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HomeMy WebLinkAboutEbert, M L Skip - 2019 2nd Friday Pre-Election Commonwealth of Pennsylvania PAGE 1 OF 5 • 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 0. 1. 2. 3. Number: Filed By: CANDIDATE COMMITTEE LOBBYIST Name of Filing Committee, Candidate or Lobbyist: M . L , SKIP E BEV( Street Address: 1 $ $ 5 W. L1S13UR►v I0 City: State: zip Code: PA 015 TYPE OF 5TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES N0 REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? 6TH TUESDAY 4' 2ND FRIDAY 5- 30 DAY 6. 'TERMINATION yES NO (place X to PRE-ELECTION .PRE-ELECTION V. POST ELECTION REPORT? the right of ANNUAL 7. YEAR FILING METHOD report type) REPORT ( • ) CHECK ONE , PAPER s/ DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County 0k5Code c1c ( Pi`C�6RIO EY ,I Number Code REPCode �� MO. DAY YEAR loici (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY Summary of Receipts MO. DAY YEAR MO. DAY.: YEAR and Expenditures from: 110. b 10 109 To 1d 2.1 Ibn c A. Amount Brought Forward From Last Report $ O ; :� B. Total Monetary Contributions and Receipts (From Schedule I) $ 0 C. Total Funds Available (Sum of Lines A and B) $ 0 ›.- N D. Total Expenditures (From Schedule III) $ 202.1 (1 s'SMae C", = E. Ending Cash Balance (Subtract Line D from Line C) $ 0 C a, F. Value of In—Kind Contributions Received (From Schedule II) $ 0 G. Unpaid Debts and Obligations (From Schedule IV) $ 0 AFFIDAVIT SECTION PART 1 — 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, i ludina the attached schedules, on paper or computer diskette, are to the best of my knowledge and belief true, correct and complete. Commonwealth of Pennsylvania-.NotarySeal \Y Sworn tato and subscribed before me his Tami L.Stum,NotaryoPublic �,-`' y1►']__ QC,�- Cumberland County,1�� day of ommission expires Novail4barh 2Q22 k ii �,�S Commission number 1338266 Signature O;,Person Su m ting �R rt SignatureILI � (f�� Printed Name My commission expires 1 (. QLV a/�o�a-- 117 Z k O - 62. 10 MO. DoiY YR. Area Code Daytime Telephone Number 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 PAGE 2 OF , CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate( Reporting Period e I [1 M S� � P E.V��� From to 1 16 Ill To 10 1 21 4 11 I. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50:00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) I $ O 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ TOTAL for the Reporting Period (2) $ O 3. CONTRIBUTIONS OVER $250.00 (FROM :PART C AND PART D) " Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ TOTAL for the Reporting Period (3) $ o 4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC (FROM PART E) TOTAL for the Reporting Period (4) $ 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 Cover Page, Item B.) DSEB-502 (7-99) SCHEDULE II PAGE 3 OF 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 rr rr Reporting Period IA L WO) F 5 C kli From 4 !milli To Iola! Itel 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 0 2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F) • TOTAL for the Reporting Period (2) I $ 0 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 O REPORTING PERIOD (Add and enter amount totals from Boxes 1 , 2, $ and 3; also enter on Page 1 , Report Cover Page, Item F.) OSEB-502 (7-99) • PAGE ti{ OF SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period M S `P �aR "'� From C 11 1 To jblitta To Whom Paid MO. DAY YEAR Amount Re.Ai C, L1 IA Skop 54e 10 ,!o lc( $ 2.0 10 00 00 Mailing Address Description of Expenditure 9 b $.0.4 15'84 Loan l'a Cay.Paor City State Zip Code (Plus 4) C a fiQ X ,l\ PA 17001 — To Whom PaidMO. DAY YEAR Amount ,At 2 c 0 in e,r 10 14 1°I 21 S .5' Mailing Address ` Description of Ex enditure 11 84:k6 Ct'>,t' ` 1Sk ?Ake. pNCAk0, (�'1/4 4cor Cajrn iQn City State Zip Code (Plus 4) -+ M c.clno.h,L bo F q PA I7d0- W©ektr5 To Whom Paid MO. DAY YEARAmount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) ' To Whom Paid MO. DAY YEAR Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY YEARAmount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR Amount Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid MO. DAY YE4R 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. $ 2 0 2101 . DSEB-502 (7-99) PAGE 5' OF 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. Name of Filing Committee or Candidate (� Reporting Period A . L . Ship Eptly From 4. ItA1(4:‘ To _410_ Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE ; $ DEBT iii 66 ; YEAR." gplingalligensmagel INCURRED City State Zip Code (Plus 4) Description of Debt Name of CreditorOutstanding Balance of Debt Mailing Address DATE .MO DAY YEAR $ DEBT1111111101111111111111 . INCURRED City • State Zip Code (Plus 4) • Description of Debt Name of Creditor 'Outstanding Balance of Debt mhognagooposim Mailing Address DATE M(1 �Y y qR $ DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE, ,• DAY $ YEAR;. DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt molopoggligkeingookgg Mailing Address DATE O DAY YEAR $ DEBT INCURRED City State Zip Code (Plus 4) AVAlitiMMOMMONEUROMEIBI NIIIIIIIIIINEREei Description of Debt Name of Creditor • 'Outstanding Balance of Debt Mailing Address DATE <1VIO DAY YEAR ;; DEBT INCURRED City State Zip Code (Plus 4) Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ d DSEB=502 (7-93)