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Friends of Jonathan Birbeck - 2017 30-Day Post Election
III l'. :2Se , ,1"11 ft .:of Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) 'Fler lddentifie tion Report Filed By Candidate Committee Lobbyist^— Number (Mark)C) Name of Filing Committee,Candidate or Lobbyist. Fc&Ms p-I" V onor Y)Q, h Ul' Uect StreetAddress I c Li s, anoter Si- City Par/IS.et State 1,4 Zip Code /7013 Type of Report(Place x under report type) 1-6th Tuesday 2,2 Friday 3-30 Day Post 4-6th Tuesday 5_Zn°Friday 6-30Day Post J-Annual Special-rd!P iday Spec"til 30-Day, "` Pre-Primary Pre-Primary Primary Pre-Election ' Pre-Election Election Pre-Election Post Election +\ Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/7//.7- ' a01 7 Report Report Summary of Receipts and Frori":Date. �_ •To Date `" "— For Office Use Only Expenditures 10/2 /7- 117.27/1?- , A.A"rnount-Brought Forward.Froth Lasf'Report . $ 36)4'Qo?.1o2 C o B.Total Monetary Contributions and Receipts $ . = Mom Schedule I) . ,e5W CD G.Total Funds Available- $ 1011' mn (Sum of Lines A and B} 3 o� Qp� 1 D.Total Expenditures. $ > Cn (Flom Schedule ili) 3:5,91Q.42 Q E.Ending Cash Balance, $ C7 = (Subtract Line D from Line C) C] $ C_ fV F.Value of M-Kind.Contributions Received. • (From Schedule li) _ 07. 0 W -67oaid Debts and Obligations $ Z 0 (Fria Schedule IV) ✓`.'_ ! a _ 1 D C Affidavit Section N o- Pkr,tot.If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. Z Q?.. I O' (or affirm)that this report,including the attached schedules on paper,is to the st o y knowledge a elief true,c rrect and complete. a N-. o mtofg to and subscribed before me this s�/ O Qz m Q,1.1da of CWtt�3f2'0 1-1 _ g,�O I Si lure f Person Submitting report Q <�` mo r Olin usZo5 wiG2 w 0 U E y Signature 1 Printed Name z? ' rr o -7cl �'l3 - 7937 • Z m N�y Qommission expires 1© I �--1 O -CI 2 E U o MO. DA YR. Area Code Daytime Telephone Number 00 Part If this is a report of a Candidate's Authorized Committee,candidate shall sign here. !swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act o une 3,193 (P.L 1333,NO.320)as amended. Sworn to and subscribed before me this day Ok I I ili�� f — . V. Q `•r Q I Q. Aur-of n j0,hJ®C Signature • Printed tame My Commission expires O _ c2c)( 3n813 MO. D YR. Area Code Daytime Telephone Number COMMONWEALTH OF PENNSYLVANIA. NOTARIAL SEAL Kimberly R Leo, Notary Public • Carlisle Boro Cumberland County My Commission Expires 10-10-2021 4 SCHEDULE III Statement of Expenditures I Filer Identification Number:. FO,rr s a/r Jcn04h f3irbec > , ‘To-Whom Paid A(ri1 Date[MM/DDJYYYY) $4wn�c grin-fie � /0/30/20/ RC/9. House Street Address • Des, iptio�i of Expenditure a FloJP-i:-Crs co Sf City , State /� Zip � ci mcx �hca- PA- Code ^/I I v P rt n +n To Whom Paid ' Date[MM/DD/YYYY] $ �� US Pos�rnasfc✓ /o13d2o/? S/3. House# Street Address De riptio of Expenditure /Clic 1 Crvoted 1 W foi City I `f X/c r I is//'r Istate p� [Zip Code ) 7 /d7120- To Whom Paid Date[MM/DD/YYYY] $ 2 J o na-fha.h ei rbe0G _ j � _ 9 rvo, _ House#lici61 Street Address i Defcriptidn of'Expenditure City /( l . State jj Zip I / r�i�Y L 4�t.0 I ri' Code 11 70/3 elan IL a men1- To Whom Paid Date[MM/DD/YYYY] $ House#I ',Street Address' Description of Expenditure City State I Zip Code To Whom Paid Date[MM/DD/YYYY] House# Street Address ' Description of Expenditure City , State Zip - Code 1To 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/DO/YYYY] $ House# Street Address Description of Expenditure City J State Zip 1{ Code To: Friends of Jonathan Birbeck From:Jonathan Birbeck Date: 12/5/2017 Re: Debt Forgiveness Please accept this letter as notification that I am formally forgiving the debt owed to me by Friends of Jonathan Birbeck in the amount of$20,459.67.This debt was incurred on January 3, 2017. Subsequently, the debt was recorded on the Cycle 2,Cycle 3 and Cycle 5 reports for the Friends of Jonathan Birbeck Account. Sincerely, 4anB rbeck