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HomeMy WebLinkAboutFriends of Jake Miller - 2019 2nd Friday Pre-Primary ill III 1 Reset FormPrint Form ',I Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Jake Miller Street Address 3819 Hearthstone Rd City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4 6th Tuesday 5-td Friday 6-30 Day Post 7-Annual Special 2n°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DDfYYYY) 05/21/2019 2019 Report X Report 'Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2019 05/06/2019 A.Amount Brought Forward From Last Report $ 0 ry C o B.Total Monetary Contributions and Receipts $ (From Schedule I) 5,995 c._ C.Total Funds Available $ = (Sum of Lines A and B) 5,995 A GJ D.Total Expenditures $ = (From Schedule Ill) z,38a.o7 © -0 E.Ending Cash Balance $ 3,610.93 Q (Subtract Line D from Line C) • .) F.Value of In-Kind Contributions Received $ --I C,) (From Schedule II) 500 CO G.Unpaid Debts and Obligations $ (From Schedule IV) 654.04 — 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 best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this /34 day of 20 /q reporte — r Y`�J/y monwealth of -Nat -Nadry SealI,i1to • r.. I g ,(JS'' r ► /j Signature ORRIS-Nd Publk P Printed Name Cumberland my s ' 1�yyommission Expires Jan 14,2023 -71- 5/ V g/a./J My Commission expires , (Jpf- "mission Number 1260066 r MO. DA 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. Sworn7to and subscribed before me this Q �3 day of f•-I 20 • `�,�,� G — (5G14‹-jSaigcncabire0aire sic _ <Pr' Signature Commonwealth of Pennsyljnia-Ndary Seal Printed Name ,70 GAN ORRIS-Rotary Public %-i-I I My Commission expires r Cumberland County l ifS I -63 [ L • Daytime Telephone DAY YR12 Commission Number600[,6 Commission Expires Jan 14,2023 Area Code Da iTele hone Number PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number. I Full Name of Contributor Date[MM/DD/YYYYJ $ Jake Miller 500 02/11/2019 • House# Street Address Date[MM/DD/YYYY] $ 3824 Carriage House Drive City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Cumberland Valley School District Occupation Teacher Employer Mailing Address/ Principal Place of Business 6746 Carlisle Pike Mechanicsburg,PA 17050 • Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ • Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date jMM/DD/YYYY] $ City State Tip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date jMM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Commonwealth of Pennsylvania PAGE 1 OF I i 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 ( 1. 3. Filed By► D . ,33113,3311 �S�S Report ► CANDIDATE COMMITTEE / LOBBYIST. Number: Name of Filing Committee, Candidate or Lobbyist: Street Address: �{'/i City: State: Zip Code: l� — TA- j l 611 - `/ TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES . NO IX REPORT PRE-PRIMARY PRE-PRIMARY X 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 X DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County 6-44A--400-e- &ut i U Number Code Code Code `��_1/ �,Q� MO. DAY YEARnaril )-- 1 