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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer identification . �I- Report Filed By Candidate Committee \/ . Lobbyist
Number 96.2_`1I O (Mark X) /X`
Name of Filing Committee,Candidate or
Lobbyist C_(i I J3Y5 ripx_ Mil SCS
Street Address
f 05 S}ill LI Y
City State �� Zip Code l , SO
PAC L.1-{631 CS gue_L,
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd friday 3-30 Day Post 4 6h Tuesday 5 2nd Friday 6-30 Day Post 7-Annual Special 2"O Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election ( Pre-Election Post-Election
.LJ
Date Of Election Year Amendment Termination
(MM/DD/YYYY) ZJ)(4.3 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
rl II ZDIS /.2_1i kr,IS .
A.Amount Brought Forward From Last Report $ C) V�
B.Total Monetary Contributions and Receipts $ ao
(From Schedule I) Z7'�o .3ci rn 3"` ci)
C.Total Funds Available $ r^ 1
(Sum of Lines A and B) 611(-lZ )::. .p-
D.Total Expenditures $ CD
(From Schedule Ill) TOL{, 7Z C) 3
E.Ending Cash Balance $ (s 0 W
/ p C
(Subtract Line D from Line C) g Ir�C7 7, .Fr
F.Value of In-Kind Contributions Received $
(From Schedule II) -$'
G.Unpaid Debts and Obligations $ .--e"
I (From Schedule IV)
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.es ,,f my riowledge.n. b-lief :,correct and complete.
Sw 74o and subscri.ed before me this
4
? • �;�t,;d / *ri►j11i,A -
day of• �. u�` 20 �;,,,1 ��'•–
0i /SYLVAN
Sign.tur-of Person.ub' 'ting report
Signa v r/ '1 V"1' ` IF'ir Printed Name
NOTARIAL SEAL l f y
My Commission expires MEGAN E ORRIS 1 n �'l L b- /lO('1
DA$lotary flublIc Area Code Daytime Telephone Number
r/Rpq)LISLE BORO,1CUMBERLAND COUNTY
Part II-If this is a repor of a hslida�e'ia/ttilli r1E*tdfjih#NieOlYndida e shall sign here.
I swear(or affirm)that to the best of my knowle ge an betel anis p!ltftlt'al committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended.
Sw r to and subscribed before me this 0
day ofOJ 20 ! /
_
" , Si: : e o C. didate
Signature / Printed Name
COMMONWEALTH OF PENNSYLY IA p 4
My Commission expires NOTARIAL SEAL -7C, —)O b 3_;3
0. DAY MEBIIN E ORRIS Area Code Daytime Telephone Number
Notary Public
CARLISLE BORO,CUMBERLAND COUNTY
My Commission Expires Jan 14,2019 ,
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
I Filer identification Number I
L1°--Zy-7103Vy I
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I
Total for the reporting period (1) $ 92— SC
2.Contributions of$50.01 to $250.00(FromI
I
Part A and Part 8)
Contributions Received from Political Committees(Part A) $
f0.
All Other Contributions(Part B) $
X00, Q9
Total for the reporting period (2) $
/00. 00
13.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $ _fel^
Total for the reporting period (3) $
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 'q( 3c
Cover Page,Item B) "1 > r
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer identification till-7—(4-7(e3gq I
Full Name of Contributor Date[MM/DD/YYYYJ $
—1-00N14-5 I t H2a,s 100.0
House# Street Address .Date(MM/DD/YYYY) $
City `n 0I State 1 riA i Zip Code n�13 Date[MM/DD/YYYY] $
s LE_full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYY] $
City State ; Zip Code Date IMM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYYJ $
City State: Zip Code Date[MM/DD/YYYYJ $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date(MNI/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MVIM/DD/YYYY]
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State. Zip Code Date[MM/DDJYYYY] $
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.
Filer Identification Number:
I
Full Name
House# 1 Street Address 02-704 'VI ST
City State Zip Date[MM/DD/YYYY] $
04/2, 'SQL PA Code 1-7/0 12.111(19 3
Receipt Description
1017.---0- 7 CO AC(COan i Ill2uGa1arr L(FA,C
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/DDJYYYY] $
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
Filer Identification Number:
do Z:7 to (4 I
To Whom PaidDate[MM/DD/YYYY] $
C - ,_ 30) c)II7ZI20gg 2:51.CP
House# I T.
Street Address v�-e S Description of
p Expenditure
Zip
city. 64Z(-1 SLE_ State Code 17J 1AjblIAle M( 4-(4JJ. T
To Whom Paid Date[MM/DDJYYYY] $
61 WE t
�� Inlza)i k4 '11
House# Street Address Description of Expenditure
Z°SS SE0 'I* 5,k4/40 leAziy.3. ST.
City StatenA Code C `1� Cox
`+'�� � V' ��l� Ron-d-vr blG � �d'�
(� �Jt�
To Whom Paid Date[MM/DD/YYYYj $
69I AriQ PO4) to(ojzort 43 --)S—
House
)sHouse# � Street Address J Description of Expenditure
Gty State tip
01-1-19-E- State Code P313 i = gvAtr- T 1J .
To Whom Paid Date[MINI/DO/YYYY] $
S(=1 i* lo)aIZolg 7S.bo
House# Street Address Description of Expenditure
31 \ fes-Ax--i4 57.
City State Zip
0120 5J= PA Code 1708 P (g / 5ta4Ti
To Whom Paid Date[MMJOD/YYYY] $
•House"# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
1
City State Zip
Code
To Whom Paid Date[MM/DDJYYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid • Date[MM/DO/YYVY] $
House# Street Address Description of Expenditure •
City State Zip
Code