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Home My WebLink AboutFetrow, Kenneth - 2017 30-Day Post Election il II Reset Form J. Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate 3( Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist �'cj(/}1f )---1-7-217_,0 (� Street Address "-7,,,4 /J�t! --/i21topi- -)�j City 3de t,'/r' diCO /" - go Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5..2^d Friday 6-30 Day Post 7-Annual Special 2""Friday Special 30 Day Pre Primary Pre-Primary PrimaryPre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year Amendment Termination (MM/DD/YYYY) 1� iri` � I7 Report Report Summary of Receipts and Fro to To Date ` For Office Use Only Expenditures ' ►I-)-�-t'� l �) to A.Amount Brought Forward From Last Report $ B.Total Monetary Contributions and Receipts $ �CD ", (From Schedule I) , — E -.-.t C.Total Funds Available $ 0:7 C) m rn (Sum of Lines A and B) c--) D.Total Expenditures $ h Z,r„ i (From Schedule III) 1 Yofo d E.Ending Cash Balance -0 (Subtract Line D from Line C) j F.Value of In-Kind Contributions Received $ /f�/ e C R% (From Schedule II) - ��I� 27... C) l p G.Unpaid Debts and Obligations $ I -< (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,c• - .Id complete. Sworn to and subscribed before me this pl— / day of 'ei �e 20 I ( ,,i 1 Signature•f Pers.n Submitti :report i ' 4 .1:1 .74.!' :EA". j ilardh—Tkibbile- r Signature NOTARIAL SEAL Printed Name LORIE GEISTWHITE /�J_6 7 ,/ My Comm sion expires Nnttry'Pak -C L CARLISLE MO,CUM@'�ALAND JUNTY Are Code Daytime Telephone Number My Commission Expires feb 14.2021 Part II-If this is a report or d t.dnmadce a Muulu1,,rJ Ca/,,,..,1....e,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 • c 'V • SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ QvPrI3-r- �rWtwtVNi ��TIo _ It ( 1-2.0 1\2. House# Street Address Description of Expenditure 113 - *-1-g. Cityr1n� State Zip ~� T L'`n\5 +11_6 Code \1 I enF�oijoCAU— 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 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 SCHEDULE II IN-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: I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I TOTAL for the reporting period (3) $ i1 Q D .1*, TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter i on Page 1,Report Cover Page,Item F) 4 q 1 0.,N-kkA !. ; SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor 41;344 ip E —Mk-ay-35`4; p Date[MM/DD/YYYY] $ ZEPvig L1 ptSW.., tol-st> o\-7 . 1-14 House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of }amu C� DF corm E. Contribution VkA i,1.-67P-- Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution