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• - • 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 O. Report , 1. 2. 3.
Number: Filed By:
CANDIDATE COMMITTEE LOBBYIST
Name of Filing C`miCandidate or Lobby, •••
`^, `vAvt V�^\ 1S .N+ 1 ,
Street Address: \/`
\c\5 e
City: State: Zip Code:
-E----rs .cv PA n6a.. —
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2• 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5 30 DAY 6. TERMINATION
PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? YES NO
(place X to
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
Number Code Code Code
MO. DAY YEAR
C'g►mWL r\w" ‘,l q
(SEE INSTRUCTIONS FOR CODES)
_
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY. YEAR _
Summary of Receipts ► n -7 a To2 Y C c'
and Expenditures from: LO 2G-
A. Amount Brought Forward From Last Report $ m
P CO
B. Total Monetary Contributions and Receipts (From Schedule I) $
C. Total Funds Available (Sum of Lines A and B) $ 12c C3
n
D. Total Expenditures (From Schedule III) $ Sgt.--1-q 3 8
C N
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In—Kind Contributions Received (From Schedule II) $ fir, 02)
G. Unpaid Debts and Obligations (From Schedule IV) $ Pc
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 to uksubscribed before me this
410 day of x��J I 20 '19
1 piiii ) '- _,,
t
� etel. - --f Vd ar c l blJC, /(� / jL i gnatur of Per;` '�n u�itz�� er rA kA
Signature '-7 Printed Name /�f
My commission expires , 14 (-ZS/ /7 4z/2— ) 0262
,1
Comma , MO. DAY YR. Area Code Daytime Telephone Number
TdRi9..1`
JPARTfEreportofaCandidate,s
1141 Ii QE140aAuthorized Committee, candidate shall sign here.
N,,f'`
QjfR�f t to the best of y knowledge and belief this political committee has not violated any provisions of the Act of June 3, 1937
MYLC6anss78rl
�81v(&laf Wv
x; sL"Febda i Wel me is
Sworn to e
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)
XPAGE -• OF CI
• 9-* • SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate
-J ohn W. k U fe\-te. 11(110 11 Reporting Period
From 1h/ AD/9 To g142(lly
-, ,,i,:i., ..,.-:DAy ',,,YEAlAmount
To Whom Paid vi e..40 i si____.ex._
1 ' q 7 o6/1 $ 5 S le 93
Mailing Address Description o Expenditure
OO ,80-i--6 ,S-/-- SYV . pb1 (-kra / ye!r4 EcirS
City—., _7--.State Zip Code (Plus 4)
Uot ven poe_t- '71-00 54 gaol-
To Whom Paid ;aMO.: ,' '.:15AY 4' YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO; Amount
,;AIIAY:"! '..YEAR,:l Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid I:.4110...:',•.1-' :":1:;)AY!: :'YEAR lAmount
$
Mailing Address Description of Expenditure
4.7'. ,•
City ' --: State Zip Code (Plus 4)
To Whom Paid ,' #40:n, :<.•.:DAY ,,, --YEAR A Amount
.1 $
Mailing Address Description of Expenditure
City State Zip Code (Plus 4) ,
To Whom Paid
I'4!4.1VIO.'<:::,'';'.'bA.Y.,:, •YEAR,,jj Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid :°-eZ.N10,; ::..';.DAYJ • YEAR •";I Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid AMY:':! c.;,•;CiAY-i.., ivVE Ai:R ,1 Amount
• $
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)
SCHEDULE II PAGE 3 OF li
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
From To
1. UNITEMIZED_IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ (2i
r
2. IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 (FROM PART F)
TOTAL for the Reporting Period (2) I $ / 66 .60
3. ., IN-KIND CONTRIBUTION RECEIVED VALUE OVER $250.00 (FROM PART G)
TOTAL for the Reporting Period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1 , 2. $ //Z>. CO
and 3; also enter on Page 1 , Report Cover Page, Item F.)
DSEB-502 (7-99)
PAGE Li OF
SCHEDULE II
• PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
From To
DATE AMOUNT
Full Name of Contributor ' MO. DAY. J'YEAR
11/Contributor /
$ /C O, CO
Mailing Address HMO. ;DAY', YEAR
71 . 1/4-1e Rc $
City State Zip Code.(Plus 4) ..MD. DAY YEAR $
‘1025--11‘)Z I
Description of ContCult7on: 1.1
Full Name of Contributor MO. ' DAY YEAR,•••;.
Mailing $
Address MO DAY YEAR
City State Zip Code (Plus 4) DAY. ,YEAR
Description of Contribution:
Full Name of Contributor "DAY YEAR
Mai ling Address ' MO DAY -4',YEAR "
$
City State Zip Code (Plus 4) ,-;.MO. •Z DAY YEAR
Description of Contribution:
Full Name of Contributor MO.', .DAY
Mailing Address -•MO.:: DAY YEAR'
City State Zip Code (Plus 4) DAY ' -YEAR •`:
Description of Contribution:
Full Name of Contributor = - DAY YEAR'
$
Mailing Address MO DAY,1' YEAR ;.
$
City State Zip Code (Plus 4) DAY, YEAR
$
Description of Contribution:
Full Name of Contributor
Mailing Address ,tMO.• YEAR $
City State Zip Code (Plus 4)
Description of Contribution:
PAGE TOTAL
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed
Summary Page, Section 2. $
DSEB-502 (7-99)