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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee — Lobbyist
Number . (Mark X) j . _
Name of Filing Committee,Candidate or
Lobbyist V-k-c.k . • kk'Cli \tt.
. .
Street Address 2YA-2-- tA • .-z_c.4-v- sk •
CityZip Code
. C-IP,N-N'V t•-\\\X State Zip Code
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-60 Tuesday 5-2"4 Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day.
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre Election . Post Election
IX I 1 1
Date Of Election Year Amendment Termination
(MNI/DD/YYYY) b5/2417nA 2.,0 1 cl Report Report
Summary of Receipts and From Date To Date For Office Use Only . • .
Expenditures
, .
A.Amount Brought Forward From Last Report $
B.Total Monetary Contributions and Receipis $
(From Schedule I)
C.Total Funds Available $
(Sum of Unes A and B) 0
= c=1
D.Total Expenditures $ 4r=
(From Schedule Ill). i 6 /o 0
M x.. .
E.Ending Cash Balance . $
.0 —<
t—
..,.
(Subtract Line D from Line C) _
F.Value of In-Kind Contributions Received $
(From Schedule II) CD
(.) =
G.Unpaid Debts and Obligations • $ CD
.
(From Schedule IV) .15;3
Affidavit Section —I CTI
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. < c-r1
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowled,• i d eli• tryl rrect and •• plete.
. _
Sworn to and subscribed before me this
t day of ‘I.VI.1 20 i () • ./
Sig'. u , rt
,•of Perso Sub itting report
0, ,n c,c6A1AIENN?"I'LVANIAi ••-\%-‘c- k\e4s1PkgAl___
( Signature NOTARIAL EAL Printed Name
Judy M.Cadenhead,Notary Public
My Commission expires City of Harrisburg,Dauphin County c.- - c)1 ).3 •-2,(:).-i--2
MO.My Comissioraxpires June 18,2021 Area Code Daytime Telephone Number
MEMBER,PENNSYLVANIAASSOCIATION OF NOTARIES
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 ofJune 3,1937(P.L.1333,NO.320)as
amended.
Sworn to and subscribed before me this
day of 20
Signature of Candidate
. 1 .
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
e.
To Whom Paid ' r Li J.„ .. CO3„,„,..4-4-ea_.
ate[r 2, / 9 $. %6./ 6 pp��
V6
House# Street Address ) Descripti n of enditure
IV
a /-1-)1 I ) State 7/4 Code I 70 l / ( c,e, Ccernf-.-:'�"T
To Whom Paid Date[MM/DD/Y YYYl• $
pezia,(4..
E7Le14 /° 0
House# f 2 [ Street Address L ..4....c..4....cf�
ai Description of Expenditure
•City t 4' �3 State 4 ZipCode
, . ! 7 7 0i CG71i 1 KAa.,
To Whom Paid ( Date[MM/DD/YYWI $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City ' State Zip •
Code
To Whom Paid Date IMM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid .Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid •Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure.
City State Zip
Code
To Whom Paid Date.[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code