05 r 1 RI 1 , (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY MO. .DAY YEAR MO. DAY YEAR Summary of Receipts c and Expenditures from: Di 01 „2019 To 05 b 6? A/9 -wP- :� A. Amount Brought Forward From Last Report $ 6 , 00 r i -<' r- B. Total Monetary Contributions and Receipts (From Schedule I) $5 I7 i 6 r a O C. Total Funds Available (Sum of Lines A and B) $ 5 id-9 se 0 0 C7 C•) S D. Total Expenditures (From Schedule III) $ r2 , r't7 C ce y E. Ending Cash Balance (Subtract Line D from Line C) $ 3 110 ( c 3 ---1r • 1 F. Value of In-Kind Contributions Received (From Schedule II) $ 50 15 r 0 0 . G. Unpaid Debts and Obligations (From Schedule IV) $ CR ✓*, Di/ • 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. Sworr,to and subscribed before me this 7 day of e ,...... vaa Seal Aar/ . . ' I MEGAN ORRIS-Notary Public � Sig ure of Person Submitting Report Cumberland County Or,- it.s S/it 3itai'v.SGLQr Si, atur*Commission Expires Jan 14,2023 Printed Name D[,(,d 6 c... Commission Number 1260066 1-7 /i/ _ DI my commis nrexpires l T MO. DAY YR. Area Code Daytime Telephone Number PART II - Ifthis is a report of a Candidate's Authorized Committee, candidate shall signhere. 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 Si , day of 7n/� Com onwealth of Pennsylvania-Notary Seal Signature/pfJC iidattee EGANORRIS.NotaryPublic ( �QCO� R. V-t�l("�/ Cumberiand Couudy V ......M.v Si n ure. Printed Name j/jv fG My commission Expires Jan 14,2023 / �.� My commiss' i expires Commission Number 1260066 7l lc mu. SA 1 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 G.-) DSEB-502 (7-99) SCHEDULE I PAGE 2 OF 3 CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name ofFiling Committee or Candidate1 ) Reporting Period yrtz„,is , ��LWQ. 1L21 l/ From 0//61/2-0/ To 65/64/?-0/1 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) I $ 595 5 , 0 d 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ (6 ` o 0 All Other Contributions (Part B) $ 029 00 e Q O TOTAL for the Reporting Period (2) $C 9 Ooo ( 0 0 3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D) • Contributions Received from Political Committees (Part C) $ /j l Q 0 All Other Contributions (Part D) $ t (9e)UD r 0 0 TOTAL for the Reporting Period (3) $g,6000 , b 0 4. .OTHER RECEIPTS REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period (4) $ Oe " i TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ 64pc16, o0 Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report Cover Page, Item B.) DSEB-502 (7-99) PART B PAGE OF , . ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) 1 Name of Filing Committee or Can date t y1.61.itS. / a.A /i-it/Li-r--- Reporting Period . From Odeib-Oiff To 05/64201? DATE AMOUNT Full Name of e Contributor .''' .DAY" ' ;-,YEAR AI tchix.ei 0-42 e-e- ,2 ( i I ? $ )64 , 00 , Mailing Address ,k,4.0(0.''''• -:"'DAY'•;• YEAR2.!4. / /.2jAnin;ri- Phicti $ City State Zip Code (Plus 4) ,'"•.'"IVIO.te,. ..•:DAY.:',q...`,YEAR,:g AAA Att il lc CS 10 litit3 _Ph- 1-7 P 5 0 - $ . Avicf., .4.;:c.i,DAYYEAR Full:VE,e.pf Contributori ,c...../71_ '---1 110 6111, ,) Q a 1 /9 $ /00 , 00 Mailing Address ,...,P110:4": '>,<DAy,..