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Community Candidates for East Penn - 2017 2nd Friday Pre-Election
• 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 . 24 ( 70 Z'1 � (Mark X) NamLobbyist Filing Committee,Candidate or �� 1"'� 4 Las ,- ?fir S`Q ijro Mc�x(11 /( � Street Address . �� SCS �c��c ` Gty State Zip Code76 �' EA al Type of Report(Place x under report type) 1-6"'Tuesday 2- 2nd Friday' 3-30 Day Post 4-6th Tuesday: 5-2nd Friday 6-30 Day Post. 7-Annual Special 2"4 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) ' ycrsyzr-7 ReportReport .Summary of Receipts and e ! J To Date For Office Use Only . Expenditures • 67 Za ll IK2.3/201 •A.Amount Brought-Forward From st R port $ B.Total Monetary Contributions and Receipts , $ G r..1 (From Schedulel) `bo ' / ) 7.. C.Total-Funds Available $ /'n (( �t7' Wrri ,--- (Sum of Lines A and B) - % f l�,C11/v V :O —4 D.Total Expenditures. -$ • r— r\.3r (From Schedule Ill) C7-, - E.Ending Cash Balance $ ; _ (Subtract D from-line C) [C�l F Value of In-Kind Contributions Received $ �� C N t}`i' z. (From Schedule-ll) Z W C.Unpaid Debts and Obligations • ` 1 (From Schedule IV) O 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 kno ge a • belief true,correct and complete. --Sworn to and subscribed be'fbre me this / c! day of qi' C9e'�fc 20 I Signature of Person Sub •itti.:r-•. , / Signature Print-. Name COMMONWEAL-1H OF ENN LV rfdi My Comniission expires NOTARIAL$EALcL'' `-) / I �� '--' �Q Jamie R.Birtakman,NB.s3'ry Pub1R; Area Code Daytime Telephone Number City of Harrisburg,Dauphin County Part II-If this116N44:0111cfrtltAktiRikas Witihdrizidaktbm nittee,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 SCHEDULE I Contributions and Receipts • Detailed Summary Page • • ler identification Number I Z6 O S-1 I 1.Unitemized Contributions and Receipts$50:00 or Less per Contributor Total for the reporting period (1) $ 2.Contributions of$50.01 to.$250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ V IaU•. Cs• c6 Total for the reporting period (2) $ 1. 1 00 co/ 66 3.Contributions Over$250.00(From Part C and Part D) . _ . Contributions Received from Political Committees(Part C) $ All Other Contributions(PartD) .$ Total for the reporting period (3) $ O ir•-;4 4.Other Receipts-Refunds,Interest.Earned,Returned Checks,ETC.,(From Part Ej Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report ' Cover Page,Item B) h J • • • PART A Contributions Received From Political Committees $50.01 TO$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from$50.01 TO$250.00 in the reporting period. IFiler Identification Number Amount Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYYJ. $ City State Zip Code Date.[MM/DD/YYYYJ $ Full Name of Contributing Date[MM/DD/YYYYJ $, Committee House# . Street Address Date[MM/DD/YYYY] $ City State Zip.Code Date[MM/DD/YYYY] $ i Full Name of Contributing Date[MM/DD/MY] $ Committee House# 'Street Address Date[MM/DD/YYYYJ $ I _. City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee 'House.# Street Address Date[MM/DD/YYYY] $ City State. Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date:[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) I Filer Identification Number. 4-( `l62_ 7 Full Name of Contributor Date[MM/DDJYYYY] -$ + 5d5r1 I • 6 e1 /1 08 I*8 1 l Ob. (To- House #• Street Address / Date MM - 2$ n , On J€ . - City j State p46\ Zip Code 1.70} /Ol 1 Date[MM/DD/YY.XV]:` $ Full Name of Contributor ;Date.IMM/DD/YYYYI .$' House# Street Address Date[MM/DD/YYYYJ: $ `City i State ' Zip Code ] Date[MM/DD/YYYY] $ full Name of Contributor ' Date JMM/DDJ YYYYI .:$ House# StreetAddress Date[MM/DD/YYYYJ $ - City • State Zip Code Date[MM/DD/YYYYJ $ Full Name-of Contributor ' Date[MM/DDJYYYY] $ House# ' Street Address :Date[MM/DD/YYYYJ. $ City State Zip Code 'Date[MM/DD/YYYYJ • $ 'Full Name of Contributor.; Date.[MMJDD/YYYY,j. $ .Nouse# Street Address Date[MM/DD/YYYY] ;-$ City State 1 ',Zip Code Date[MM/DD/YYYYI , .$, Full Name of Contributor` :Date[MM/DD/YYYY} ::$ House#. Street Address .Date[MM/DD/YYYyj .$ ; City 1 State Zip Code. • Date[MMJDDJYYYYj $ PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. IFiler Identification Number. Z G I 1 O?--<1 Nalle I Full Name of. Date[MM/DDJYYYYj $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DDJYYYYJ $ Full Name of . Date[MM/DD/YYYYJ $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ _ City State Zip Code Date[MM/DDJYYYY] $ Full Name of Date IMM/DD/YYYt9 $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City' State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YY/YJ $ Contributing Committee House# Street Address Date[MM/DDJYYYYJ $ City State Zip Code Date[MM/OD/YYYYJ , $ , Full Name of Date[MM/DD/.YYYY]- $ - Contributing Committee House# , Street Address Date[MM/DD/YYYYJ • $ City -State ` Zip Code Date[MMJDD/YYYY] ; 4. Full Name of Date;[MM/DD/YYYYj -$ Contributing Committee House.# Street Address Date[MMJDD/YYYYI • City ' State Trp Code Date•[MM/DD/YYYY] $ ? PART D y . • All Other Contributions ' • . Over$250.00 . . Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. ' • (Exclude:contributions from political committees reported in Part C) ' • . ; IFilet entifiiration lYumTier = • . • E . Tuft 1ltame of Coirtr'butorA Date NIM DD t ` = i' . t X t 1.k k rot , t.�J" . i Xf,-' w4;,• "�''"`t a it`s-�rr,'•e 4", 6.'4 ;; use if'� Street,:Address t DatejNlM/DD/YYYYj_N. "'`�,S`'' r. Y� x { . x` 19}; -w s a. ,as:T il .Af.�a 1.xli f f'�,E z" ;N t - ''a h^- cit Vit, ,Statern iFZa Code t "'Date MM DD '"-fiSq Employer Name, P W eoccupabon ; ' ."AS S.. t „..-.4.,▪�; ^: & ,, "fi r ` I EmpCayer N[ailing Ad"dressy - Psinc►pal Elace ofi B▪uness x . Eu11 Marne of Co ibutor r arr " 'a. . . Date jMM/DD/Y�YYY] :{ $ taigki4P m,:4. ,� a-0 .� Hyouse stye t Adaressj l.Date[MIAM/DD r/yYYY1$ $ x*dui& z f n X • City State, .0,,-,..Z„.• r ltidev '©ate MM DD ", �• Y ++ xsJ� ..bra 's^• %' ,,, ; "..t•r 4 Rr" mppp oyefi*ji e � '""•Xf• vv" ii rD . .aii. .moi.▪ .raaF ; `Employer ieaifinrl ddress"r/ a • Principal.,Ptac&cif Basi y `'a Fult flame eittontrbutar, , 'D MM DD ` douse#' Sheet Address Date[MIM/DD/"YYYj °"'' $r ' • ,.0 o ,.. gin ! .. ._ . - +,-".? i of ck�� t�.[trl,''r 44.40 ,". V4 r` 7 City •, tatezz Zrp Code r F,Date.