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HomeMy WebLinkAboutBosha for State Senate - 2019 Annual Report f Reset Form 1 Print Form 1 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 Committee / Lobbyist Number 843586616 (Mark X) Name of Filing Committee,Candidate or Lobbyist Bosha For State Senate Street Address PI Bak 12 City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) ` 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2n°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/05/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures , 11/26/2019 12/31/2019 A.Amount Brought Forward From Last Report $ • 751.44 B.Total.Monetary Contributions and Receipts $ . (From Schedule I) 0 C.Total Funds Available $ C • g-- (Sum of lines A and B) 751.44 M D.Total Expenditures $ CA t— 0 125.00 M ]O° (From Schedule III) PO E.Ending Cash Balance $ r— (Subtract Line D from Line C) 626.44 = F` F.Value of In-Kind Contributions Received $ amp (From Schedule II) cD G.Unpaid Debts and Obligations $ G W t(From Schedule IV) Z. I r CT 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 I. know--:•and belief true,correct and complete. Swornnoto and'subscri.ed before me this diki • , .c. 0 . 1 --4.', 4114 Alik '/1`%�//f p, / `r Signa of P• s�;, ittin report l �(''� c7'mor'-ualtli of Penn.ylvanla- o Seal y a signaturteborah L.Brenneman,NotaryP blic Print:.•Nam Cumberland County � ^ ` p7 My Commission expires csioq ires June 18,2022 1 11 $5G��vW • yU t/ Mu. Comnnggion na'l%ber 1016839 Area Code Daytime Telephone Number iAe..,hac Ponncywania Accnr•.iatinn of Notaries 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 toppand subscribed before me this /f� y of • 20 P/�acnatur f Candidate •i//�� i r Ja. ySea pp.. .Dol'/.fL Corrrge �yg� Printed Name DebSirah L.Brenneman,Notary Public . My Commis ion expires Cumberland County :5,70 u g t-31111 My cot wi� pyroo June 18,2022 1 Commission nUtllber 1 iY 6839 Area Code Daytime Telephone Number Member,Pennsylvania Association of Notaries • a SCHEDULE III Statement of Expenditures Filer Identification Number: 84-3586616 To Whom Paid Date[MM/DD/YYYY] ' $ Emily White 125.00 12/30/2019 House# Street Address Description of Expenditure 18 Neponsit Lane City State Zip Camp Hill PA Code 17011 Campaign Logo 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 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