-,;':YEARtt $ C 56 IA-4k 714 e rloi&e • ,c1rse-eCity State Zip Code (Plus 4) '.;,••:UM01`..,'..'!' .' "DAY-";''• ",`YEAR:.,:". 7)_,Ct r 1/s te Ti' 1-7 0/3 _ $ Full ame of Contlibu...u.A. ;.MO.,.,,;', .:DAY.: .",:YEAR Vrh cLI a ' .v156 1^10 r 3 Co /7 $ Mailing Address r';'MO.::!•4,'.•DAY:''' ."'YEARJ!:. (0 6 O Ph 1 Il $ be Ttrt 0e, City • ' State - Zip Code (Plus 4) • M"O"';•.* ' ",,)Ay„ ,•.',..-yEAR„ ,. ,Ah ) ettIAJ212-0461 17o70 — $ Full Tne of Contributor ,t4410-..: ,:: ..,DAt!".'YEAR.,:., 3 7 'il $ /00v ° 0 Ma, ing ,:5 MO.:, .1",ADAY S.,,Z•.-"NEAR ilkg 5 rlis 6,1 of-M. " otus-hut-Q t3/v& 5le ?-S" $ City State Zip Code (Plus 4) '-.4 MCE.'",,, . DAY-•," :YEAR ictivilk 6A 30311 - $ Full if.Contribrir;e1 ,AWL':' .,;.'"DAY:.:, 3 IS // $ /00 ,0 0 Mai ing Adchig f!..Y !'JMO.i.gl- 'DAY.'" ",-:YEAR . $ it 6 5 011A5 Cret./C., 7)4/11 City State Zip Code (Plus 4) PACl.... 5-YDAY'',r,' • YEW:: itli4CibIan cs b tAAJN 111- 1,--70 5o - $ ti. FullsIzime of Contributor MO ,. DAY ' '.. YEAR 2 arts A k.rri..11 ce. 3 17 11 .. ioo , oo Mai ing Address " DAY'"••• YEAR C $ 6 /444.Aolts+ 1.0.,,Di City .ji. 4450o.„!(\ cFi - i State 1Zip Code (Plus 4) - ,finci.: '-dYEAR AY -, .4.. :••• $ Full Name of Contributor ..:'..M0., ,,-..DAY.;•,.• . YEAR..'. 5019" Fiii n 4 1s Ii $ ---/ ", 0 0. Mai ling Address ' ',M21.,:f:: DAY YEAR 102 rila-ACrix-S 1.'r kV.-C- $ City I State Zip Code (Plus 4) -1''!MD..;,.1:-.: DAY '' -YEAR. Atctuzn 1(c5bLAA--\ WA 1-7050 - $ Full Nne of Contributor 0' :.,DAY. YEAR ‘ s---'' ,,' I.M ..7`::,•;," , ..., fiT, 1 $ 100 0 0 Mai ing Address I Iii0.,..,;:' '''DAY,,,'.f ',.,,YEAR':,,, 3c2L1f; Leivd_461, ' nye_ $ City i ._ State Zip Code (Plus 4) .•?:,,M0;.;, , DAY YEAR Sh ipe rAGI il<—"Irr\r)\ "PA- OM - $ PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 77 5-e° 00 DSEB•‘502 (7-99) 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. (Exdude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date[M M IDDIYYYY] $ a/fel ilernri-cYn S ��OY-Ior1 ,06/00 House# Street Address ' Date [M M IDDIYYYY] $ iltr2.2 _ Jrra & Pn e City State .P/1" Zip Code / 90, Date [M M!DD!YYYY] $ Ori l a' Full Name of Contributor --� Date [M M IDDIYYYY] $ ./671,n a: 7 C 69)0/420), 100,6 a House# Street Address Date [M M IDDIYYYY] $ ill 6sf Cc* S City "...airts4n9( State *Th Zip Code )(i„;.,3, Date [M M IDDIYYYY] $ Full Name of Contributor Date [M M IDDIYYYY] $ d'-e---Tre-j-Da o Is D 4-1 /9 ?00 .C)t House# Date M M IDDIYYYY $ Street Address I ] d al a � ,e n14jJ7 City ` State Zip Code Date[M M IDDIYYYY]_ $IODYYLS 1)lht-e) TA Or IS 12 Full Name of Contributor ,� Date[M M IDDIYYYY] $ /qua-4 sta., botiId., 9 t)-06 i°0 House# il-to Street Address e 22 � S�� Date[M M IDDIYYYY] $ City State Zip Code Date[M M IDDIYYYY] $ ill us-k-, --n< 770 67 Full Name of Contributor Date[M M IDDIYYYY] $ )6-!9 /A2cC4 )2-Ae- iI, a /iibo19 /06<00 House# Street Address . Date[M M IDDIYYYY] $ 023b5 - 14-(1,Il Ate( City State Zip Code Date[M M/DD/YYYY] $ 1"t ee karri cs b `f ,4- 11655 Full Name of Contributor