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HomeMy WebLinkAboutBurt, Dwayne - 2019 30-Day Post 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 , Report , CANDIDATE 11/. .COMMITTEE 2. LOBBYIST 3. Number: Filed By: Name of Filing Committee, Candidate or Lobbyist: ` ' �� ,BK�/1 Street 4/4 4Go7T 7Dre//e City: State: Zip Code: ���,ed,� �°,� /746-7- / TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? 6TH TUESDAY 4• 2ND FRIDAY 5. 30 DAY 6i7 TERMINATION YES NO (place X to PRE-ELECTION PRE-ELECTION POST ELECTION . V REPORT? the right of ANNUAL 7. YEAR FILING METHOD report type) REPORT ( ) CHECK ONE , PAPER DISKETTE Name,offOffice Sought by Candidate: DATE OF ELECTION District Office Party County . .---d-,°4- --d,UG aNumber Code Code Code (/ 77��� MO. DAY YEAR. (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY ' MO: DAY YEAR MO. DAY YEAR Summary ofdi Receipts ► �-- / 7 To // c and Expenditures from: j47 C, ,,�, G o A. Amount Brought Forward From Last Report $ —" ..a B. Total Monetary Contributions and Receipts (From Schedule I) $ 'rf5 rn a X1 C. Total Funds Available (Sum of Lines A and B) $ _. D p1-4=2.7,/g CD D. Total Ex enditures (From Schedule III) $ = © E. Ending Cash Balance (Subtract Line D from Line C) $ 69'— C .. F. Value of In—Kind Contributions Received (From Schedule II) $ •,6)-- N G. Unpaid Debts and Obligations (From Schedule IV) $ --a--- AFFIDAVIT _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 before me this day of 20 Signature of Person Submitting Report Signature Printed Name My commission expires MO. DAY YR. Area Code Daytime Telephone Number 1 • PART Il — If this is a report of a r :n . •uthorized Committee, candidate shall sign here. I swear (or affirm) that to the best of y knowldQ 4/krill b 'ef this political committee has not violated any provisions of the Act of June 3, 1937 (P.L. 1333, No. 320) as amended. (f qH0 PP' Sworn to and subscribed before me t' C-/k?rco CUfl'her .•k 4/47 4.0/71 4Gl day of Ai i/ /. ' o��'SS�)n 4xAtP C°10/.,"4.:4/1). `y�JI 'P��d474 pl" Signature of Candid Signature Printed Name— My commission expires '`�31/a...Vt_ /1/ aO 9,3 7/7 6,5-22-,-9R3 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) PAGE OF SCHEDULE III • • STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period _ i' 4f)7/(, --- ete‘Z/ -/------ From / 2 / ? To /7-a4-5-17 To Why... 7a15 ''''NIC/:'', '' '':DAY`,.'' AAftlAmount /. ., / /1? $ c:11:75i9p Addre5.../7 frA /67 Description of ExpendiU7 _712,31/2. --5 /71/1/1 -0,e's ( City State Zip Code (Plus 4) /0,-/-t9eAr v To Whom Paid .i.'irlil, '. :.!tbAY.;•t'7,Ytmi A ... 0Amount _ CCe// 7 /1)1i-c7.2-4/166-S / ////C-- // g /7' 1 $ -. , Z3 Mailing_Addres Description of Expenditure /7 77-,- -'07'- ' City SAaIe li /Zip _Cycle (Plus 4)' )4,-- 7 /— To Whom Paid , MO ''. ,,,i,NbAse.:,'. YEAR Amount 1 $ Mai ling Address Description of Expenditure • City State Zip Code (Plus 4) To Whom Paid .,1/10 .' ,4i- tiA*; ',' :YEAlAmount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ', IIVII: . D'AY,;. -:YEA131Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid '''',.Mli)::•''.:.-'`.t)AY-\VYEAR1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid '' .:PAW'':' ' ..:.YEAR:..::: Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid 77,100‘.,, . ADAy. ,s.E..0.,1Amount $ 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. $ '542- , /2 DSEB-502 (7-99)