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HomeMy WebLinkAboutGaspich Jr, John - 2017 30-Day Post Election 0 II ResetForm �, 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 Committee Lobbyist — Number (Mark X) Name of Filing Committee,Candidate or Lobbyist J o 4-(,) p kuL &v5 P ' Lvk J 12— Street Address .-U 3(a LAM os —e City G 110`� l State4, ,-p A. Zip Code► G '10"ZS-- 1 ‘Z Type of Report(Place x under report type) J 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4- 6th Tuesday S-2nd Friday 6-30 Day Post 7-Annual Special 2"°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) ' /O1/CI In 1 'Z 0\1 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 101.1-5k %% Z.1 hi A.Amount Brought Forward From Last Report $ B.Total Monetary Contributions and Receipts $ C) ' — (From Schedule I) .a C.Total Funds Available $ tip CD r*'t (Sum of Lines A and B) m n D.Total Expenditures $ 1-- t (From Schedule III) \\Z , Db ,G- E.Ending Cash Balance $ C7 —p (Subtract Line D from Line C) -- C) M. F.Value of In-Kind Contributions Received $ C��O G -f. (From Schedule II) 2' al G.Unpaid Debts and Obligations $ .� I Z.-.) (From Schedule IV) Z Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If Ks is a Can d to report,candidate sign here. I swear(or affirm)that this report,including the attached• Idulon er,is to the best of my kno ,•dge and belief true,correct and complete. Sworn to.e�nd subscr ed before me this y.. Z �( / t. gib. 3 day of N(�IIQ 20 I7 O m ift±ji..ti a• Aftlyvik......- m-prn E. Signat o Person S mitting re.. , LAl0"-t') l'erut._ 9%% Signature m D O Printed Name My Commission expires 02./1012120 cr a W m `I N—1 5,56 L 5 \ \ MO. DAY YR. N c Z r- Z Area Code Daytime Telephone Number ci Q = -0 Part II-If this is a report of a Candidate's Authorized Corn t8ec$ndid k shall sign here. I swear(or affirm)that to the best of my knowledge and bs iebthis9oliti committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. c 15 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: To Whom Paid Date[MM/DD/YYYY] $ 11 QvPrrJ-r �nnvkUUN1 c.AT�otJrj 112 Do (� Iza�'1 House# Street AddressDescription of Expenditure 11Z )•1# eeT City 4priz State { Zip � \SP(Lb T Code `--)I oc U` 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 4 . ) 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: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ . 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ D •y`, 1-19D �1 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 410,y SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor 1441/4141 P D t,k-i p Date[MM/DD/YYYY] $ ZEPUgLl, lOV- 1.013a\ N-1 b . Lig House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description pu cmc �F Place of Business of Contribution 1M 4}l LER- 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