Loading...
HomeMy WebLinkAboutGilge, Jon - 2017 2nd Friday Pre-Election Commonwealth of Pennsylvania • - s CAMPAIGN FINANCE REPORT PAGE 1 OF (COVER PAGE) (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Report , t. 2. 3. Number: Filed By CANDIDATE COMMITTEE LOBBYIST Name of Filing Committee, Candidate Lo byist: Ua� l Street Addressgj 7 ��Z/ a•-• City: /�/ State:n .7 99_3 / TYPEOF 8T4 TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? YES NO 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 DISKETTE report type) REPORT ( ) CHECK ONE , Name of Office Sought by Candidate: DATE OF ELECTIONDistrict Office Party County /11 Leff7/°74 MO. . DAY . YEAR yD� �� /1 7 ay 2 /7 Number Code Code Code(SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY. Summary of Receipts MO. , DAY YEAR MO. DAY YEAR and Expenditures from: 100, 6` �/ To �� 0 �//7 c c A. Amount Brought Forward From Last Report $ W Z m o B. Total Monetary Contributions and Receipts (From Schedule I) $ ,— r D cri1 C. Total Funds Available (Sum of Lines A and B) $ d D. Total Expenditures (From Schedule III) $ ?5-1 LIZ c--) 3 E. Ending Cash Balance (Subtract Line D from Line C) $ 4- F. Value of In–Kind Contributions Received (From Schedule II) $ -< '=A– 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. Swo�n tog subscribed before me this ` r, da of �0 r 20 1/ } e:) / I Sign a of Person Ing F3eport Q \• i ft_n . 405 0 'ITF'(I�+�S 0flA(4\Nt.J �C�l � y C/ Igna; ARIAL SEAL! Printed Namel My commission expir s LORIE GEISTWHtTE 7/7 gel‘‘-.7g' MN�p elotarycNapuc YR. Area Code Daytime Telephone Number CARLISLE 80R0.CUN�BER 4Nn Cn11NTv my t.ommiss!nn Flentrin rah ti 9ro1 PART II – If this is a report o a 'andndate-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 Ill STATEMENT OF EXPENDITURES I Name of Filing Committee or Candidate Reporting Period J' or 6.19c. From To To Whom Paid `¢Mo DAY -: YEAR Amount Fact book. t'0 2,3 Vol $ 35-7.442 Mailing Address Description of Expenditure i of V1/4i:11040) 128 Alvcidi541y City ( pp State Zip Code (Plus 4) / �GA Ib fie IC cA• 1'lozs' - iqc To Whom Paid ';,YEAR'% Amount Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid a%kl0 :,DAY x YEAR,^;;Amount Mailing Address Description of Expenditure City State Zip Code (Plus 4) • To Whom Paid 11A0 F Y3AY: YEAR.HAmount Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid MO:1; °'�,'4,,,YEAR1 Amount Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO ,_ DAYr"y-+ YEAR"Amount Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid :14)0 i DAYr;e Amount Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid 'MO `DAY 0-: YEaR"::Amount 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. $ 3 , 92 DSEB-502 (7-99)