HomeMy WebLinkAboutNestor, Michelle - 2019 2nd Friday Pre-Election 111 t Reset Form f -Print Form I
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate y Committee Lobbyist —
Number (Mark X)
Name of Filing Committee,Candidate or M ' hef t e.s�-o r
Lobbyist
Street Address 1 `1 HI
i_ i- i 1 o ` 1
City ►fin ,,, ( ICS V)ul- tate ,f)A Zip Code I 05 O
Type of Report(Place x under report type) II
1-6a'Tuesday 2- 2"d Friday 3-30 Day Post 4 6th Tuesday S-2"d Friday 6-30 Day Post 7-Annual Special 2' Friday Special 30 Day
Pre Primary Pre Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
1
Date Of Election i Year Amendment Termination
(MM/DOIYYYY) Y5) I x
Report Report
Summary of Receipts and From Date To Date For Office Use Only • .
Expenditures
Wit
1 I ,CI I0,1
1
/ I q
A.Amount Brought Forward From Last Report $ D
B.Total Monetary Contributions and Receipts $ C, 0
(From Schedule I) O C •
C.Total Funds Available $ . C
(Sum of Lines A and 8) O rn c,
Po --t •
• D.Total Expenditures $ / I r r'
(From Schedule III) (t7 tn
E.Ending Cash Balance $ 0(Subtract Line D from Line C)
F.Value of In-Kind Contributions Received $ 0
(From Schedule II) =J tV
2,..,
G.Unpaid Debts and Obligations $ /� r --4 CD
(From Schedule IV) - (P 6� r V o "'C .°'
Affidavit Section
Part 1-If this is a Committee report,treasurer sign .•this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the. acheecy'-.ules on paper,is to the.- . my knowledge and belief true,correct and corn.lete.
Sworn.jto,r_and subscri.•d before me this ,y N-.4"b4"0-, `����(e'✓ /
`I _..,(..,4"0"—. �,fJ�' er�i_ "0- H-4> �i toe .f on�ubmittfgefegoft
No,, ✓d?h °bbc Edi L� \ +v C�
"4/1A-, Signature i / Printed Name
'6�66�Oz, 711 215-- 12 ,Z-
My Commission expiref�L(,i'l. / / fit/
MO. DAY 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
d
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
To Whom Paid
1—\TR P Date[MM/DD/YVYY] . $
7 -17-2D19 100 %OD
House# Street Addresst�D I�OX 2 e Z Description of Expenditure
(.� J
City /� „ .,,n �' State Code 11 DO I GC to\a,v S11i p d �' ex-
To Whom Paid 1 Date(MM/DD/YYYY] . $
9-i q-2,D) 3oo i bo
House# Street Address o ox 2.s I Description of Expenditure
City Caxyl \ i State Zip
Code -110() r 01 \vl 0
To Whom Paid woven _ `ers For - m e cies) Date[MM/DD/YYYY] $ Zit) '
10-14--2101
House# ops Street Address' o a `.Li_Dccn p T 1 ,,p _ Description of Expenditure
City
i ` iC.J�.a 0,91.1' `teSt9 State 1 \ Zip
1-.0Sp Pa8rm.n+ cot- 1 ig(k
To Whom Paid Date IMM/DD/YM) $
House# Street Address . Description of Expenditure
City State Zip
•
Code
To Whom Paid Date[MM/DD/YYYY] - $ •
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure •
City State Zip _
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
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.
Filer Identification Number:
Name of Creditor tpeeca)ro try a_/t `h Outstanding Balance of Debt
House# Street Address ( � y"� DATE DEBT INCURRED $
V r L V s 1 S 1 1y J Q& [MM/DDIYYYY] (p3 1 O O
City State (�,/I Co
Code I lD4
i 11 `�f[
Description of Debt '
1a1 w` CO--T8 CO--T8S
Name of Creditor Outstanding Balance of Debt
House# 'Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt,
House# Street Address DATE DEBT INCURRED $
[MM/OD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address ' 'DATE DEBT INCURRED $ -
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code.
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY] •
City State Zip
•
Code
Description of Debt