HomeMy WebLinkAboutPickford for MDJ - 2017 Annual Report 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 , Report 1. 2. 3.
Number: Filed By CANDIDATE .COMMITTEE LOBBYIST
Name of Filing Committee, Can idate or Lobbyist:
1cIC1--1iC_(), 4N Or
Street Address:
/a_o D /1/17e-16&--r Sr 1 PA L3 /-�
City: State: Zip Code:
i oy11-e >, / 70 p
TYPE OF 5TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? \/
8TH TUESDAY 4. 2ND FRIDAY 5• 30 DAY 5• TERMINATION YES J� NO
(place X to PRETELECTION PRE-ELECTION POST ELECTION REPORT? '
the right of ANNUAL 7 YEAR FILING METHOD
report type) REPORT N. 77 ( ) CHECK ONE ,
PAPER DISKETTE
C9-67
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
���c
/47"73 - xfA-L pirrxICT kJ-006-E- Number Code Code Code
MO. . DAY YEAR
1/ 7 "_'"/7 (SEE INSTRUCTIONS FOR CODES)
FOR OFFICErUUSE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary of Receipts 1/
/7 To /013/ a6/7 m A
and Expenditures from:
73
A. Amount Brought Forward From Last Report $ /& e'7 6s73 r- __
-J
B. Total Monetary Contributions and Receipts (From Schedule I) $
-v
C. Total Funds Available (Sum of Lines A and B) $ / 6 8'7 13 C:► •
t�
D. Total Expenditures (From Schedule III) $ / ,/:7p 2
!�J / of - a tU
E. Ending Cash Balance (Subtract Line D from Line C) $ -< Q
F. Value of In-Kind Contributions Received (From Schedule II) $ AO
G. Unpaid Debts and Obligations (From Schedule IV) $ -13----
-13--_ Q _N
AFFIDAVIT SECTION
PART I - If this is a Committee report, treasurer sign here. If'this is a Candidate report, candidate sign here: L , y' m
I swear (or affirm) that this report, including the attached schedules, on paper or computer diskette, are to the best of my knowledge alis Lett -@L
correct and complete. O Q,`E �,
Sworn to and subscribed before me thisI x11 I<
day of ✓ /9-il 20/OF '/`` v /Y771 ,• ( <n r? c a 6
r Signature Person Submitting Report BIZ a: Y.I. cr
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N� N�� � . pax o , o� n
Signature Printed Name g 5 E U o:
My commission expires 0 2 Lc) 2 I O 2
MO. DAY YR. Area Code Daytime Telephone itdJmher z
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 Jun-- , 19�77�
(P.L. 1333, No. 320) as amended. ro
4 - C�
Sworn to and subscribed before me this -J
)- CLOrif
r/ day of J fl'" 20 / 'I r ♦ Z -i m CC
/ ' Signa rie • Can.,ate o al Z. ,
r Solt A / ,' Ar/re, _- _'E- la,
'-- (,Signature / Printed Name
m! Y FL Y V 3
My commission expires e Z Z� 2 / ?/7 (O/-S --.302?r . o. 1,
MO. DAY YR. Area Code Daytime Telephone Numbtld Z ° i,
Z �� `moi.
O L O OI
2 V mOhl,
Department of State • Bureau of Commissions, Elections and LegislationQ Te 1 z
.303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 0 E
DSEB-502 (7-99)
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid MoCT; jA; / 8.7. f-3
Mailing Address Description ofpen (.94,PL.
oloxf
City State Zip Code (Plus 4)
To Whom Paid =MD DAY; : YEAR"!Amount
Mailing Address Description of Expenditure $
City • State Zip.Code (Plus 4)
To Whom Paid
g-eMO at; :DAY•:'..: ,(YEAR';I1Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ;°'M0 . =' DAY -'"YEAR:='!Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid :;IMO.'a 51mo', §IYEAR;;"l Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid
,i4/1O DA`T�; YEAR";:!Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid "+INq ,, •DAY ' '..YEAR.1 Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid
'MtJ - ..; DAY•;;,: YEgR,lAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
DSEB-502 (7-99)
NANCY L. COX
721 Elkwood Drive
New Cumberland,PA 17070
(717)774-1812
December 13, 2017
TO BUREAU OF ELECTIONS
Cumberland County, Pennsylvania
RE: PICKFORD FOR MDJ
I,Nancy L. Cox,having loaned money to the above referenced campaign, now declare that I
forgive the Campaign any unpaid loan totals.
of.
Nancy L. Cox
SUSAN K. PICKFORD
2612 Chestnut Street
Camp Hill, PA 17011
(717)695-3294 •
December 13, 2017 •
TO BUREAU OF ELECTIONS
Cumberland County, Pennsylvania
RE: PICKFORD FOR MDJ
I, Susan K. Pickford, having loaned money to the above referenced campaign, now declare that I
forgive the Campaign any paid loan totals.
l _
,.r � .
san K. Pic I d