Date [M M IDDIYYYY] $ /6/ /5"5-Y1cif/ia /As pi ;06 ,bZ House# Street Address Date[M M IDDIYYYY] $ City ,,,-)qd,C1 L6 , 1"/D IA Siprivt State Zip Code Date[M M IDDIYYYY] $ 1 A`11 1'A ) 1611 9 potOo 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.) I Filer Identification Number: I Full Name of Contributor Date[M M IDDIYYYY] $ (1:A.547Cf:/•-• 6n5r5->-, s Elia la-6j 9 /D&ob House# Street Address Date [M M IDD/YYYY] $ 0202(11 Airt M6Lt4z - fire. City State Zip Code Date [M M IDDIYYYY] $ MIDI a ir 1-6k Full Name of Contributor Date[M M IDDIYYYY] $ 6Y1, 42j, t_[ ogliaf aog 166/ d b House# Street Ad ress Date[M M IDDIYYYY] $ 7O 1 a /1s fi-i1/4-e — City State Zip Code Date[M M IDDIYYYY] $ A-e- sb PA 173r2 Full Name of Co tributor Date [M M/DDIYYYY] $ House# �� " o( HI 13 kepi ,R50, o0 iii Street Address �1/147/15)7 i "�7� Date [M M/DD/YYYY] $ J 7.�n rsf7 0 r !/,i v4- City State Zip Code Date[M M/DDIYYYY] $ Ate,A amcs b -PA r70 SO Full Name of Contributor Date [M M IDD/YYYY] _ $ 5 i ,n 1J -, f- o4- l6i ii likl,0 House# 'Street Addre c Date lm M IDDIYYYY] $ PO 1 E:re.e.J Vt5-fa-c—kAt City State Zip Code Date[M M IDDIYYYY] $ A('4 ti,A..b-0- .d; PA 1-761b Full Name of Contributor Date [M M/DDIYYYY] $ )161/1.1( 4c& 69i- lg13-oil 1T)D< OD House# Street Address Date [M M IDIYYYY] $ CPSY A6 rkAP-12)-01c c-Dri tre- _ City ,�, State Zip Code Date [M M!DDIYYYY] $ Full Name of Contributor Date [M M IDDIYYYY] $ C i era-I &ctro� o .-1,Q 1 ) 6 eVI) Y] House# Street Address C Date [M M/DDIYYY $ _ 52:3 . /ACIA.G1 ekket cPrtkPC, City State Zip Code Date[M M IDDIYYYY] $ 'LW- 5 ?A ) 7i515 00, 06 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.) IFiler Identification Number: Full Name of Contributor / Date[M M IDDIYYYY] $ V,r_' giiiict4_, 64/ef1.16,9 60 /OD House# Street Address Date[MMI DIYYYY] $ gr o --Dr i Vr- City State Zip Code I� Date [M M IDDIYYYY] $ p ���� 1, Full Name of Contri for Date [M M IDDIYYYYI $ C...6 / n c r9.a6N 0 V/30 ASO 25,0D House# Date M M 1DDIYYY $ Street Address [ Yl 1 Sii,"&.a.i? ite-� CitySe Zip Code Date [M M IDDIYYYY] $ 1'1443 Full Name of Contributor k Date [M M IDDIYYYY] $'-----DiAltd () 0 Wry) 5 65/o/ icwi 9 i O 0 House# Street Address Date[M M IDDIYYYY] $ )01-0 9 AUS e,-1- /-90-e- City State Zip Code Date[M M IDDIYYYY] $ Atdarl IT bW5 TA' i/D 9) Full Name of Contributor Date[M M IDDIYYYY] $ House# Street Address Date[M M 1 DDI YYYYI $ City , State Zip Code Date [M M IDDIYYYY] $ Full Name of Contributor Date [M M IDDIYYYY] $ House# Street Address Date [M M IDDIYYYY] S City State Zip Code Date [M M IDDIYYYY] $ Full Name of Contributor Date[M M I DDI YYYYI $ House# Street Address Date[M M iDDIYYYY] $ City State Zip Code Date[M M IDDIYYYY] 11'026 PART D PAGE OF ' . ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate frl-et"-CtS OrA c_fa-'0---- /41 itFrom i re""' Reporting Pe iod 0/21 . To DATE AMOUNT Full Name of Contributor 'MO...','. DAY ' YEAR" .i. A.4 ith:Lede Sej‘ ti/aYle1 4 II 1 ? 1 COO - ° 0 Mailing Address M • 'DAY " 'YEAR‘-•* 511 rrx4,ft r,4,6 -17c-i ki,e $ City I State Zip Code (Plus 4) ,,M0'..