HomeMy WebLinkAboutBurt, Dwayne - 2019 2nd Friday Pre-Election 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 ► Report1. 2. 3.
Number: Filed By: 111CANDIDATE COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist
Di//49.1(/1" ..eare-7----- '
Street Address:
//4i' 5.e.. 7--7— 2i'
City: State: Zip Code:
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POSTPRIMARY REPORT?
EITH TUESDAY 4. 2ND FRIDAY [ 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:atDATE OF ELECTION District Office Party County
C=-�Z- /f�- Z- P//1-e ---77;L
// " di -�� Number Code Code Code
MO.IDAY YEAR
/( /1 (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary of Receipts , 6 I" c t � / To /O / q C -
and Expenditures from: / /
A. Amount Brought Forward From Last Report $ 1�— CDC
33 —i
• B. Total Monetary Contributions and Receipts (From Schedule I) $ e9_ IN)
C. Total Funds Available (Sum of Lines A and B) $ Z
D. Total Expenditures (From Schedule III) $ y30. 9.5-- 0
l C ..
E. Ending Cash Balance (Subtract Line D from Line C) $ •.eg°
F. Value of In-Kind Contributions Received (From Schedule II) $ -63"--
G. Unpaid Debts and Obligations (From Schedule IV) $ .-6—
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 and subscribed b ore me this
49/St-
✓ ,,
9I St- day of ( �f V ile.. ,�^ 20 09
/ •S' lure of Person Submitting Report
iyu
C ,1 el I/ ,Cl 1, r, pa/ , ��`,z
C4/1/(.1
Sign,taamonwealthof• 40Ivani Ndarysaat Printed Name
MEGAN Obotaryryublic -7 7 �� 3//
My commission expires Cumbertertar+dCoun
MO. MYt �sswntzpves 14,2027 Area Code Daytime Telephone Number
Commission Number 12dD066
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
aDSEB-502 (7-99)
PAGE --- OF (9-,
. -. SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Can ate Reporting Period
bin/A-Viuf c6W2-7 From ()/ -7/ rno /0 ZW19
To WhomPaid ;.'MD: :',,-:'DAY,-''YEAR"Amount _
/ P.4w457 :57 - , > /7 / -7c $
Mailing Address De; on of Expenditure
City State Zip Code (Plus 4)
,(1112),Ilf
_
To Whom Paid
4'5 /‘ --r464-67-6-k- X 4,41&i:.1::.,,iDAY:' ';',-."604 Amount
/. j/7 / y' I $ / 67 '-Z)
Mailing Address ' Description of Expenditure
Ait•I
City State State Zip Code (Plus 4)
ofrz-ip,e/i-F API) _
To Whom Psi ! -1(10. '-'YEA01 Amount
X /7 /7 $ 0
_
i 2/6'•Mailing Address Address Description of Expenditure
A4/4'/1/4(75. -711e-2-6s fcm—,
CityState Zip Code (Plus 4) f /
/a) - ZAgiE2.
To Whom Paid : .:iiiio.... 71::idW,":. ._i,.EA*1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ,1,,„Wpti,:,.',, ,,,-7,1::)A,Y.,1 ., YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MiarDAY A'''YEAR-1Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid '''',MO:-,". ":-YEAR-,1 Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid .;"iivicr.'..., 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)