HomeMy WebLinkAboutBurt, Dwayne - 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 , 1. 2. 3.
Number: Filed By CANDIDATE x COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist: /`
!44/ J 4234f/29"
Street Address:
i/toP Scam ✓'I/v&"
City�: ,/ j3 ,e.6 State: Zip Coodde:
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY X 30 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 DISKETTE
report type) REPORT ( I CHECK ONE ,
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
�^ Number Code Code
� Code
`5i'/1—,4G Pli x-70 MO. DAY YEAR /,/D
45-Cif-0
i -�'�(/ �C�(J �f /9 (SEE INSTRUCTIONS/CFOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts M0. DAY YEAR MO. DAY YEAR
and Expenditures from: 110 / / /9 To 3019
A. Amount Brought Forward From Last Report $ -t6)" C
co
B. Total Monetary Contributions and Receipts (From Schedule I) $ .et— CO =
rn 10' 1
C. Total Funds Available (Sum of Lines A and B) $ ,. _ —
CD
D. Total Expenditures (From Schedule III) $ / 4,P- n
33.
E. Ending Cash Balance (Subtract Line D from Line C) $ -15X+- C3 M
CD
li C 03
F. Value of In-Kind Contributions Received (From Schedule II) $
G. Unpaid Debts and Obligations (From Schedule IV) $ r9- "'<
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 or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Swornto and subscribed/before me this /4
164' day of �'1j ommonwpalth of Penn5yikjnii9 al /4644 ,4
MEGAN ORRIS-Notary Public • azure of Person Submitting Report
4A '/ _`_0 _ Cumberland County Dw ,l/e- ,e3ze��_
D --�v/ . s gnat�tCommission txplres Jan 14,2023 Printed Name
no • �, /L Commission Number 1260066 7/7 !l/ _ 3/93
M commission expires '
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
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
3
DSEB-502 (7-99)
PAGE OF
. SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid MO. DAY YEAR Amount
U/5,0e" S 7 /9' $ .025-34 9e
Mailing Add ss Description of Expenditure
1p AJE �lL inel, 44WS
Cit Sta a Zip Code (Plus 4)
�
,nom /7o/3
To Whom Paid D- . �f
v/s,rr %t7 DAY YEAR Amount
f MO.p J p /2 1 $ 1., ` ''
MailingAddressesscri tion o Ex endit e
/D /4'd/er" 1l1.4- 0,4,6- 5/N-471/1? 01. 7.-
City State Zip Code (Plus 4)
gx•eh1 4 /7'1-
To Whom Paid MO. .•`DAY , YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR 1Amount
$
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,,W 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
M0. DAY YEAR.=-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. $ .7 . doZ_
DSEB-502 (7-99)