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Commonwealth of Pennsylvania 111131111111110111111111111111M
Campaign Finance Report 316492
(NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification 2019CO262 I Report 'CANDIDATE ✓ COMMITTEE. LOBBYIST
Number: Filed By:
Name of Filing Committee,Candidate or Lobbyist: GRAYSON, USA
Street Address: 161 SHATTO DR
City: CARLISLE State: PA Zip Code: 17013 i
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE.:. 2. 30 DAY POST- 3. AMENDMENT Yes No -J
REPORT PRE-PRIMARY . PRIMARY .` PRIMARY REPORT? �!
6TH TUESDAY 4. 2ND FRIDAY• PRE- 5. 30 DAY POST- 6.X TERMINATION Yes No
(place X to PRE-ELECTION ELECTION' ELECTION REPORT?
the right of
report type) ANNUAL REPORT.7. Year 2019 FILING METHOD. PAPER • DISKETTE
(. )CHECK ONE
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR 9 CPJ DEM 21
JUDGE OF THE COURT OF COMMON PLEAS
11 5 2019 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and
MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY
Expenditures from: 10 22 2019 TO 11 25 2019 2 ry
C _Q
A.Amount Brought Forward From Last Report $ 0.00 CD
W C.7
rn B.Total Monetary Contributions And Receipts(From Schedule I) $ 0.00 en
r-- I
C.Total Funds Available(Sum Of Lines A and B) $ 0.00 = al
C)
D.Total Expenditures(From Schedule III) 10,000.00 -0 O
E.Ending Cash Balance(Subtract Line D From Line C) $ (10,000.00) C= W
F.Value Of In-Kind Contributions Received(From Schedule II) 0.00 f O.V-
G.Unpaid Debts And Obligations(From Schedule IV) $ 39,756.79
AFFIDAVIT SECTION
PART I:-If this IS a Committee report,treasurer sign e,If this i- andidate report,candidate sign here. 1
I swear(or affirm)that this report,including the attached s• eduapfiled on pa• £or by electronic me• • LAI: ••.-.a of my knowled.e and belief,true
correct and complete. • '% •.
Sworn t• and subscribed before me this Co !F G.5)�q •- Signatureof Person Submitt ort
day , ,(, f 20 • �6/ yoi • 1,p `''" S
IP i U s. O d, !� '' 61,--
AZ/TM
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A/ 1 , .` : SIR• 2 c'yo r
:.� I: r�� +G� it�Ly q! grin ed �e ^,I.
11/ Signature •
4),,,' <$(5<;,;) /t,<, ' ��)�
My Commission Expires )IA-` (gal 1 lg20 ('1 Email/ ��
MO DAY YR y C, ea Code Daytime Telephone Number
2,/{1a
Part II-;If this is,a report of a candidate's authorized Committee,Candid e`1haH sign.here. "
I swear(or affirm)that to the best of my knowledge and belief this political committee •as •t violated any provisions of the act of lune 3,1937(P.L.1333,
No 320)as amended.
Sworn to and subscribed before me this
Signature of Candidate
day of 20
Printed Name
Signature
My Commission Expires Email
MO DAY YR Area Code Daytime Telephone Number
12/6/2019 8:42:57 AM
PAGE a, orb
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
GRAYSON,LISA From 10/22/2019 To: 11/25/2019
DATE AMOUNT
To Whom Paid
MO DAY REAR 4,.
Grayson for Judge
Mailing Address P.O. Box 333 10 30 2019 $ 10,000.00
City Carlisle State Zip Code(Plus 4) Description of Expenditure
PA 17013 loan to campaign
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1,Report Cover Page,Item D.
$ 10,000.00
12/6/2019 8:42:57 AM
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
GRAYSON,USA From: 10/22/2019 To: 11/25/2019
Outstanding
DATE Balance of Debt
Name of Creditor < '
Lisa Grayson
M0 ` ' 'DAY "YEAR
Mailing Address 161 Shatto Dr 10 22 2019
� 39,756.79
City Carlisle State Zip Code(Plus 4) Description of Debt
PA 17013 Prior donations to campaign
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page,Item G.
39,756.79
12/6/2019 8:42:57 AM