCroutch, Michael - 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 x COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
(1 1U-1 A E L- CAO u T c.1-1
Street Address:
► 3 9A9sor.)AQ E S1-
City: State: Zip Code:
N e.y v i Li_ E F'l'y 1) 2•-`1( -
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 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 j( DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office \ Party County
- Number Code Code Code
�
) MO. . DAY YEAR
' v Vs) V I L1 E. QoRou GI-4 i1Ay O2 l 07 &.O I) (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary of Receipts
and Expenditures from: b 6 06 *"<-40 To /()' Z3 141 " ., C, ry
C
4
A. Amount Brought Forward From Last Report $ M ---1
Co
B. Total Monetary Contributions and Receipts (From Schedule I) $ -___ me-
x7
C. Total Funds Available (Sum of Lines A and B) $ r— N
D Z a1
.
D. Total Expenditures (From Schedule III) $ 0 >y
�il�Z, r) 02:.z
E. Ending Cash Balance (Subtract Line D from Line C) $ 0
Z
F. Value of In-Kind Contributions Received (From Schedule II) $
G. Unpaid Debts and Obligations (From Schedule IV) $ —
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 �^7
alp 4f/l day ofCe..:_k_46410ffirmiforpeasyemig 1 /yT71�11A1 EAI Signature of Person Submitting Report
L44,M nD t, ;. L n1 (cx-i rA t_ Groc rc f
SiGnature,$ot p� Printed Name
CARLIStf WM, MBEALANO COUNTY �1 )Z9 - R-2.13My commission expires
M A 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 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
0
DSEB-502 (7-99)
PAGE OF
, • SCHEDULE Ill
I
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
01 I c-1-1 A EL CAP.o bi TC-V1 From To
To Whom Paid ' MO. < ':,:iti'Aii, ..,-,-1/EAR:1 Amount
0 CA;t-e, flfol /0 f'-eic,_ Mosx 9-01.- cess raD 19 2-Dil $ iLlgill
Mailing Address Description of Expenditure
Gs-o E J41\51. St St,e-
City State Zip Code (Plus 4)
Co_(---I;'s Lc PA Ool3 —
To Whom Paid iMO. ' ,;:::ff.f5A,Y. 7*EXClAmount
Lai, S a POStA Servic_e lb 1c\ k:017P $ 11
Mailing Address Description of Expenditure
5--) kA)exl• S+ p e)steA9 4, co,„ maiitf-f
City State Zip Code (Plus 4)
N) R.wt.',Ite PA 1-)11-(t -
To Whom Paid ` Mri.•i. ':.OAY; .',YEAW Amount
/0 cck..c.. n co(
Mailing Address Description of Expenditure
G /0 E )4,-5,k St 5 t& (Al) it rt.'.-1,i'r.s of 1, (&J9
City State Zip Code (Plus 4)
PA I ")0) 3 —
To Whom Paid :,.Mb.; .,,f.,jAik*, 7,•-•YEAR f'lAjipun:t
SI.3i\-SQ)Wik4 C.k-Q_ocp . CAM 10 I( 7-00 2-99/ )(
Mailing Address Description of Expenditure
) 1 3--2...5-A S-to A...ell:Met.) i r Ste )00 pm 4 s r,t)As
City State Zip Code (Plus 4)
4 Ltsi,'A TX 7%,s's —
To Whom Paid fl.MO. ,Z'bAY:t,' e!yEAft `,:i Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ;':,;W10.;:;,13,!;'•,pAY, ,.YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
...._
To Whom Paid ''::M0'. i :4DAY 4.f.YEAFt.:1 Amount
1 $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
_....
To Whom Paid :::!MO .. :;EDA?..:.:: .y,EfkR,1 Amount
1 $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4) N
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
DSEB-502 (7-99)