`,,,' ;,,DAY ,'WEARF ',' nl/ter-II ..__J 4 ?lost, $ - $ E piloyer Name Occupation 0 fillN I 14 -Toi.r.-ice-c - VT Employer Mailing Addre s/Principal Place of Business Si-gr) ar,A5C-0/1-/ ' ( ,1 / L 71)111/Ve, C.)* (0 00 Eit'i., -1-N -7(y6 -7 Full N e of Contributor, MO: •,,r. 'DAY • YEAR ,-, ct oi/ I, ?on •P DOO e 0 iltar_il , Mailing Address., " MO. '-,','DAY , YEAR ' $ 9() if iiii 1 s tn1 161-Ify.41.(A.L. City State Zip Code (Plus 4) MD.,- -VAY , YEAR Atela.Ai Ls )9 iit,43 ?A- 1'7o% _ . $ Employer Name Occupation i2e-'66re—C4 Employer Mailing Address/Principal Place of Business Full Na e of Contributor „..2 'MD:',,'' '' DAY '. YEAR , Jr ( , o Vgi yi 0 a (i- xa. dt.), $ _500, 0 0 Mail ng Address ,. MD. ;-,.DAY YEAR', ii a 51fir) ., g,no $ Gre,t2 Ci y State Zip Code (Plus 4) ,,MO, 7",,DAY' 'YEAR , Car-11SL A- 0 615 - $ • Employer Name Occupation .R(2-brf—e4 Employer Mailing Address/Principal Place of Business Full Name of Contributor AVI02 ' DAY , YEAR ,•,- $ Mailing Address '- MO.—, ,DAY $ CityI ,.," .,,State Zip Code (Plus 4) •'MO , ' DAY ,, YEAR' — $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor ,,MD. •::, !.,DAY '"YEAR',.;" $ Mailing Address MC). 3DAY ' 'YEAR $ City State Zip Code (Plus 4) MO '' DAY ' "'WEAR:I.,: .._. — $ Employer Name Occupation Employer Mailing Address/Principal Place of Business PAGE, TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 0 00( Do DSEB-502 (7-99) SCHEDULE II PAGE OF 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 of Filing Committee or Candidate ` 1 u Reporting Period /� /( IQ, l` From Cl 4/ /71-0/I To 115166/�oti 1. UNITEMIZED.IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ D 2. IN-KIND CONTRIBUTIONS RECEIVED -.VALUE OF $50.01 TO $250.00 (FROM PART F) • TOTAL for the Reporting Period (2) I $ 6 • 3. .1N-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G) . TOTAL for the Reporting Period (3) $ 566, 0 0 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, $ 560 , OD and 3; also enter on Page 1, Report Cover Page, Item F.) DSEB-502 (7-99) SCHEDULE II PAGE OF - . PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate 1 6'lias l'.6 iliie-e e • Reporting Period ,q,/1c From 0 i /Nig°i 1 To 65106 lAly DATE AMOUNT Full Name of Contributor MO. : DAY ' YEAR $ 50 0 i cob giJL 664tria 2 .25 ig Mailing Address MD. . "DAY " 'YEAR $ City State Zip Code (Plus 4) MO; 'DAY - 'YEAR : &LI/:5‘,IC TA- 1-70f3 _ $ Employer of Contributor Occupation-5lia4tAl. ;Occupationali ‘'L iel.S5ei.taSie ? ' Emp oyerDescription Mailing Address/Principal Place of Business ikof Contribution ...,. . 761 6 ox 3 til,R 6 3 -3/1-it.esciP, ,t4boT0277 godrtist-e- Ttisonm, Full.Name of Contributor MO. - "DAY YEAR- $ Mailing Address MO: .:1 ,::',"''`DAY,,' 'YEAR ' $ City State Zip Code (Plus 4) " MO. ! <: DAY:.. ,YEAR _ $ Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor -MO.".'-.; -':(DAY''• YEAR $ Mailing Address MO:' `, ...DAY-., ;YEAR -' $ City State Zip Code (Plus 4) .z.MO.7 DAY, YEAR — $ Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor e'rmo:2- MAY . 