HomeMy WebLinkAboutCarlisle Area Democratic Committee - 2019 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF /1"/
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 Identification9 1.► DI % D az), Report Filed By ► CANDIDATE COMMI►IEt LOBBYIST 3.
Number: 1>2 .
Name of Filing Committlee, Candidate or Lobbyis
Cit4
Street Address: •
P, o. 6Ox 933
City: ^ t r Us to State: nA Zip Coder �D t
TYPE OF 43TH TUESDAY • 1. 2ND FRIDAY 2. 30 DAY 3 AMENDMENT
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY x REPORTT YES NO
STN.-TUESDAY 4. 2ND FRIDAY : 5 30'DAY 6. .TERMINATION NO
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL, 7. YEAR FILING METHOD
report type) 'REPORT' ( - );SCK ONE PAPER , .. : DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
'MO. DAY', 'YEAR...
Number Code Code Code
alG�
�/ / (SEE INSTRUCTIONS FOR CODES)
• FOR;;OFFICE USE:ONLY
MO. •DAY YEAR MO.- +DAY. . . YEAR..r=
Summary of Receipts
and Expenditures from: 5 07 .2-0 l q To (0 )6 a619 ,-'
c
A. Amount Brought Forward From Last Report $ 9/5' 8'9 CO r—
B. Total Monetary Contributions and Receipts (From Schedule I) S a 76"0 . " 3
r--
C. Total Funds Available (Sum of Lines A and B) $ 3 Col' . Ery )- to
D. Total Expenditures (From Schedule III) $ 74� • ��I I
0
E. Ending Cash Balance (Subtract Line D from Line C) S ,2q•0 0 • q O C
f
F. Value of In-Kind Contributions Received (From Schedule II) $ ,24.2, (9 I -< :J1
G. Unpaid Debts and Obligations (From Schedule IV) S .—p
' AFFIDAVIT SECTION
PART I - If this is a;Committee repo •c• - :- I er sign here. Ifthis is a Candidate:report,•candidate sign here: •. .
I swear (or affirm) that this report, includi,, the1, iftvc . schedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. hpEi
Sworn to and subscribed b fore met fl fl�r444, ofx, I /
I9`�l l,2 ca. co b 4 °'Yj..�>
day of %,•ssi. �tiii• r�-
siiz. kp�raf'oo A4,4 otd Signature of Pers -n ubmitting Report
L i , �/�_ =—, "`�b�S�d� "i - . gyp, L_ c c c1(ouvv.s
Signature ��JJ 6o • 'o Printed Name
My commission expiresjai/1 . /24 c'ID;.. 066 1 ` 17 ��a -‘6/ 7
MO. DAY YR. Area Code Daytime/TelleQphoone umber
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 .
•
•
• Contributions and Receipts
Detailed Summary Page
`Filer IdentifitationNumber ` • •
'1,4,40,##mized Contr1buGpns and Rec,j:0 $50 P or`Less per Contributor s S �i xd • 4 E` la .. a E"jai 4 ??
ti'„�;;..a.�yt.:,,S�kf'•.o`.:.�7,t, 1: _x..>.:1 x.:,t�., f -t �C { t .. 1 Sr' u i J'� ki-ar8 atf-) ss'4r'�[e s� f;zF da • 4SI5�L)� >!,E�i#�,+F'�h�o- �K� '�•�?i`
t1 ii _r4 ; ' e z -`�' .<a',* yk,z µ. ;. f t �, s 'K .i` .i i ..+.1 ui 1 s f',.tI �;�i” � t ,g •s i �!4 i
,� c, � a . ,,. .,F,:rrr N k7-, r 4, .r. 5� l �h .�.. :� �,., x Kn>�';e A „ •{ucC� +� .7�4� ,
�..:v .�V.3..t :....a.r< .�:a:;.: T.: _NF-:.��,4„�„�_<,.;rt.” ;x<.s, ..:zFi �i,..,alx �,..t _.,.7;+,-.>w.r'F.,.. .<, :•:4,...r`�3�.,. �.,...5:,.. t1-,. f 4� ti .S'a ..1��in.,.f:. ;i.�
Total for the reporting period (1) $ - / 3 57.
