HomeMy WebLinkAboutFulham-Winston for Council - 2017 Annual Report •
Commonwealth of Pennsylvania
CAMPAIGN FINANCE REPORT PAGE 1 OF (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) •
Filer Identification
1 12. 36 (5'1 Report po .- • _
CANDIDATE.L l'.COMMITTEE 2 ..LOBBYIST
Number: Filed By:
Name of Filing Committee, Candidate or Lobbyist: .
Ft) 1 11 A VIA •- (JO Is lel 9+-011 -c-ma• c. (
Street Address:
2_ 1 i-2_ Wa i In v4.- ..4-- .
City. State: Zip Code:
-
TYPE OF ! .:6TH TUESDAY , •2ND FRIDAY':,:., • '10 DA,i, -, Y:-- :,: 3' "AMENDMENT,'', Y .::
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REPORT PRE PRIMARY • ORg7.121tINIANy.. ,' ,POST PRIMARY'
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REPORT? . E'4 NO
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6TH TUESDAY • 2ND FRIDAY, • ;10 DAY •: .:. TERMINATION
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ELECTION PRESLECTION ,,, :., pps*,ELECTIONELECTIONREPORT?pRT? .L , ,,,,„,..YENO
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(place X to • • - ...„
the right of ' ANNUAL .'' 7. YEAR 'FILING METHOD '\ PAPER DISKETTE
Dingtit:
report type) :. ''REPORT-:' .' $ 14'17 • ( ) CHECK ONE 11."'•: ‘
, , .•
, . ..
Name of Office Sought by Candidate: " DATE OF ELECTION District Office Party County
Number Code Code Code
4/10. • DAY ;. :YEAR:‘‘,
(1 7 20 17 (SEE INSTRUCTIONS FOR CODES)
., . , , '- : P(:)11-OFFICE.11SE oNor .: . ..;
-mo: DAY, ' YEAR,. .; MO.' ,i)AY': 2''..YEakit,,,. "
Summary of Receipts 110
and Expenditures from: I/ 26S 2-0 t7 To (2- 3 1 2.01 7 •
C) r4...1
A. Amount Brought Forward From Last Report $ 7-, (1 Z. . o c. c=1
B. Total Monetary Contributions and Receipts (From Schedule I) $ 0 CU c_
rn ,,,,. •
C. Total Funds Available (Sum of Lines A and B) $ (i2, 06- 7:1
J A
D. Total Expenditures (From Schedule III) $
Mr• .
E. Ending Cash Balance (Subtract Line D from Line C) $ 2-/ //.2 , a S- • c) :=
1 k c
F. Value of In-Kind Contributions Received (From Schedule II) $ ., .
....4 !,......
G. Unpaid Debts and Obligations (From Schedule IV) $ •-<• -4=
AFFIDAVIT SECTION
PART I -:.-.:If this is a;Committee report, treasurer'sign here If this it,a:candiclaWre004,.Cahtlidate, igh:,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 and subscribed before me this
31st
day of 4. JI! — 20 I S 1 '6141-4--4 Ket--4-4?-1"-&--7----
Signature of Person Submi ting Report
dO\LO 6,1 0\.W62 i..‘XE.' ;'"`. NNSYLVANIA Do in A (c ...a_u
.
SignaturcNOTARIAL SEAL Printed Name
My commission expires
LORIE GEISTWHITE
7 1 7 2.Li-.6-- 2. 6,2 S-
Nntary Puhlir
CINI:ISLE BOROWMBERLANCTOUNTY Area Code Daytime Telephone Number
PART II Ir. If-:-.this is a report of a.tandidateifs-Autiibtized;'40MMIttee, .cafld•de shall-s.ignheici::;-,- .. , , ::1'''''I'''':',. .",:j
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 9nd subscribed before me this ,
n Lreil.k. 0-'1-- day of _ f_ . IA, 20 6,..)\F±) 4i
Signature'oft Candidate
111
—5 )01';If',, .,I !t '` e•-• NNSYLVANIA DXL fa(KiVtir 0 &kilA /
wgmmitTARIAL SEAL
Printed Name
My commission expire -,."- ., LORIE GEISTWHITE
'11-) zsrltiv
I
MO. NOtatgeMbliC YR. Area Code Daytime Telephone Number
---$.1 1111„ 111111/1/
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My Commission Exones Feb 14.2021 -i
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
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