HomeMy WebLinkAboutCapozzi, Shelly - 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.I/ 2. 3.
Number: Filed By: CANDIDATE COMMITTEE LOBBYIST
Name of Filing Committee, andidate or Lobbyist:
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Street Addres •
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City: State: Zip Code:
�J�ISle PA-- [2oIS (�/� I1a)S -
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TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2.
`j 30 DAY 3' AMENDMENT
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? YES NO
8TH TUESDAY 4' 2ND FRIDAY 5• 30 DAY S• 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
•.So Ali .- Cid�2-I^N�G \ShI p C�srNumber Code Code Code
MO. DAY' YEAR
5 0-1 Z.-6 1 q (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR .. MO. DAY , YEAR
Summary of Receiptspoo. � / 2017 To S Za)
and Expenditures from••
A. Amount Brought Forward From Last Report $ 0 C)
B. Total Monetary Contributions and Receipts (From Schedule I) $ 0 CO =
11-1
C. Total Funds Available (Sum of Lines A and B) $ O 7,0 –<
r—
D. Total Expenditures (From Schedule III) $ / gsl' we
6 0
E. Ending Cash Balance (Subtract Line D from Line C) $ O C) =
O
F. Value of In–Kind Contributions Received (From Schedule II) $ 0 . O
CA
G. Unpaid Debts and Obligations (From Schedule IV) $ O -•G 471
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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_ nd subscribed before me this J
/D day of /V l / Cammonwealth of P- ' �P'.-ND. ry Seal �J�1 p 4 I r n "pi
V MEGAN ORRIS-Notary Public ligneturre of era!on Submitting Report
C-4l/j Cumberland County Q e i it L - l A o,_---z:,_---z:Signature My CDmmisston Expires Jan 14, , 3 Nam
anted
�f v��n
LAL Commission Number 126006; Oe
My-commission p es -1 17 11 g_7 ,C) Co
MO. - DAY YR. Area Code Daytime Telephone Number
PART Il — 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)
PAGE OF
. . SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
c5k-ei LI ( c
Co From 14419 To cS)&)/7
Tooiptit1 Paid r) ',,.'404,,, 't,)!:DAY''..', YEARlAmount
S Vo.a+ Ak-QT Lie..- s —2 ZAN $ 6 Li 7 , 6/,
Mailing Address Description of Expenditure
0 Fa E4- Ash _s4i,e4. pcm_,L,1 ma;led ; Ma:, i iriepilio/SN-((
City State Zip Code (Plus 4)
CAri Cck P P . i -7 c-. 1 3 rA —
ToWhomPaidLMCI.,'j. ..•.'•;DAY' ;:•YEAR'LTIolrit
`
•- i'R-Y1 _,C CV) --kkSt-- CJA-0-12T I c ,.1 _Z,tii? (0 • Y O
Mai I intf Address Description of Expenditure
iff5R.51" 3-b, vao,,,) rrl-vs-k,, (3(4', --e ) O ' //11 , f yard di
C State Zip Code (Plus 4)
City
1-51
- To Whom Paid 1,' MO , 2)Aj,6 *EAR-1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid * MO. ''!::1'!!.'.:.DAY; ', 'YEAR.:?,I Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ..'.:WV' MDAY.,:' Y,E'AFC1 Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ,i,iitY10: :-;: ; DAYi,• YEAR,,jAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ''',X0:- , -,.. 0'AY,...,':.:,'YEAR''-' 1Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 7:1MO. ' '::'.,;DAr' ::YEAR.;1Amount
$
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. $ igc5Y. 6b
DSEB-502 (7-99)