x; Cpn;ntutin -qso gto_ 25Q(nIF;:ramaf. BYv.,"'' ' Y Y;:; d . g vf f c Ys+.ka4.ygpF 4 3-•y " t�M A,, ;sem,,,.. .f t 't"r,' ,K;+ : 4 %, .s : a"* w';. b . :A.cr 'Y � i!4"kf,b / 1' ,r r4. '!.'.'' V� ,-a ' ,,4A .rr3„,s:��,.6.,,,7.70-1",-4
?' '=f';Par<A,an RBKg� K13 . 2 _",g ASMhyi : ft��e?alL, ,.+. ui. � "1F!r.S5`{ ? d0s ✓w.ju''''? 14u'`_`$;?`a,�`3F,.�:Gi,'''�2�f?.k
.�.. .wP,, . . ,.., ^c.;....:;s,._:. .�„ft. . ., .e+., � -.Wd:,... vra=a:t,,glf;_, r".:,-,, .. �r
�.
Contributions Received from Political Committees(Part A) ' $ o •
All Other Contributions(Part 6) $• ,
Total for the reporting period (2} ' $
I I • /y 75...” .
I tr �-r�.;,.i � tK'. ��1 k✓ L'`Si i�,a j�vH'�, �'' '» T?3;, xy. 3`�ut� yz, .0�tri..s v,3 �.;��1}�;:*a
iv3 Contributions Oyer$150 00(tromfPart C and Part?y c,t t 1. 3 s �, , . >9, : a XVti ,.� x4V 'O,�'AV4 '4 . s� 4",. x l 5 4
:iJ'i{.4 r-S 71�Y?j.ti.lY i'r'M,z f q .l jh ,y..i'1. 2 L GS�� dry �.�,' ? GC:.4N�"{dr/'. "1: �" _Fp�:r;�':S'�?.,�-'C 5� K,�,FZsd.GN ?�''. .�' F�"t 'Yz ��r.:t�,r`�.:�"i 1"'¢ �.�-KS ..Yv y+,i�t�.
z': .! r 4f0. any/ �.r %a�' A aX:49.,s, t, .,.P.,,.ti;'-.n rte'c.rl"�,. ,� i hr .�ti - t r r v'
:;tg,.i tr»y .f S.,4�:;1„ i' :.,.�.,ti:z•. ,..„5`a,,. z.2. . : .... h- •.,<v.. -z.. .a u�r .. ? ,.se.,"?:-.<h -:.. ,,.,s�..o:a.t.srU. _. .'`»�.c,5�:4'} kL...�R:rfiL,.:�.._.,°!�lsvaSY:siyK(:;
Contributions•Received from'Political Committees(Part C) $ .
Ali Other Contributions(Part D) $ •
—Q —
Total for the reporting period (3) $ •
r4~Othee Receipts Refunds,Interest Earned;Returned Checks„ETC fiiti Part E)I,=y t rx ss r„A K I—4 F 'Y ; t ;rL t r `r�4 lsr;
� z :� r:" rr...r, ,',cr �;,�„ �'�'3tt::z'�f' ,-d ,s v• .b» nwv tea �.�b3 k3 c,FPW ����•1,�. r}';`�ue :..u: r�yry
Ay l ��..o J 4,. nti '.ky� :.. •rfra,•y N p i r` .ik G 1_',"•. $7'b,`. 3, {_..+ i ✓J j''.T' tl. ' 13 re-- _�1 1,1 f� •`.,i{,e-.2 :'+?.,.3ira✓i fi ,„h J,_'S�yj
p ''h'- ,�.m bl {3:._l �y� K �}`L � �r��tk"i,2�41.�.:z.z.�a�,#,',� � X�;���., �.:z.. �,.�'-n .� ,9.5f k�.>..�''`"•'�w sy,.,u,�r.�''iSPr M.'..f'F'n:YIsY:{;rj;'i��H`�iw�.r',.�.&;.,.J,S;r,.,'�<r:�i1;°i '
Total for the reporting period (4) $ _ — Q
Total Monetary Contributions and Receipts during this reporting period(Add and $ •
• enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report ” • it 7 go .
•
' Cover Page,Item B) • .
A
Contributions Received FrPART om Political Committees
$50.01 TO$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from$50.01 TO$250.00 in the reporting period.