[f M jai � p$�., Y 4 E ' iEmplaye xNarne , gOcwpation . Employer Maiimglddress J ,,j Pnnci euiplaceezof Busi 'ness 4. t✓alName of°Caonbutarlff = - 1 - '�- DaLerjnnnlfJnn/.m m Ki Hs Street AddressVV Date[MM%OD/XYYYJ,� yrs ! ''Date MM DO Cith= • 'State Tip Code, , •- j /YYYY $ ' FEmptayer ii:wyte, g� � _. o tiara REmp▪ loyer.,MaiWgMr / bo - • - • , , tPnnc l al PlaceaBusiness k-v' 1 - • PART E Other Receipts REFUNDS, INTREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: —(:)1 1 6 2—<1 1\!on _., 1 Full Name House# Street Address, City State TapDate[MM/DD/YYYY] $ Code Receipt Description Full Name House#. Street Address City State Zip Date[MM/DD/YYYY] $ Code- Receipt Description Full Name House# Street Address City State Zip I Date[MM/DD/YYYY] $ Code i Receipt Description Full Name House# Street Address City State ' Zip Date jMM/DD/YYYYJ $ Code Receipt Description. Full Name House# Street Address City State Zip i. Date[MM/DD/YYYYJ• .$ Code Receipt Description full Name House#- Street Address City State ' 'Tap Date TMM/DDJYYYY] $ Code Receipt Description SCHEDULE II 1N-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE Filer Identification Number. 2 1....' UNITEMIZED IN-KIND CONTRIBUTIONS'RECEIVED-VALUE OF.$50 00'OR-LESS"PER CONTRIBUTOR • . . TOTAL for the reporting period (1) $ Nonce i. .2. IN-KIND CONTRIBUTIONS RECE1VED=VALUE.OF$50A3 TO$250.00(FROM PART F) "" - TOTAL for the reporting period (2) $ " X '-1 CO 2--.6 C , ! • 3_ 1N-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PARTG) t TOTAL for the reporting period (3) $ C z Nr3 . 9- 1 1 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter %� C 1 r on Page 1,Report Cover Page,Item F) a 5 - , SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number. Za("I 62_ Full Name of Contributor Date[MM/DD/YYYY] $ ht5 em5bobc � � (6,/� r . relCZ•Q6 House# Street AddressDat6[MM� JYYYYY] $ AD na (3 City State rA. Zip Code Date EMM/DD/YYYYI $ rici • Description of Contribution 53 „ � --IPC �ec C n—5,, 5 Full Name of Contributor t� ` ` 1 Date[MMJDDJYYYY] $ House# Street Address Date EMM/DD/YYYY] $ City State Zip Code . - Date[MM/DD/YYYY] $_ 1 Description of Contribution " Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address1- Date-jMM/DD/YYYY] $ City State. Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date IMM/DD/YYYY] $ City State Zip Code Date jMM/DD/YYYY] . $ Description of Contribution Full Name of Contributor" Date[MM/DD/YYYY] $ House# Street.Address Date jMM/DD/YYYY] $ City State ; Zip Code Date jMM/DD/YYYY] $ Description of Contribution • • SCHEDULE II . PartG t . .. In-Kind Contributions Received .VALUE OVER$250 . • ler eatification•Numbers . ' . fu11Y.Nameof tontcibutor"w , } is o n x • D ate iMM/Ditif yy Y ::FJi, i,Sr; -I (-1. ii. 6 6e(16 • Cisr_6 c : z.i. zw. • tz - <4,7 0 . iHouse g ' Street Add ess D MIV! o D1 $ testy_ 'Stated" A. 'Z,p Code•,• spate[N1 a.,,,/,i,,, .: .. • Pete? f ,R �.. - '",'w+z rre•&:wa,.;e.:M,.ci ai.;.�•, d_x' .9' • } giiiiiiiii.teNgliii y •� .«- *•4•4'"&.4•P� d 'r1 ` int • ••••••• ' . ,F _ • • `4''▪ "I''ti:ilf-T' - Emp'toer MaThngAress/PnnualDescnption /1 ` z�Piace�of Bustn,git- ,,kt.Wx ,p1.0°.-'?, ,,,... st. o{�s y� J/ Y �'1TY"t•t,.x y es'` 'e �7•r '-. V3iti4 #r �.0,A.,;'"�: 'fl s``� �3. .`..:4 "i ;�Ju + '3„t+ c.�. .M.`' R d.r.§"� i0 . • rneontnbutlon "Wt L buil Narne`of:Contnbutor' htia 14 .c7i..„,,'F"' t ti'q ,cr,4' - • te' MM/DD/aYTXYYJ $ • . ��. 5... ea ' o ' • 6-0-- ( G MI 2 douse,.. •Street lAddr ssA . Da,.:.: 1�IM/ °'s G,$" • 7.,,..„,,,,.. , „,,,,, „„„„..„,,,,....,„,:,,.„,,,,..,, ,-4, 6 6 4 C:::;*.