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Home My WebLink AboutPickford for MDJ - 2017 30-Day Post Election IIII Reset Form 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 >c Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist /J/C/C ,a/t b `i2 D .1— Street TStreet Address /ewO City State Zip Code .C ?oYNe- 4Pi9 /74 !C3 Type of Report(Place x under report type) • 1-6th Tuesday 2- 2nd 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 Primary Pre-Election Pre-Election Election Pre-Election Post-Election n x . Date Of Election / Year Amendment Termination (MM/DD/YYYY) ///7//7 .„20/7 Report Report • Summary of Receipts and From Date To Date For Office Use Only Expenditures /°A VV/ 7 /D-N/7 A.Amount Brought Forward From Last Report $ /� 3YQ. /7 B.Total Monetary Contributions and Receipts . $ C7 ,---- (From Schedule I) /, / a0 .00 C.Total Funds Available $ M o (Sum of Lines A and B) rQ 7 y/4,.G7 m m D.Total Expenditures $ / (From Schedule III) 1L( 3g 2 Z E.Ending Cash Balance $ / !o 7ca (Subtract Line D from Line C) .,-5 n 3C F.Value of In-Kind Contributions Received $ / C-D • (From Schedule II) _ 7 IN G.Unpaid Debts and Obligations $ C...)C...)(From Schedule IV) $i 0 00. 00 -< 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,correct and complete. Sworn to and sub cribed before me this y� Al day of a e/+'1 20D(J/Yommonweaitt"of Pennsylvania . &J / Signature of P• son submitting report f w er- ,—_ Nota reFseaI /vA-.N c- fix Signature -ETIA HARII,G-Notary Public Printed Name CA1P HILL BORO,CeJMBERLAND COUNTY l _ // _,, yCommissionExpiresJun7,2021 7 / 7 ��y/��2_ My Commission expires rJ MO. DAY YR. 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 l',P7 20 /f • '' ' ' . Signator o Candid.f� Signature ��JJ —��J Printed Name q My Commission expires Y/ — "/ '- p2122/ "7/7 33/ Y • MO. DAY YR. Area Code Daytime Telephone Number Commonwealth of Pennsylvania Notarial Seal . LECRETIA HARING-Notary Public CAMP HILL BORO,CUMBERLAND COUNTY . My Commission Expires Jun 7,2021 • • 0 SCHEDULE I • Contributions and Receipts Detailed Summary Page Filer identification Number pig/tea ILO Ate- 01 D7 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) $ /66 o6 _,-r Total for the reporting period (2) $ / 00 13.Contributions Over$250.00(From Part C and Part D) • Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ // a 0 0 Total for the reporting period (3) $ /Joao — 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) 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 /O ------- Cover Page,Item B) 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.) Filer Identification Number: P/C/c`O e / POR re DST Full Name of Contributor Date[MM/DD/YYYY] $ 4-4 /1//4-/e/&-- 37/VJaN io �� /7 /06 — House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ /)fr cs,aupg /0A /los- Full Name of Contributor Date[MM/DD/YYYY] $ House# Street.Address Date[MM/DD/YYYY] $ .City ' State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/00/YYYY] • House# Street Address Date[MM/DD/YYYY] $ City - State Zip-Code • Date[MM/DD/YYYY] $ Full Name of Contributor Date[MINI/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State.. Zip Code. Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY} $ • Full Name of Contributor Date[MM/DD/YYYY] $. House# Street Address Date[MM/DD/YYYY]- $' City State Zip Code Date[MM/DD/YYYY] $ 'PART D 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) Filer Identification Number: Pic/c�ole b `02 M D� Full Name of Contributor Date(MM/DD/YYYY) $ AM-/V c y ezx /0/3/ /7 /, OO O House# Street Address bate[MM DD/YYYYJ $ 7a lettooD D� City State /, Zip Code Date[MM/Db/YYYY] $ ,J k1 ogral+'�D /f / 707d Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/OD/YYYY) $ House# Street Address Date[MM/DD/YYYYJ $ City State. Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business full Name of Contributor Date[MM/DD/YYYYJ $. House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City. - State Zip Code Date(MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE III Statement of Expenditures Filer Identification Number. P2CK- file /71 b c • • To Whom Paid Date[MM/DD/YYYY] $ c5-77r/ Z- %! /oGl 0r7 /a3 . 'l House# /� Si Street Address 3 d �/ 7 Descri tion f'Expenditure City State Zip ,/ • Cfryyt i�lL !�A Code �7 D j ( e ,41.0 ttfgIJ DOVT.S To Whom Paid Date[MM/DD/YYYY] $ //s/at/.30/7 o 3 / az 3 House# Street Address DecriptioExpenditure ,30X 3/G a- City , State Zip /4--e �� ITA)9/ DS Cade . ue?y0(v /Tt-- To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State ' Zip .. m _..» 'Co=de_ To Whom Paid Date[MM/DD/YYYY] $ House# Street Addres s 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 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. I flier Identification Number: `//n/ /CX 15 Name of Creditor _ A�NCy ,C �X Outstanding Balance of Debt - . House# w. Street Address DATE DEBT INCURRED $ 7021 • tIKIJ p o1 k' 'c IMM/DDJYYYY] 000/a 3//?.0l7 "1 City State Zip AkUi &101 (,ieCifr°D ' PA I code 7070 Description of Debt 1_0,20 edo:41A -Name of.Creditor,. . -..-- Outstanding Balance of Debt House# Street AddressDATE DEBT INCURRED $ ' -T2p�1 ' ' Afit-A) y , - L//��..ax [MM/DDJYYYY] City /1/41) 6,7744/ 1of State -/r Code /7g Description of Debt /, N` /� ,, /'/`/ h an t (1s `� Name of Creditor LCSah �G�� Outstanding Balance of Debt House# Street Address i - "— DATE DEBT INCURRED $ 0-4/Z C `. ` �1-.=-"Y, [MMDD/YYYYOS /5---/3-°/7/7 a/ 0O a City State Zip 0-,77V %lam rn Code /7d`( Description of Debt w4 f-..___ Name of Creditor , Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ IMM/DD/YYYYj City - State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House#, Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt , --- • Name of Creditor • • ' Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED. $ [MM/DD/YYYY] • City State Zip _, .. .Code. . _ , Description of Debt