HomeMy WebLinkAboutGrayson, Lisa - 2017 30-Day Post Election 0 Commonwealth of Pennsylvania
OF
CAMPAIGN FINANCE REPORT PAGE 1 (COVER PAGE)
... (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
. Filer identification 100
Number Report 1111 IIIWIII 1" ilialikaiiiii 2.
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Name of Filing Committee, Candidate or Lobbyist:
Street Address: lac
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City: State: Zip Code: •
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TYPE OF iiiiiNMOSOMERI 1. liNtigtfiNINEI 2. 363005131EN 3. II*000:111 NM alibc
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the right of iaimacimamo: 7. YEAR trLPrI110700Pii§ligaigiiiiiiiiiiME < DISKETTE
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Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
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FOR C
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Summary of Receipts
and Expenditures from: r'' x. a,,A acA-1 To v‘ 3:) aoll C-) r-a
A. Amount Brought Forward From Last Report $ -'dralogC)- .
CO C=I
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B. Total Monetary Contributions and Receipts (From Schedule I) $ .-- X1 CD
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C. Total Funds Available (Sum of Lines A and B) $ - ›r- I
D. Total Expenditures (From Schedule III) $ - CI
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E. Ending Cash Balance (Subtract Line D from Line C) $ - 0
C: —
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F. Value of In-Kind Contributions Received (From Schedule II) $ -
G. Unpaid Debts and Obligations (From Schedule IV) $ - D," -L.9 SO,•&
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AFFIDAVIT SECTION
Pinatatttoti•ioiwtocitoot wootlimlwalEtWORVOliitiiiitiOttilit#001#01WORIMMEMENES
t swear for 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.
Sworn to and subscribed before me this
day of ---Dle Ce'. t WA,.
2° U7
lIllrr Signature of Person Su*: Report
iliii & 1 I A
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MMONNVEALITI OF P /' ' LVA IIASignature
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My.tiqgrtsIVAILdlk' - 0 2N8 one A.Wevodau,Notary Poi', ..
DAY YR. --1.)--1
Area Code Pritfted Name
68*-0-oic?6"1-1
Daytime Telephone Number
Snrina Twn CumliprI ,i
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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
Signapturrineteodf NCaamndeidate
4.1
Signature
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
DSEB-502 (7-99) a