I Filer Identification Number i
I „z..o1q olzlI
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Q f1 Qi
House 41 I 'Street Address' Dote.[MM/DD/YL+YY] $
City +` State Zip Code Date[MM/DII/YYYYJ. . $
Full Name of Contributing I Date[MM/DD/YYYYJ $
Committee I 1
House# Street Address / Date[MM/DD/YYYY] $
City .<� I State ` i tip Code . j Date[MM/DD/YYYY]
1 I• II _I I ,
Full Name of Contributing - Date.[MM/DD/YYYY] $..
Committee
House# Street Address Date[MM/DD/YYYY] $
City State . IZip Code Date,(MM/DD/YYYYI $..
Full Name of Contributing_ %' Date[MM/DD/YYYY] $ .
Committee `
House#• :I 'Street Address( Date[MM/DD/YYYY[ S
II
City State Zip Code Date[MM/DD/YYYYJ $ ,
Full Name of Contributing: f Date[MM/DD/YYYY). - $
Committee l I
House#,- Street Address Date[MM/DD/YYYYJ , $
City I State I I Zip Code 1 Date{MM/DD/YYYYJ $
Full Name of Contributing Date[MM/DD/YYYY], $
Committee
House# Street Address Date[MM/DD/YYY.Y] $
City ' ' State ' ' Zip Cone . ' Date.tJM/DDftfyl $:
1
•
•
•
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.)
Filer identification Number
Gloi9o l 7,1
1:fo!Name of contributor'' 1'Date_[MM/DD/YYYYI $`'J
Y � `1 d5�/7 J ze/ 75.
;:House#' /��� Street Address o/ IF�G 6, 2_14 . tate[MNi/DD $
{ f v oh `
•
City° State` Zip totle v/ Date,(MM/DDIYYYYJ ":....t-4:.
Full Name of•contributor-. f Date,(.
MM DD/YYYY�t S�. .
.
House# Street Address :Date(MM/OD/YYYYJ $
fr
,.,.,.,,,;..,:,„.:.s..:...,%:... g .:,..,,.,,.:.;.,„-„.-„,;,4.t..2:,...,,,. 50 um 14„ev". 5....k
tyR
..4 1 .3**! Zir CGM6 `i�ate`iSI'�'t.�',M2 r. .7 r
Full Name of contributor . Date[MM/DD/YYVI '";N,:'.:
' J�� F05 i I�'�z� 20/92So.
'Boase it ( Date(MM/DD/Y.YYYJ .,7-$14.)::
� ,�(( 1 tb ,Street Address
',;.9,,t:;.,, l / ',;:,:.'ii-',",11':':::-::
State: Zip Code ° Date•[MM/DD%YYYYJ $_.
b �eaAet to 5�ju.� , Pfd �: 1 X O55 � ,.
iii ,
Full Name of Contributor -�//t (� J(� / Date[MM/DD/YYYYJ t-!,;'. J9 �►-}�
y r •
.r w+ :,� ! D/1. �D�t//1 I O J 1 2.1 20 i :. / 0 U V
House ii Street Address
y•
le, 6ruvsW,,A : .2)15- _
.
City h PM1G � •State— tott: I
Zip Code;.7 /7 0 575- Date[MM /YYY $$f
c,It
il/l
Dae,[MM/DDYYYY :,.:.,. ....7f:.S.
?
Full Name of Contributor: ,/ .Date[MM/DD/YYYYJ F r,$
C. •
House# Street Address Date[MM/DD/YYYYI $
•
-...,City,, ,,.1 .- . _ Pi, ed ht,Ree4 451-
I State :l F.Zln Cede I ,:: j 25-' "
Date.IMM/DD/YXYY) $-
y : I Ci..rU';j6-'
s 0� � t ` �� ti .. . ►7o I
• Full Name of Contributor Date[MM/DD/YYYYJ $
�</ 1 5 .' 05 1(P ) zI . J
House# Street Address I Date.MM/DD/YYYY) $..
