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Home My WebLink AboutMartin, Ken - 2019 30-Day Post Election II II Reset Form JL Print Form 1 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate / ` Committee Lobbyist — Number (Mark X) Name of Filing Committee,Candidate or Lobbyist 41. Ra,i-'l4 Street Address kt t, City GI.ail(GA art State State ` Zip Code 1 7 0 Ss/' Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-60 Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"a Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election YearAmend ment Termination (MM/DD/YYYY) /043.0/9 41S 17 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures t 0/2:21/4 /1/2.51/r C) . A.Amount Brought Forward From Last Report $ = `L' CO Q m r'i B.Total Monetary Contributions and Receipts $ :30 (From Schedule I) ,coo, 00 1---- ),.. I C.Total Funds Available $ w.- C') (Sum of Lines A and B) cd0 d00 CD D.Total Expenditures $ U (From Schedule III) 9 it-5. 1 E.Ending Cash Balance $ LL �-"f Ca (Subtract Line D from Line C) O -.< CM F.Value of In-Kind Contributions Received $ (From Schedule II) /C/ 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,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. S orn tq and subs ribed before me this ..,9k-of /,, • �O'"ion ��c r day of tJJ2. 20 M NMor�� /'��'"`� /�jA�� ///��///1 �- My q,�R osy/r�f Si; .ture of Person Submittin:report • ��{Yli[y/ S/�if/�`�� °._miss o erl��r....1).Puh•, y e Alin, d, .. : • a,— a/ / Signature mm1ss�on,v ries Printed Name 23 My Commission expires\-1411- /17 2D" 3 60066 7 / 5--‘(1 .-- 6 77 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 0 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number I 1.Unitemized Contributions and Receipts-$50.00 or Less per ContributorI I Total for the reporting period (1) $ 12.Contributions of$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) $ 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ X00 .00 Total for the reporting period (3) $ SOO . 0O 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) 1 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 Sv d , v a Cover Page,Item B) PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ jaA4eS 6. ick ra/n /r/e,/zo/9 )--5-D. 0 House# Street Address Date[MM/DD/YYYY] $ 38 ACry ,4_ City Nti // State Zip Code Date[MM/DD/YYYY] $ cGld "if /7oJJ Full Name of Contributor /'J� Date[MM/DD/YYYYJ $ er Illifpo rl ,2_5?. 0 0 House# Street Address U Date IMPM/DD/YYYY] $ 2,�S7 Dote G/. _ City State A Zip Code ^y r Date[MM/DD/YYYY] $te,d-VelAGS6 7 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House ft Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYVY] $ K4122a.c /ad'G Al / ke.i4 /072V.). /9 0Z31. D2House# Street Addressr DesCriptof Expenditure City // / State Q Zi 7 ( WPIA, /V'�!G T�' Code /7e// pos €_ Ar To Whom Paid ��"" Date[MM/Db/YYYY] $ _ r ,�/ ti /S /.7i 1�o2�i,�us �� /'�- h w �lzQ�zo6 9 House# Street Address 3�frf Descripti of Expenditure City /' J/ /( State 19� Zip r! `� / ( za�j0 I LG Code 0 Pt11 To Whom Paid / Date[MM/DD/YYYY] $ /60‘aus /q44/t e / �� to/r/��e `3s-. 0o House# Street Address 3s., ` j „et. Desc ptio of Expenditure City , �f / State Zip , r a/t �� Code `70 C( T!/1 f-eeT ¢Ol- fij,C�l k/ To Whom Paid Date[MM/DD/YYYY] j($ � -fs2 err rl isp.,if zoo, vo House# Street Address / / � Desfripti6n of Expenditure ro oh 5 / Zip State /) / Code /ZAil r To Whom Paid Date[M1D/ $ tDYYYY] 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