HomeMy WebLinkAboutSilcox, Jessica - 2019 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF
• - A 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 COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
J ES i c.14 S
Street Address:
8e w Pave-to )26A-10 ,
City: State: Zip Code:
DJOull PA 1-71325— -
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3'✓AMENDMENT YES NO I//
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT/
•
6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION
1.7
PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? YES NO
(place X to
the right of ANNUAL 7. YEAR FILING METHOD PAPER DISKETTE
report type) REPORT ( ) CHECK ONE ,
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
CU S e t r I('e._0---- .2j Number Code Code Code
MO. DAY YEAR
5- dor ( (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR MO. DAY YEAR
and Expenditures from: 110oaS 201°1 To 10 abi q
C) .-
Q
A Amount Brought Forward From Last Report $ ." ...c+B. Total Monetary Contributions and Receipts (From Schedule I) $ a m C
C. Total Funds Available (Sum of Lines A and B) $ Cr--› lam)
D. Total Expenditures (From Schedule III) $ a C-1
C-)
zt
E. Ending Cash Balance (Subtract Line D from Line C) S /� C)
C f1>;,/l �
F. Value of In-Kind Contributions Received (From Schedule II) $ / 2'. --
G. Unpaid Debts and Obligations (From Schedule IV) $ O
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 o and subscribed before me this ) ��a !�j
a(/ day of 20 ! �� J "` ort
Signature of Person dbmitting Report
kt
I Signature Printed Name
My commission expires Ja.i'L• /1/r a6�3 717 6-7R-SS'5-1,
MO. DAY YR. Area Code Daytime Telephone Number
l
PART II - If this is a report &Q ' nie� i Vain nittee, candidate shall sign here.
I swear (or affirm) that to the best of my knewAllsegiargilalastief this poli'ical committee has not violated any provisions of the Act of June 3, 1937
(P.L. 1333, No. 320) as amended. My Commission Expires Jan 14,2023
Sworn to and subscribed before me thiSLummission Number 1260066
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 • (7171 787-5280
6
DSEB-502 (7-99)
SCHEDULE II PAGE OF
. PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00 •
Name of Filing Committee or Candidate� Reporting Period ( 0 `
O �V�� �L From G-1 �1 t� To l Jo 19
DATE AMOUNT
Full Name of Contributor i MO."< DAY •' YEAR
c u.l� i Coin,- Ie�.pu Iotl G am rri(-N s Is i q $ 1 j--T 12 .03
Mailing Address Vva` MO DAY;.'','' YEAR $
22S D M i I ten i* iLvr -�
City State Zip Code (Plus 4) ;:;MO. DAY,,, YEAR $
final a. RM 17075- -
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution,
S `bt--tlgn5, r to—,5
Full Name of Contributor '`?MO -_._.DAY "z YEAR • $
Mailing Address MO „DAY YEAR $
City State Zip Code (Plus 4) ',MO. --DAY"'° ,YEAR`=i $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor MO. i DAY 'YEAR,- $
Mailing Address °MO.,-, 'DAY;' YEAR='t $
City State Zip Code (Plus 4) '.:iMO p.. -DAY "YEAR?ۥ
_ $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor ;..,MO.<, DAY'-',.- YEAR;''
Mailing Address F:-MO. DAY ,YEAR, $
City State Zip Code (Plus 4) MO DAY , YEAR`S $
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor �MO. DAY YEAR $
Mailing Address • MO. 'k• DAY.`' 'YEAR.:
$
City State Zip Code (Plus 4) MO. DAY ;:`'..'YEAR •
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed
Summary Page, Section 3. $ )j 7/g -d -
DSEB-502 (7-99)