'YEAR '', $ Mailing Address , MO: , , $ City State Zip Code (Plus 4) ',YEAR ' _ $ Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor . MO, . "-':DAY' YEAR' $ Mailing Address , ,MO: ?DAY' $ City State Zip Code (Plus 4) - -MO.'' DAY _ $ Employer of Contributor Occupation • Employer Mailing Address/Principal Place of Business Description of Contribution PAGE TOTAL Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed Summary Page, Section 3. $ DSEB-502 (7-00) PAGE OF , SCHEDULE III STATEMENT OF EXPENDITURES Name of FilFh.1;49(5 ng Committee or CandidateI 1/ / / // Reporting Period/ 05)612/Viet ,C� / c I GtJ Q ,U fit- From Ol/O!/R-40l` To vJ O1 af?l et To Whom PaidMsMO.1 /-44.rdp, aaI DAY YEq(AR Amount 1 / Mailing Address Dription of Expenditure �' .50 tit 11A0n iGun 1�lky -710.4.- /t) u•2 �'a .. ,$ & . C Y,� State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR Amount ' � 4. .k .IA o2 )`I' 1 i D Mailing Address Description of Expenditure 020°( S1.na-it e.uP •B'AS/AJ $ aarotS City State Zip Code (Plus 4) C I'll A- I 110 i 1 — To Vylgom id MO. DAY YEAR Amount nelf Fie Ntl ojaitC ' a ag , I $ 37w /0 Mailing Address �" Description of Expenditure ?D'1 S�*e �ryj ivCi �J I—State Zip Code (Plus 4) J ` / aL /i ll t73 I 1'7011 - To Whom Paid' MO. l DAY YEAR, Amount 6jann.c..# }�n-u 6jarl r p-yvt ' 3 7 19 p $a /. 02 a Mailing Address Description of Expenditure 209 Stn 4t-le 7 ,�o rJ T SSa� CIA`' oIG a _al5 CityIipIiip0Cil (Plus 4)/ /`G To Who Pa .MO. DAY YEAR. Amount ti b gL. "Bu- u 3 a3 9q. 5 Mailing dress Descri tion of penditure 0219 6,1iTs ,51- -5 lit s City' r // State Zip Code (Plus 4) f7arrzb A 117 l(Q.-- To Whom Paid MO. DAY YEAR Amount _ S Z r2a., ,w0 i ro fl l7 $ ' 67 Mailing Add(Das Description of Expenditure CP02 0 ( .Uf fkL f <<s � (.t tikc:J� /04., ‘(/�� \ City State Zip Code (Plus 4) V Nil 74 r70/ 1 - , To Whom Pai MO. DAY YEAR Lk Mailing Address f' < Description of Expenditure ' 74!).3vt 5i' , r.5ne 031— •-po //ax City , State Zip Code (Plus 4) 1CB h& 14- rib$- To W>iiirn Paid ite:# 1‘/^r r)-/� MO. -DAY YE4R Amount /\✓]) (Dan/ MO-eV'lr•-5 (1! r • !✓V Mai ling/�Address �p Description of Expenditure/�a zeQ City ( State Zip Code (Plus 4) Limil / it 'A 11o11 — PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ IQI, 3? DSEB-502 (7-99) SCHEDULE III Statement of Expenditures Filer IdentificationlNumber: • To Whom PaidDate[M M IDDIYYYY] $ ` • ( / rte riv 6a,r,e,614/.' 6 v-11 f-ia-ell off-) d.-7, r House# Street Address �71.re...., Description of Expenditure City 1"f r/ / State �� Code E 6D/ I iir°4 6 1A>f SAA--43 To Whom PaidDate[M M/DD/YYYY] $ uses 6i1-1d.51)-o 2/ 1 O 0 House# Street Addresse se Description of Expenditure f)k City c Z,U State Pi Co Si Ir Code 255 To Who Paid Date[M M/DD/YYYY] $ c11A i1''ZQs`� o3/a91a01/ to , oa House# �x� Street Address � ��� Description of Expenditure U ` e err Ge City State Zip hitznsb uo -TA- Code 1'7x5-7 S 1 . �m s 5en.(i. li)I)nee- To Whom-Paid- bo'N.-- -'61A--*t.e.P Date[M M IDD/YYYY] $ '' „ & P D 5f/a 3 iii I + i0-7,Ot).House.