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HomeMy WebLinkAboutKoontz, Gene - 2019 30-Day Post Election II IF ` Reset Form l Print Form 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 Gene C. ( 00/ z- Street Address St3 Nit iclnicia►1Ave City Lev/10,1%4e- State n� Zip Code ` 7043 Type of Report(Place x under report type) t� 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-5th Tuesday 5-2' 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 X Date Of Election Year Amendment Termination �/ (MM/DD/YYYY) (1/0$/2019 ' 261`) Report Report X Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/2.1/20 19 11/25/Z0 19 A.Amount Brought Forward From Last Report $ B.Total Monetary Contributions and Receipts $ va (From Schedule I) — CO rn C.Total Funds Available $ O (Sum of Lines A and B) --, �,, N D.Total Expenditures $ p2f —I (From Schedule III) ! 00 —0 E.Ending Cash Balance $ C7 = (Subtract Line D from Line C) Q N F.Value of In-Kind Contributions Received $ 2: C (From Schedule II) -- ..< r -C G.Unpaid Debts and Obligations $ (From Schedule IV) .- ----Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candpydate regr,candidate sign here. I swear(or affirm)that this report,including the attached schedules on/aper,is I he best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this A 88 $ __d_ day of e.jrxr CePi"\ —20 �.t, . n ti o Signatur of Per n mi �j report , t lL' 00 11/' o °� b gnatur a o o z �' Printed Name• My Commission expires '2G 2- 2-1 r�0 g 4 z 117 rJ 7 t-4S6 Z a fl p m MO. DAY YR. w g c 22. Area Code Daytime Telephone Number er 1? Part II-If this is a report of a Candidate's Authorized Committee,cd' iOte shall it n here. I swear(or affirm)that to the best of my knowledge and belief this)oli al comt itee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. N cn Sworn to and subscribed before me this day of 20 Si nature of Candidate Signature Printed Name My Commission expires__ MO. DAY YR. Area Code Daytime Telephone Number a SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ CIA()-ck4U S jks LLC t 1 /64-/zot9 900.00 House# Street Address Description of Expenditure 23 Nor-1-11 Fr i -r-ee-t City ��a�CCSk)0 � State PA Code 1 10 1 Po lm cards,1/Qrr.1 stein 5 lT skfois 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 I State Zip ll 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 r 1 1 1 111 _ I\W1-... 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