HomeMy WebLinkAboutGeistwhite, Barbara - 2019 2nd Friday Pre-Primary Commonwealth of Pennsylvania 3
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
Na FilinCommittee, Candidate or Lobbyist:
Street rAddres
iaLl
t`g crr-1el' 1. 1x1 V e
City:( `* � Sta Zip 1 FldO(5 - ?T--15
5
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2• / 30 DAY 3
✓ AMENDMENT YES NO}
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY, 6• TERMINATION
PRE-ELECTION PRE-ELECTION POST ELECTION . REPORT? YES NO
(place X to ,
the right of ANNUAL. 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE ` PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
. Number Code Code Code
C MO. DAY YEAR
C — % Vec k - 5 , 2�C�
" 1 (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO: DAY YEAR MO. DAY. YEAR
Summary of Receipts C7 ry
and Expenditures from: 10. 4- (9 To aOlc c
A. Amount Brought Forward From Last Report $ —• O — CU xi.
Eli
B. Total Monetary Contributions and Receipts (From Schedule. I) $ �—b r- s' W
A t.
C. Total Funds Available (Sum of Lines A and B) $
D. Total Expenditures (From Schedule III) $ , 4 9 g o
4-
E. Ending Cash Balance (Subtract Line 0 from Line C) $ ..____c7, ..,—. z
F. Value of In—Kind Contributions Received (From Schedule II) $ Q
G. Unpaid Debts and Obligations (From Schedule IV) $ --- 6 -- `
AFFIDAVIT SECTION
PART I — 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 or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sworn-/ /to.and subscribed b fore methis
- /(TJ"L day of pH ` PO /9aarbla4-a) LS
��,J Commonwealthhoof P=nn.sylvania-Noitta% ell Signature f P son Submittin Replort
Lam'1( G fit MEGACufnCr ad p P wr/ (G `�rG> it tC
signll driunission Expir -Jan 14,2023 rinted Name
My commission expires Commission Number 1260066 1l I •T ,�l-
AS � 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 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
day of 20
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99) f
SCHEDULE II PAGE 01.. OF 3
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name Filing Committee or Candidate Reporting
1�Period �f
6�.Y-te l - From _4(2-( l9 To -1r!p 1 9
1. UNITEMIZED.IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) I $ ‘5. 2-s-
2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F)
TOTAL for the Reporting Period (2) I $ .
3. ,1N-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G)
• TOTAL for the Reporting Period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1 , 2, $ t S'S'
and 3; also enter on Page 1, Report Cover Page, Item F.)
DSEB-502 (7-99)
PAGE 3 OF 3
SCHEDULE III
STATEMENT OF EXPENDITURES
Name f Filing Committee or Candidate Reporting Peri d
14e From I To ______
To Whrn Paid a0:„,,. , .,ri.,y . ..iy6E,Aci-",:, ;nouj
rex (Do.uer5aCA e5 .3.
MaiirgAddress
r_ Description of Expendiare
•
LCX-9-14er SIZ 1 ard. .(51--)5
1City S ate 707;(Plus 4)
s
To Whom Paid MO DAY ,7',YEAR YjAmount
Mailing $
Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid YEAR Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid YtAFI:, 1Amount
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ‘,YEAW1Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO: PAY Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid YEAR Amount
Mailing $
Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid no; ;11 Amount
$
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. $ *gg
DSEB-502 (7-99)