#' Street Address _- Description of Expenditure Yr all k . (fin P ' Cit -` St �1' Zi 1...faall, .: i� Code ' 1/1 6 /✓GC 5 "To Whom Paid Date[M M/DD/YYYY] $ 4e)f- 6hitt, 0-510 ci / 5, a House# Street Address Description of Expenditure City State Zip �11 Code To Whom PaidY( ( Date[M M IDD/YYYY] $Yet/VI/IV-1 o� 1116-6li Wr II ! House#. Street Address Description of Expenditure t+ City "State Zip -_ — 1 a 4 / Code To Whom Paid "' Date[M M IDDIYYYY] $ Aot& /IA4 0v1 /awiq 6 , 3F House# Street Address Description of Expenditure '— City , State Zip +Code 5 1 t ToWhom Paid. ' Date[MM/DD/YYYY] $ / Vail'-f V 04-io 7 70/-00 / ,, 6 -7 I House# Street Address Description of Expenditure City' State Zip, l Code 16611 VI ee_ 2//' 435 .59 SCHEDULE 111 Statement of Expenditures IFiler Identification Number: I To Whom Paid Date[M M/DDIYYYY] $ - ` litie, 0 /C3 A,0 q 5 0 r 5 . - House# Street Address Description of Expenditure City State Tip Code 4hei r2 To Whom Paid Date[M M IDD/YYYY] $ c 4-LC— asI0CP1-200 1490, 00 House# 5-3 Street Address Description of Expenditure City `lit Ics bW,r, State �74 Code rio Sa Y c Sly nS To Whom Paid Date[MM/DDIYYYY] $ 71-0 elm a3/ako,9 11 `7 House# Street Address Description of Expenditure City State Zip Code V '>A �vaar 11etS/ -� To Whom Paid Date[MM IDf /YYYY] $ House# 'Street Address Description of Expenditure City State Zip Code To Whom Paid Date[M M/DD/YYYY] $ House# Street Address Description of Expenditure City State lip Code To Whom Paid Date[M M 1DD/YYYY] $ House# Street Address Description of Expenditure City State Tip Code To Whom Paid Date[M M IDD/MY] $ House# Street Address Description of Expenditure City State Tip Code To Whom Paid Date[M M IDD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code PAGE OF SCHEDULE IV STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of FilingCommittee or Ca�ndid�aatte, // //,, Reporting Period o, /� V /4 /"l(` `� /_ From 0//0/ADig To 65/6411-0/ 1Name ofrYLO-;4S Credit (J Outstandin Balance of Debt �et-ki A(& 4 1 500, 0O Mailing Address DATE M© � YEAR z DEBT q� 3�a 4 �r� u 5 L �� INCURRED C7 iI Ilongligginagasseg City l State Zip Code (Plus 4) Ali -Pk J76/ i- Descrip ion of ebt QQ /, 6 P-� /�AM'G aw-f Name o�editor � ¢� 'Outstanding Balance of Debt Mailing Address (// DATE .MO DAY Y> Afi ©0 DEBT INCURRED e S ii 110111111011161111 City State Zip Code (PIus 4) iiiiiitaikaifingnangiai Description of Debt 136 CD Name of Creditor�JOutstanding Balance of Debt -d kAl_ 1 o O r OD Mailing Address DATE 1M0 .k M:':i0A8tik NYgNit.O.i'R T INC3 i !QNCURRED T 1111111111111111111111111111. City State Zip Code (Plus 4) Description fDehi 0 6 ,Ak F Name of Cr ditor Outstanding Balance of Debt allc ) h1Ce I $ ill, /' of Mailing Address DATE MO DAY YEAfR ;.` DEBT 1 INCURRED 3 t/S ` ,IMS City State Zip Code (Plus 4) N F , Descripti of Debt p��� 1 .. TeltM /1tx-�7� i — 1!M1 r Name of CreditorOutstanding Balance of Debt Mailing Address DATE IND DAY y I $ DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE MO DAY AR YE $ DEBT INCURRED • City State Zip Code (Plus 4) MENNEMOmmigmengogya Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ /0 Lj 1/-, 0 7 DSEB=502 (7-93)