HomeMy WebLinkAboutMorrow, Douglas - 2017 30-Day Post Election \\ll I Reset Form Print Form
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Commonwealth of Pennsylvania-Campaign Finance Report
' (Note:This report must be clear and legible. It should be typed)
Filer Identification Report Filed By 1 Candidate 11 Committee r , Lobbyist -
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist L_ AA 04...4.0 kA1
Street Address ,
City
1\icliSjii LUVA\ =
9 I
State 110 4__.
1 1 Zip Code ! 1 -7 h .70
Type of Report(Place x underreport type)
I
1-6th Tuesday 2- 2"Friday! 3-30 Day Post 4-6th Tuesday 5-2nd.Friday I 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day
Pre-Primary Pre-Primary Primary
Pre-Election Pre-Election Election
1 1 ' .
>6:- Pre-Election
i I I I ! Post-Election
I
Date Of Election 1
. , I Year
Amendment 1 1 1 Termination
(NI M/DD/YYYY) Arov.4 - 3 -7 Report 1 I Report
Summary of Receipts and ' From Date I Telt V-7 For Office Use Only
Expenditures
rec1611((1 lily
1 '7) r•-,a
A.Amount Brought Forward From ast Report $1
i------.::: .---.1
• ":0 cz)
B.Total Monetary Contributions and Receipts $
- ..'11 f-Ti
c--)
(From Schedule Schedule I) •
C.Total Funds Available $1 7>
(Sum of Lines A and B)
ty,0 ' --.- co
- ..
C7,3
D.Total Expenditures $ . -Ty
(From Schedule III) Oa, c--)
0
E.Ending Cash Balance I $
(Subtract Line D from Line C)
F.Value of In-Kind Contributions Received $
(From Schedule I))
G.Unpaid Debts and Obligations 1 $
(From Schedule IV) i .
Affidavit Section
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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,iiicluding the attached schedules on paper,is to t - .., t of my knowledge and belief true,correct and complete.
Sworn tot and subscribed before rne'this •
-Ts- day of-Dtc-den kx-r 20 I-1 . 1 liI • A
',Uature •erscri Su'mitzinz re ort
i-7!5=zr ...
i 1 a
Signature Printed Name
I My Commission expires 0/ ZC, zio(8 -it-7 ga 1 - gg I3
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 cirrny 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 . 1
ISignature of Candidate
Signature ' I
1 ,
Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Danielle H. Betz, Notary Public
Fairview Twp., York County
My Commission Expires Sept. 26, 2018
MEMB R,PENNSYLVANIA ASSOCIATION OF NOTARIES