11,gg3 I.. .,I s r, R���
, I I i
City State. •
Q Zip Code Date(MNi/DD/YYYsij $
1. �,S (e,
1 1.-7
0
'
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$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
IPlkridatlNcationSomber: I
.� ,.. .olgOl �I
i, Ilitaine.of contributor' Date" D:�
House d,
StreetAdttress '''Date i+ut�r '$_
.;' -, 32z, ". x S . ties 4- 5+. x
State' ?iP r7 ':Dae(MM/D $:
r(v51 PA� 17 13
1.e..aru.....c..cr...i.•:t...+ .,,1 I..rt.:"Ts.wItrilvvvvs-.i_t..1 1
y OCj f u« - 0--0 .
House B Streit Address Date[MVVL. ,$
7 • ;�
rate
1 � i ex. / ; i' j s,_j PA- f ;..w11 4::li
-�D 7j 1r.a.,r 1 : ,..„.mss r , r
Wil Name of Contributor /� 1 Date[MM/DDIYYYYI. $•.
" ' �n 3,1( J�cci7 c auk Y�G�r to �c 8c124Zdl°J -:-.,,I.:: /�. o-
Heuse N Sti'Ot•" 'Date[MMJDDIYYYYJ; $
0 I
r
t Uzi 3l(� r :a.-t i
614 I I �S.l
state :gip cod.s ate.IMM/DDI]YYYYj.''
Cent 1 51 . `... P14- i 7 D /3
Puri Name of Contributor, •Date M DD
■■ . ., .,. f- �40 �!, v`a.vi.'�" I. 651 Z �0�`' iii /� O I
i.. I .�'.• �.. .mo i .r � ��.+ ,
nwsei► �Ue Kaure ' r /� usicjirii�a/uu/,TTT
z r- � W• 1 B kik-�j/�- ,�
+dhStat! !Code ( `� ( Date IMM/DD I $
r i.-1 71 l�Vlt S )e. Lu',.ge,:i,y,v ?/4- i:y•*} ^ I / Q f :.--,,..,.
'- .
Full Name?rii �.
? - 10` ��sar I.°atefMMmOrrn1l03 z� zc�/ /0-0 . 0-0
House* Street Address Date tMM/p�: $
9 �
yP�l l BZ.iI j re 2r�i &, f e `'
I ..`l G t�Y 1( 5 I e State V ! -�l'Zip Code 4.� Dade'MM DD >,.. ',7.
I
,Full Nam_ e ofco utor `�e1MM/DD1 'YTI• $
n•
"Torvl 8 r'i�' .05)� 70/1 Q5"• 00 I
House it Street Add Date[MM /YYYY) $,
-: I. . .► . M11
W.1 I
my we• I},= y-
' i-4101111.-C
'AV ;. p(1_, . D 3� vaac .�rmau�. ri. ''
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
Filer1dentiticatian Number-.f JAI I n o i i 1
full-Name of Date[MM/DD/YYYY1 $
ContribuItomr1ttee
ing to
House* I ., Ict.�t Md..e l " Date IMM/DrD/Y $
I 1 I I *. I 1
City State Zip Code Date[MM/DD/YYYYJ $
full Narne-of:_: -J -Date[MM/DDn'Y!!YJ -$-.]
1..Contributing Committee, I I I l 1
House# Street Address Date jMM/DD/YYYYI $
City State ' Zip Code 1
Date[MM/DD/YYYYI $
I FUR tOli.M4if I. i_Date[ U/Dgi/YYyYJ. Is 1
Contributing Committee i
House* Street Address Date jMM/DD/YYYY. $
I City I I State I I Zip Code I Date jMM/DDD/YYYYI $-I 1
f f G. 1
Full Name of Date jMM/DD/YYYYJ $
Contributing Committee
I
House* I Ick.t AddressiDate 1MM/DD/YYYYI- $
I. ' a f Kfi I I
City state . Zip Code • Date[MM/DD/YYYYj $
full Name of Date[MM/DD/YYYYJ $
'•Cant►ii uxi»g Committee
1 I II I
Mouse it ' -Street Address Date jlt+lM/r.JCi/1"YYYI:_ $
City State: Zip Code q Date[MM/OD/YYYYJ $.:
Full Name ofDate[MM/DD/YYYY] $ I '
Contributing Committee.,f.
House A Street Address Date jMM .$
/DD/YYYYI.:.
