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HomeMy WebLinkAboutSimpson, Jack - 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 ► CANDIDATE 1COMMITTEE 2. LOBBYIST 3 Number: Filed By Name of Filing Commite, Candidate or Lobbyist: `i Na- 5`1 I U JJ Street Address: 236 q-W-e , \,e�. Um...( City: / Sta e: Zip Code: cam$ i• ,l r VA 1 )v I ! - TYPE OF 6TH TUESDAY 1. '2ND FRIDAY 2 `• 30 DAY 3. I 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 report type) REPORT ( ) CHECK ONE , PAPER DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Number Code Code Code MO. DAY YEAR \''\\' 406k\P (o/i1A s1,(U,-‹ C S Ol t;IWS (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY Summary of Receipts MO. DAY YEAR , MO. DAY. YEAR �� and Expenditures from: No, akp 1`6 To ; .7 ab IU A. Amount Brought Forward From Last Report $ O . cso B. Total Monetary Contributions and Receipts (From Schedule I) $ a Sc., '°t' C. Total Funds Available (Sum of Lines A and B) $ 50 ___ ca (� -5- .c D. Total Expenditures (From Schedule III) $ \� .2 M am ^ 1-11 1"' E. Ending Cash Balance (Subtract Line D from Line C) $ I S,1 e 7( rte-" i D,' . F. Value of In—Kind Contributions Received (From Schedule II) $ != C3 — G. Unpaid Debts and Obligations (From Schedule IV) $ g 0n i `j • AFFIDAVIT SECTION PART I — If this is a Committee report, treasurer sign here. If this is a Candidate report candidate sign dre. ' 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 0 1 4-7`IY/V` day ofilta...4.1.- 20 19 } 11 ' •� \\,,,,,y_ (�(�V gnat a of Person Submitting Report C� CommenMEG th d Pentny ary •Notary S.al V J�t`1� I MEGAN ORRIS-Nat Public noSignatveCounty �•-•� Printed Name V Cumberland My Commission Expires Jan 14,2023 My commis r ptr « Commission Number 1260066 / 6 g'— SLMO. DAY YR. Area Code Daytime Telephone Number PART II — If this is a report of a Candidate's Authorized Committee, candidate shall sign here. 49 I swear for 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 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) YJ SCHEDULE I PAGE 2 OF • CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period / jae)e-- •S( lik.PS6'ci From 0la0/-1 To 5/ 'q 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) I $ 2. CONTRIBUTIONS $50.01. TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ ,g0 - All Other Contributions (Part B) $ -- TOTAL for the Reporting Period (2) $ ?5O - 019 3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D) , Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ 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 $ , .5-.•0 . Ott Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report Cover Page, Item B.) DSEB-502 (7-99) PAGE OF p SCHEDULE Ill STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate • JAReporting Period Jae-14- From a/.&//.9 To y/6/ /a To Whom Paid � 1Ay:. /E !Am ount A, . eS l00 1 $ t 2 MO.Mailing Address Description of Expenditure !I ql 5 3 Li Sit- S: vAg- City S to Zi Code (Plus 4) C ' I� \iI I A 17© , — To Whom Paid Mo. DAY YEAR IAmount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR,:: Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) ' To Whom Paid MO. 'DAY YEAR" !Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR... Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO:.,. DAY YEAR- Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY. YEAR.'^I Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid :!;MO. DAY `, YEAR 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. $ DSEB-502 (7-99) PAGE OF PART A CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Comittee or Candidate Reporting ,e/iod Gj J SI' S� From 'Al/����1 To S 6 I 19 DATE AMOUNT ' Full Namepflin x king CoA ""1V1.0 ' ;aasDAY /EAR=° e.1 /�J;J` /y1 teL LI 4`Li el $ g5:0 ' Maili j dress �iolQ AJ/'' •• I St,(,( �e I $ `ldr ss\// Y I :MO.>,,. :,'''DAY'",• ,,YEAR: City l� +� PA- �� State Zip (Plus 4) Mo =DAY YEAR. '' $ Full Name of Contributin Committee °s�PMO. DAY1. YEA1V,'.6: MailingAd- ` $ `::-MO.^ nc DAY''"2 YEAR:a!;;i $ • City, State Zip Code (Plus 4) ;;'MO DAY- -'CiYEATC-''. $ Full Name of Contributing Committee AVID.` DAY';. 7:YEARs s $ Mailing Address :Mq DAYA', YEAR.:: $ City State Zip Code (Plus 4) MO.-' z.:,t,',,DAY-nn,YEARN• $ Full Name of Contributing Committee MO. DAY.,K .YEAR. ' $ ' Mailing Address �`eMO4''4'r :•DAY, .YEAR $ City State Zip Code (Plus 4) ,MD. ,ISA ..e? :.YEAR $ Full Name of Contributing Committee '''%M0,"",`: DAY'4 YEAR $ Mailing Address 'MO'" '' ,DAY,< , aYEAR"t $ City State Zip Code (Plus 4) 'MO ':.$DAY :„ YEAR,x= $ Full Name of Contributing Committee seMO DAY=; ` ,YEAR 0:%; $ Mailing Address ).'Mo ''ik DAY* YEAR",^:' $ City State Zip Code (Plus 4) ;`Mo. - •`?vDAY`-_raYEARei _ $ Full Name of Contributing Committee ,.:MO. . 'DAY:- :YEAR-,M- $ Mailing Address ;.:Mo 3.s"- DAYS•';: „'YEAR `. $ City State Zip Code (Plus 4) `MO f.DAY=S i. YEAR''.3 _ $ Full Name of Contributing Committee M(1: ' •. QDAY =YEAR._ $ Mailing Address 1MO r-DAY !' YEAR..»" $ City State Zip Code (Plus 4) ;MO.'pv. DAY'<• ':YEAR.',,:: _ $ PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 1:96-6 • 00 ' DSEB-502 (7-99)