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HomeMy WebLinkAboutEbert, M L Skip - 2019 30-Day Post-Primary l - 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 be' COMMITTEE LOBBYIST Name of Filing Committee, Candidate or Lobbyist: M L SKIP Vat RI Street Address: ' LISauRN A0 City: C P W L` SLE State:p Zip Code: 1701( - TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2. 30 DAY 3� AMENDMENT YES NO REPORT PRE-PRIMARY PREPRIMARY 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 Q 1 S •11 C`( A Yo R i t• Number Code Code Code MO. DAY. YEAR ^�^ lOr9 (SEE INSTRUCTIONS2TIFOR CODES) FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR Summary of Receiptspo �. 7 ,ZQ`q and Expenditures from: To 41 lb 201(1 A. Amount Brought Forward From Last Report $ Q C) G _ B. Total Monetary Contributions and Receipts (From Schedule I) $ O - `a C. Total Funds Available (Sum of Lines A and B) $ D. Total Expenditures (From Schedule III) $ 17 S©O�W W d E. Ending Cash Balance (Subtract Line D from Line C) $ Off. F. Value of In—Kind Contributions Received (From Schedule II) $ O Q - G. Unpaid Debts and Obligations (From Schedule IV) $ --C CA 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 and subscribed •- is nu:,tithofPennsylvania-Notary Seal { day of I'L.Shun,Notary Publico 1 1/41" 41\ t at% 1 bcrlond County Signature of Person Sub tting Report ' •- ..41.si•n ,ovember 20,2022 {� L S Y`/� r �/{1 fi r umb-r 1338266 l f t t K. Signature Printed Name My commission expires i I .' 76 ZZ 7 t7 '2,46 G 2 f 0 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 DSEB-502 (7-99) SCHEDULE I PAGE 2 OF CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period tt M L S11.0) E 1# From 517 Et To 4 [(0111 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) I $ 0 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ TOTAL for the Reporting Period (2) $ 0 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) $ 3 4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period (4) $ 0 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ Q Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report Cover Page, Item B.) / DSEB-502 (7-99) { PAGE 3 OF 3 • SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate o C{� Reporting Period p IA 1_ SO'1 L. E RI' From .5'17 J i 1 To (416 rq To Whom Paid MO. DAY YEAR Amou Ho.inv(!t n **(tot tte0Atcan Rwic.(a.Uon 5 7 2oiq $ 00,00 Mailing Address Description of Expenditure 1? 0 Oo x x:83 Sol ? Sp+►gack City State Zip Code (Plus 4) C oa r + Qa i?001 — To Whom Paid MO. DAY YEAR Amount Rc.����N OA S\ Abe. � 5 z{ x0t9 $ 1006.00 Mailing Address Description of Expenditure P 0 o x 15111.1 Low% `(o CaovQ4‘st City State Zip Code (Plus 4) Cga+p 1k,1\ PA {?Od{ - To Whom Paid MO. `DAY YEARAmount 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 YEARAmount Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. .DAY YEARAmount $ 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)