I E'tty iI State.I i Bp Cone 1 I Date iMMjii [ I $ 1
i , 1 I r 1 r
•
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: -f
2.6 l q o l Z.1
1
Full Name of Contributor / v o f g Date IMM/DD/YYYYJ $
House# I ISt eet Aridresci Date'MM/DD/YYYYI ^, $"
City' State Zip Code Date INiM/OD/YYYYI, $`
Employer Name Occupation
I Employer Mailing Address./ I
Principal Place of Business
Full Name of Contributor Date jMM/DDJYYYYI
House# L !Street Add rPcS l Date iMM/DD/YYYY} $
. r� I I I
City State. Zip Code Date[MM/DD/YYYY]
Employer Name Occupationy l
I Employer'Maiiing Address J I I
Principal Place of Business I
Full Name of Contributor•- Date•IMM/DD/YYYY]. $
House#'I IStrent pddressl Date IMM/DD/YYYYI $
I. �_ I I I.
City State -
Code Date IMM/DDJYYYYI ' $
Employer Name 1 Occupation I
I i,
I Employer Mailing Address/ I
Principal Place of Business.
Full Name of Contributor Date IMM/DDJYYYI(I $
mous'# l t trees Ad4resci nate Ili!iM/DD/l►YYYI' $ ,
I 1 f I I I : I I
I
r r
City State Zip Code Date IMM/DD/YYYY $
Employer Name I Occupation .I
I . i .
I
I Employer Mailing Address/ I
IPrincipal Place of Business. f t
•
PART E
Other Receipts
REFUNDS, INTREST INCOME, RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer identification Number:
Full Name /CI. 6 A l�i,
House* Street Address
I ��State Zip Code 1. . I Date[MM/DD/YYYYI $
'- I
I. i I 1 I 1 1 I
Receipt Description
Full Name
House#I 'Street Address!
I I 1 1
11
u«r 1 1 1 Zip 1 1 Oztee rM.Y/DC,.v�rYlr� 1
r :_ $
State.I I 1 Code 1 i a
Receipt Description
Full Name . _
rtreet Address'
City ... State Zip Date[MM/DD/YYYY] $
il
Code
o2celpt e e crlp io,,
Full Name
House'.# Street Address
I,State..I I Zip I t I Date,[MM/DD/YYYYJ. I':$1
I • I ICode I I I i
Receipt Description
' Full Name.
House#1 (Street Address'
I 1. I
Iw 1 1.State 1 1 Zip 1 1 o.� R'M/QC2 r. 1 $1
` ]
Node t t
Receipt Description 11
1
E;�ll Naitie� ., - .
1
1 House#I 'Street Address'
City State Zip Date[MM/DD/YYYYI $.
Code.:..
Receipt:Description
1 '
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
IWITOPV:I.PIPMffign;
pa` >1'^UNITEMIZEDIWKIND GONTRIRUT,IONS REGEINED VALID_MF SOHO OR LESSPEIMONTFtIEWOR�' ., . " `^�trig � 'rte, ,W,Ai
<�r�i.a��, �-�.}::.-,:(?sm Y�Y;.. ,�.,��k,.�<.;�;;�;%:sa=�.�6trn5+`i t->.�3�-`,;�",>F"n>��,y"`�`^F.�:�h3�,�'c,�'k,,.`�t7�-..�,� �`,P�� a,.r'�.��'�'�£ i•fi-xY��"�'.'k,,,'�'.c,�.���.��...�sa ��'` r�..t�.p' r1r,;.:c�
ntx ..n"i a?1 1w,ew r Ma .igN #at t '�i%� s ,: .a r+..r w,;"�` u'e.;.,_v*. ., �'�*,,,t,r. o u �w+, 3.z;+;�,r r«r,! z", jw t�:=
TOTAL for the reporting period (1) I $ I 0
2 zIN iC11VD ON�itiBUTIONS FtECENEO-HAL'UE OF,$50O170$250 00 FROAJ� ART'.� r6. k, s* u r$, '�� r"
• Ol a a>';a s R : - ,t ( *,, #V.'8l W s ? i s M �''., itx w SY i r 1p�';l +
`. ` Q,,r ?rr � - -,>•.,, S-.,5- nIA- z,5 ..:0.---Ak.c.,5:r -kl,: ..., `�,: .*1 t.? ,iitkz- , C'3 °r '.igtc-t, ;. r.u�.y ,•i.,... 4 ,-'v",a.,.`" y7.'1
TOTAL for the reporting period (2) .$ ,)„6-a9„ t lei
1 � ""3f IN KIIJD CCENTRf8t T1O.N'RECEIVED-Vi ttog OYER i�250 00 FROM PART G wit za «: i 3"tt` iwomp'''y °. •�`�'q