-.) ' . q , - estate>a, "2ipLcode Date(MM/oD,1„m7 . . � , �; I �sc� rK s-,.' .x'tj. Yr-. •kms' XEm'10 er latle V. , r.00:1 patdon Emplo�rerjMaiLng Address`/„ifiopal' 'Descn tto`n; i Pace of Business t � kof t^•; '' C / re Oil* q A PDA 1;,,, x ice, 4: 14 mbut,IiI,on,' '7 pua•Taha ofZtontnbu'tor` i Date jliniVli,DD ark<,� :7:VSs' _ qq .x,„Es, '(///gyp beim) 1�/ 1• AIMPrz4eitr: Str'eet Address tl.a 01107 ` : kCrtlr ,' ,:state. ..Zip Code . 'e �� P �� / Date Innnvl/Dn <ti Employer lllameft ; el7.)'. e' tion r we, •.M es, ear a. '. >.. f ,d,.. tmpliiyerrMailingAddress ;nnapal;. Busks .„,,, ' a •••„ , c ,k. _”+lc" 3, S c'UyC� :...ii_.,ame rata•titor it74 NIM/DD x`a., AC. '` N r° -. # Street Address te jNN1MJDD te. "art r, tr,movziottui ,u _ 'Stare ex • :Dat tA—MJaDY l��p a • ' a.., R 5 g � W' tg u .. . . . f p oyer 1 g �` ress .4Pnmcapa D"esmptwn i'-,Plat'e�0f$usulesS,t,;:v `-`7S� i. y,*'t� • SCHEDULE III Statement of Expenditures Filer Identification Number. I 2at --/ o 2_,. ."1 �ao-e- To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure _City State Code To Whom Paid Date[MM/DD/.YYYY] $ House# Street Address Description of Expenditure City 1 State Zip Code To Whom Paid. Date[MM/DD/YYYYJ — $ House# Street Address, D iption of Expenditure City State - Trp Code To Whom Paid Date[MM/DD/YltY1 $ House# Street Address Description of Expenditure City ' State , Trp Code To Whom Paid . Date[MM/DD/YYYY] $ House# Street Address DescriptionExpenditure of City ' State ' _ -Zip Code To Whom Paid Date[MM/DD/YYYYJ ' $ IJ { House# 'Street Address Description of Expenditure ' City State . Zip j Code To Whom PaidDate[MM/DD/YYYY] $ House It, Street Address Description of Expenditure City State : Trp Code i To Whom Paid Date[MM/DDJYYYYJ $ , House# Street Address Description of Expenditure City State Zip i Code • • A .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. -F31er"kleiitificaiion 3dumberdg • fid 2 0 a 2.....S-� &10 ' Name of Creditor . ,•' utstantluig`8alanceofDebt '`"'`" A1.x'13=..Jt.t .x "'gR'----ON...,,,c....." • . .s r.v :5:..�" . r.�i .0 .4'. • Mouse# Streettles -- • ` A• VDEBTNCyRRED Wi P `7ig. A , aa ; ... a}+; .sa ,., - 0g f . . � ts , tx ab yJycx§�oa[VMjODaYYY fr;Re ` �y'4 PMFkir j 7 , • Stab, Tllig- 3+� . ?^�, s , -.h :. � te% v" 44 a s k : ''ti ii • r ,SNarneofCreditor� :: iitstandingBaanceDe"bt�i t �: 3s e��i '' F 'c e a . • mouse#; Street'A'dtlress DATEIDEBTINCURRED �Ir. �� w,v 7s� 'f- MM DBI�YYYY.I, 4- .C r � F � Mate g ryDescnption'F'o` Delil FameofCretlitor OtstrgBaarefBel;t, ua31 brtn _ Lam t ' „� =" 714ouse ll gigetilkdlligil . i '' DrATE:BEBTzINCURREDIK EJ , 1 t,r r x'Y St. - x3G= r A-S[u,A rim �Y. I . rtiaalipfion of DebtI.�.. ' "'Name ofrCrei tltos ° ng1 �� Outstaiti3ing�alanc�ofkDr=- House 5 et Add °" -� �1NND�. '- . _ ,Veffilir � v t O * � MM/DDi-parr Y s W.:.-AZ gigeStinia10111 o at } f 'm"`'=•xv',t c�'.State ;. - UV !s• 4v; 'Descri on ofkDe'bf4 k� A e•• E Oi tstandnig lance oftDi�bt s'Js:.>. ,;« ._rJA iiY<,aa.. . .. . . ' . - °tis-��tr!e . , mouse Bi HATE DEBT�INCURRE)' *� StreetYAddress �,, '4,,,r, x ,rc. t r47.4 k ,Cyh"" yyX`t"' ' `<, s y r .''' �xAAC}�VIIVAiDl � f....:.."..7w c'i"ity A 5tatezp�< . e esixionf Bebt G Miii e"ei Creditor ' = a itstaridir g7Ba7atiedkWtiib1Vff4„' giodirov, kliiiVilaaPai . rDEBTINCiIRRED �- 4 ,4e14',e� ,ffr ....> '3 atm q FDesi, ,tion.ol`,Ae'hi ., ,/ _