HomeMy WebLinkAboutFulham-Winston for Council - 2017 30-Day Post Election Commonwealth of Pennsylvania
PAGE 1 OF
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification 100. 2 Report t. 2. 3.
Number: Filed l J(at 51 Filed By loo. COMMl7TEE X LOSBYiST.
Name of Filing Committee, Candidate or Lobbyist:
Fulham —Wins-tart y Coo hr'/
Street Address:
21'2_ WA I II V i 6 .
City: State: Zip Code:
CarItsc/e. PA. J7a(3
,
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY ' 3• --AMENDMENT '
REPORT PRE-PRIMARY PRE-PRIMARY 'POST PRIMARY .REPORT? YES NO
8TH TUESDAY 4• 2ND FRIDAY 5. , 30'DAY 6. TERMINATION
(place X to PRE-ELECTION PRE-ELECTION ._POs? ELECTION i` REPORT! YES NO
the right of ANNUAL 7. YEAR FILING METHOD
PAPER DISKETTE
report type) REPORT ( ) CHECK ONE ,
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
Y
MO. DA ' YEAR
(SEE INSTRUCTIONS FOR CODES)
•
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY, YEAR
Summary of Receipts ►
and Expenditures from: /0 2q 2!7 To /1 27 2 017
A Amount Brought Forward From Last Report $ 2-6, 7J "j., 3'0
B. Total Monetary Contributions and Receipts (From Schedule I) $ , / 3
C. Total Funds Available (Sum of Lines A and B) $ 2 (e) ?q, q3
D. Total Expenditures (From Schedule III) $ .6- 7 . 88 rn
E. Ending Cash Balance (Subtract Line D from Line C) $ 2 //• - 6S. >. co
2::
F. Value of In-Kind Contributions Received (From Schedule II) S . C
Imo
Zr
G. Unpaid Debts and Obligations (From Schedule IV) $
/
AFFIDAVIT SECTION
PART I - if this is a Committee report. treasurer sign hereIf this is a Candidate report, candidate sign here.
I swear (or 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 a
_71 subscribed before /m�e(tthis `
day of t�.(\ktft 20 le ��C,o6' p VF PENNSYLVANIA •Signature of Person Submits Report
�� NOTARIAL SEAL • Por.4-f Ce /� x,4 Pt
Signature ORIE GEISTWHITE Printed Name
My commission expires Notary Public 7 1'7 2- 1 S - 26, 2-s
AIRflLISLE BOROAI MBERLANUOUNTY Area Code Daytime Telephone Number
IA.,rnmmicrinn cvnirnc rah 1.4 9A91
A
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 �thhii�s� C�
1 day of____ ��/�1/320 V V �/^/1��) (ij �4,,• _A
` Signature of Candidate
tJ�x .L FPENNSYLVANIA -Qki) EVA(AA.yw-W S(16 `-
ar9nacLre NOTARIAL SEAL Printed Name
My commission expires LORIE GEISTWHITE `71 7 ZS�- (II.EK
MO. o((Atary PUbIiCYR. Area Code Daytime Telephone Number
----EWA.
.._.,,.r ee..e. A.,I►.8011*,...A es,.01.
My Commission Expires Feb 14.2021
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
hReset Form Print Form
�I� I)
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification .82-123/ G,� Report Filed By Candidate Committee Lobbyist
Number 10 1 S5 (mark X)
Name of Filing Committee,Candidate or i
Lobbyist FV(('1 R vh — v\) i V1 s•^f'G;•1 L`c) V 4A C i (
Street Address 2-4 2- iN a t n v f 514- ,
City -r t i 5 (� State P A Zip Code 11 b i .3
Type of Report(Place x under report type)
I1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-60 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
x
Date Of Election Year Amendment Termination
(MM/DD/YYYY) i t 11 2. G 17 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
10/24117 t\ /27 117
A.Amount Brought Forward From Last Report $ Z`to 9 5,
B.Total Monetary Contributions and Receipts $ 00
3 r....,(From Schedule I) C o
C.Total Funds Available $ t 2 DJ ""'
(Sum of LinesAandB) 2i6°1z .613 l p
D.Total Expenditures $ X/ c'7
587 1
(From Schedule 111) Eta > CI
E.Ending Cash Balance $
3.
(Subtract Line D from Line C) 2i 101005--
-D
F.Value of In-Kind Contributions Received $ r) =
(From Schedule II) — C.. N
G.Unpaid Debts and Obligations $ - c�
(From Schedule IV) — -< C 1
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 subscribed before me this �j ��
day of 1_ • iz.. 20 II
beit#J�✓t /1-4. 81-`1 LiZ41L....
! i Signature of Person Subm dig re ort
41111.1 :� .�iiel_�lfA11 1,11.1/l!wi�: "rru T)c)r1 4 1 4 144 u—f-vt 6i N
Iiiiw '` ' �' O Printed Name
AIN003 ONV1H39INUO'0aoe 31S111:1110 71� _ _
My Commiss on expires 3IIQnd,F1 ON 2.4 5 -2 4�L S
malIHM15l&31801,8 Area Code Daytime Telephone Number
1Y3S1VRIV10N
Part II-If this is a repoW 1na!G'arl'ai I t$'sntifhiiifial mittee,candidate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended.
•
Sworn to and subscribed before me this.44,,
ao+
' day.f'bQe) tala 20 11 Jv
itAMISignature of Candidate ,
a ure NOTARIAL SEAL Printed Name
LORIE GEISTWHITE . t
My Commission wires Notary Public "7('A 2 (p/rtt -f
CAfIY($'LE B0 Y CUMMILAND COUNTY Area Code Daytime Telephone Number
My Commission Expires Feb14,2021
r ,. a
(41
PART E
Other Receipts
REFUNDS, INTREST INCOME, RETURNED CHECKS, ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
IFiler Identification Number: I
V -123(0]59
Full Name
Me vv.. e j l%-1- Fecketrat Cry e-I i'-E LSin'ti�o-r
House# 5-000 Street AddressLoui'5.e D
City State n Zip Date(MM/DD/YYYY] $
I
/1�eehrAatics by f p�Cl Code 1705
10131117 Oh, (3
Receipt Description
De_ os4 div+d-e1,1 4
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYYj $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
SCHEDULE III
Statement of Expenditures
rFiler Identification Number: I
f 92.-12 MA Sq
To Whom Paid Date[MM/DD/YYYYJ $
Inc►n9+y `Priv +- C ruphics I1 / 2- 117 1740X6
House# Street Address Description of Expenditure
I 2. 1 N . pi** S+.
City C G r 1 I S I e. State �A Codee [ '7 c9 i3 Pe,5+ca.-et 5
To Whom Paid y� Date[MM/DD/YYYY] $
Ur S , 12654---al 5eitV;Ge_ it i L , i"7 1-ogr 00
House# Street Address
(vC W_ Lou fire r S f. Description of Expenditure
City State Zip
Car 1i5le PA Code 17013 •c+4 vvi p
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[M(VI/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
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/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date EMM/DDJYYYY] $
House# Street Address Description of Expenditure
City State Zip
Code