. �'tuy-�.'i v .,y,.. x ,.^V.ix^'Y." il:.,,. ..,�` ^4�i!S'yviT�.7^.r ;,ii � -p".r`, ,�`.,,�i��:nE ..r'l'°�',�. .,.��`-er:' �.V l��.�"k�y�.it�„•.»•+l„y_ 'h hl�p:Lx td -C'i"v,%5'��F
a. !. ok- -• .z,L;Y<"r s•,y�;3itw r.v, iTt xt ?�' rxq'�5.'" 2#,� �:. ,= .- f',,'r; -},,,. �� ,�,eL., n {• .�± cru '� a4-'";.� i ''• 1r ,�e r
tawa �ri �:.iS fc sc �ir�x :' a L�� k lrm .'5�,x'i,,'.,;.o e�,�v'x�� v S,- n
x ,.,rm:=_:,7n�.2)r .� �+rr•%��:L"�u"�.�w..r..^:l�M yy''�� � >• ,(�,�,� T�S:, �}� �S'+
1�� W 14..^.U"At .�>T:-..y. p... v:.�::�C/� F)e�i!!'�`y%d�N� F" �irt � �M++�.�..t"i�1� �is_.b.'.+�-��a .
TOTAL for the reporting period (3) $
o`-
II TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING I $ I
IPERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter ( I /_/ I
• on Page 1,Report Cover Page,Item F) I
(p '. • W
•
• SCHEDULE 11 -.
PART F ' •
• • I •
n-Kind Contributions Received .
VALUE OF$50.01 TO$250
Filer Identification Number ,
".mix' v'.m. "47s, .-4w,'°r- .m..X,
°dull Name F>"ofFConrtributiDate(MMYYYDD� Y w$1
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. - SCHEDULE II •
Part G
• In-Kind Contributions Received .
• •
VALUE OVER$250
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Filer Identification Number:,z •
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SCHEDULE III
Statement of Expenditures
Flier Identification Numbergo / q 01 z
I To Whom.Paid; I I Dater M/DD/YYYYa. 1$ I 1
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House# /2) Street Address r • el-if Sl-
aty ption of Expenditure
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House#. Street Address / ' ( Description of Expenditure
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t C s t e_ State p Code D ( 3 i Nru,N et o'"t' 61
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. SCHEDULE 111
Statement of Expenditures-Illi—XsraMi 47A1 FIJI
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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.
Filer Identification Number:
I Name of Creditor; ,. I I Outstanding Balance of Debt
I.House#I get A,� «
eI I, DATE DEBT INCURRED I $ I I
[MM/DD/YYYY]
City . : State Zip
Code
DesF iiiiion o t Deb
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Name of CreditorOutstanding.Balance of Debt
House# Street Address DATE DEBT INCURRED $.
[MM/DD/YYYY].. ... .,
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ty I State. ' Zip
Code I
Description of Debt
Name of CreditorII Outstanding Balance of Debt ..
I House#I 'Street Address) I DATE DEBT INCURRED I $ I
[MM/DD/YYYY]
tY State .. .LP.
Code
rieiCiiptii5F,aid`Z abt I ..
Name of Creditor Outstanding Balance of Debt•.
House# Street Address DATE DEBT INCURRED $
IMM/DD/YYYY]
I City I I State . I merle I. I. � I
Description of Debt
Name of Creditor Outstanding Balance of Debt
1 iiuuse 'Street Address It ii OT ii�i%iiiuii i i I . I I. I)M[MMIOI Y] I. .
Qty State Zip
Code ,
Description of Debt
Name of Creditor . I•• Outstanding Balance of Debt: 1
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
city L. I State I. CZie... I. . . 1.
i 1 1 i. i
Description of Debt '