HomeMy WebLinkAboutMiller, Jake - 2019 2nd Friday Pre-Primary 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 ► t. 2. 3.
Number: Filed By: CANDIDATE COMMITTEE LOBBYIST
Name of Fying�Cnommitttee, Candidate or Lobbyist:
_
v/a-lT Mi ((.2.w'
Street Address:
_ 5.)1{.
CavvVe6aJY
City: C j,� State: Zip Code: -
awtP (/,�1�,
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY30 DAY 3• AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4• 2ND FRIDAY 5• 30 DAY 6• 'TERMINATION YES NO
(place X to PRE-ELECTION PRE-ELECTION. POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD lib, PAPER DISKETTE
report type) REPORT ( ) CHECK ONE X
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
�,, �^ Number Code Code Code
6.4)11 �Ql IQ 0-.A.,1 of lILAS tk,,\e MO. DAIY �J/Y�EA/RC/ t
` ~J 5 2l 20 ` ! (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR. MO. DAY YEAR
and Expenditures from: ► DI 01 coli To 0 S 0(P X01 I
C7 r...3
Cc=:'A. Amount Brought Forward From Last Report $ D r' 0
03 3E
B. Total Monetary Contributions and Receipts (From Schedule I) $ 6 r 0o
C. Total Funds Available (Sum of Lines A and B) $ t D ) ,�
D. Total Expenditures (From Schedule III) $ (ji 5114i 0!9 C> -72
E. Ending Cash Balance (Subtract Line D from Line C) $ V r D O 0 c,)
F. Value of In-Kind Contributions Received (From Schedule II) $ Q • D b � 6-:-.3
G. Unpaid Debts and Obligations (From Schedule IV) $ D s D a
/ 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 before me this Q
/1• day of Mal 20 / / j(062S1-
ommonwealth of Pennsylvania•Notary eal Signature of Person Submitting Report
,/ MEGAN ORRIS-Notary Public ! Q I l? A ,}//�
-��i� rumhorland�nOnLy `J a t` pri (u
/ ignai4Eommission Expires Jan 14,2023 rioted Name
�� `? Commission Number 1260066 r - a
My commissio�ex ares 039
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 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
t
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
PAGE OF
SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing C mmittee or Candidate Reporting Period
da-4 �/CAE- From 111111/1/2.04 To D S/oo j(?
To Whom Paid tMO DAYM ' YEAR'- clip Jti/762/ JArnoUfl
$ 50 o - o v
Mailing Address Description of Expenditure
o-p.in etc co vurl f
City State Zip Code (Plus 4)
To Whom Paid
�."��1110 -� DA'Y.dYEpAR���� Amount � �
PUA. 9 A d E.rf labs .2 ,S 117 $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4) c..7)
To Whom ::::;,MO.•. .ny DAYt,. YEAR:.=' AmOUnt
MALAA . I 64�,.S 3 g 11 lj
66 - o
Mailing Address I Description of Expenditure
111/
City State Zip-Code (Plus 4)
To Whom Paid =MO ` DAY":;• YEARi Amount 41
11k/�rvta- -s 3 a� 1, ,o
Mailing Address Description of Expenditure
1 * —Pin
City State Zip Code (Plus 4) { M�
To Whom Paid
:::MO_w - 4::1A-Y,<' YEARlAmount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid
;"s'MO DAYS YEAR' Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid
.1,i).40::".:: )Av.'; Y£ARA Amount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid 4fy0 ; DAYt•= yEA,R,1 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. $ 6.D , b 7
DSEB-502 (7-99)