HomeMy WebLinkAboutFriends of Jim Hertzler - 2019 2nd Friday Pre-Election III . _ _ _ _
Commonwealth of Pennsylvania-Campaign Fnance Report
(Note:This report must be dear and legible.It should be typed)
Rler Identification Report Rled By Omdidate Oxnmittee 1X1 lobbyist
Number (Mark),)
Name of RlingCommittee,Crrtdidateor F 'vt 3 OFto c, r
Lobbyist E'S-1-- -1--E
'ST LE ,r•�
greet Address • 0• n�j O� /s-i-3 1
City EI
V O LA- Sate � P Ep 190, 5"--
Type of Ftport(Race x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Rist 4 6t"Tuesday 5-241 Friday 6-30 Day Punt 7-Annual medal 2"O Friday Dedal 30 Day
Pre-Primary Pre-Primary Primary Re-Rection Re-Radion Bedion Re-Elect ion Post Bedion
Date CX Bedion Year /i Amendment Termination
MAXI, I( /WAN V I Foport Fleport, M
3immary of Reaeiptsand From Date To Date For Office Use Only 1
Expenditures
X / \/2-0\
p I 10/ZI/20)1.
A.Amount Bought Forward From Last Fleport $ v u vo l• n 1
B Total Monetary Cbntributionsand F3ceipts $ 00
(From&hedule I) 0 6 F.7. `i'
C Total Funds Avail�e $ ���,n I t-rt� =
aim of UnesA and (fl
D. 4-3
Total ExPendittoes $ ,/� ` ....,..
V d
(From 3i�edule III) (p I
E Ending Cash dance $ C7 =
(S.btrad Line Dfrom Line q D• CO C
LO
F.Value of In-IGnd Contributions Feceived $
(From a1ledule II)
G.Unpaid Debts and Obligations $
(From Bttedule IV) 0, 00
Affidavit 3Ktion
Part 1-If this is a Cbmmittee report,treasurer sign here.If this is a Candidate report,candidate sgi here. f i
I swear(or affirm)that this report,indudingthe attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. A 1
Sworn to and subscribed before me this / 3 3 %
15 day of It-t •U 20A_______ • ,•r•rV� _ •• w • 4
9giature of F n 3ibmit gg report o c
S. ire Printed Name 3 B.
oq St aoao r1 )'-1 goo-OG76
co
My Commission expires : i
- .., • to
MO. DAY YR Area Cbde Daytime Telephone Number w 3
0 - z
Part II-If this is a report of a Ca ndidate'sAuthoriaed Ctxnmittee,candidate shall sgi here. ami "s K.2
',swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Ad of June 3,1937(RL 1333, .3 u
amended.
0
Sworn to and subscribed before me this
63;‘,A 7*--/ .. .
0-1/1- day of /1A./ 20
J/ '��gnaturede�7
- MVV / �/j/�
Sgiature R'inted Name
�j p,� IL .�Da3 • r /7
MyCbmmissonexpires �"""' - r — v
MO. DAY YR AreaCbde Daytime Telephone Number
[Commonwealth of Pennsylvania-Notary Seal
MEGAN urcRiS-Notary Public.
Cumberland County
My Commission Expires Jan 14,2023
Commission Number 1260066
a
sa1B ULE l
C)ntributions and Receipts
Detailed&immary Page
Fier Identification Number I
1.Unitemiaed Qxttribut ions and Faoeipts$50.00 or Less per Qxttributor
Total for the reporting period (1) $ O
2.Qxrtributionsof$50.01 to $250.00(From
Part A and Part E9
Contributions Fbceived from Fblitical Cbmmittees(Part A) $ O
All Other Cbntributions(Fart 13) $
Total for the reporting period (2) $ 0
3.OontributionsOver$250.00(From Part Cand Part D)
Cbntributions Raceived from Political Cbmmittees(Fart C) $ 6
All CXher Cbntributions(Part D) $ R
Total for the reporting period (3) $ 0
I4.Other Feaeiptsftfunds,Interest Earned,(*turned Checks,ETC(From Part E)
Total for the reporting period (4) $ O
Total Monetary Cbntributions and Fbcaipts during this reporting period(Add and $ T
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Peport (0
Cbver Page,Item B)
soi®ULEm
Statement of Expenditures
Hier Identification Number:
To Whom Paid C 0 MBERLP NP CD J„� ► Y Date[M M/DD YYYYJ $
• t c. cdM M���� O7/0I/20 q g o , GI
House# [ /1 Sreet Add �: � L0 Description of Expenditure
IniE` {� T mfr /�
City n (�id{ 1� �lj SateFR_ flL3
01\► 1-0 ' 1
mm
To Whom Paid Date[MM/DIYWW] $
House# Street Address Description of E nenditure
City Sate Zp
Code
To Whom Paid Date[MM/DIY YYYY] $
House# Street Address Description of Expenditure
City sate Zip
Code
To Whom Paid Date[MM/DIY MY] $
Homme# Street Addresi Description of Bcpenditure
City Sate Zip
Code
To Whom Paid Date[MM/DIYYYYYJ $
House# greet Address Description of Bq enditure
City State Zip
Code
To Whom Paid Date[MM/DIY YYYYJ $
House# -greet Addree Description of Expenditure
City gate Zip
Code
To Whom Paid Date[MM/DD'YYYYJ $
Hasse# greet Address Description of Expenditure
City gate Zp
Cbde
To Whom Paid Date[MM/DIYYYYYJ $
House# greet Address' Description of Eg3enditure
Cay gate Zp
Code