HomeMy WebLinkAboutZook, Abner - 2021 2nd Friday Pre-Primary 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 , 1. 2. 3.
Number: Filed By: CANDIDATE \, COMMITTEE LOBBYIST
Name of Filing C mittee, Candidate or Lobbyist:/,c
zoo
Street Address:
City: State: pp Zip Code:
.!
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2` ' 30 DAY 3' AMENDMENT YES NO 7C
REPORT PRE-PRIMARY PRE-PRIMARY POST
POST PRIMARY REPORT? LL "
6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION YES NO
(place X to PRE-ELECTION .PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
MO. DAY YEAR
1` A-,k 3 tr\` 9 2Ke'Qt ki `�OT 5 'g ( (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY' YEAR MO. , DAY YEAR
and Expenditures from: , \ ( CQ l To ¶ 3 Of C)
F_
4—; O
A. Amount Brought Forward From Last Report $ CS :
tr1
B. Total Monetary Contributions and Receipts (From Schedule I) $ 77 --
C. Total Funds Available (Sum of Lines A and B) $ /5 No
al
D. Total Expenditures (From Schedule III) $ 6c)Jo e 30 x=.
n
E. Ending Cash Balance (Subtract Line D from Line C) $ a C
F. Value of In—Kind Contributions Received (From Schedule II) $
G. Unpaid Debts and Obligations (From Schedule IV) $ 0
AFFIDAVIT SECTION
PART I — If this is a Committee report, -:-,urer sign here. If this is a Candidate report, candidate sign here.
I swear (or affirm) that this report, including he ae• chedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. fed/
Sworn to and subscribed before me this '7 M�eC4'1'c,
�W/`� j yCo� O4�b,pR/S��s �f
'�\ day of i t Coo,/kis. °E,,7 'y 'Td.
(((///��` 1 s/o' Fkp. C0V9pb otfic c Signature of Person Submitting Report
P 7
Signature 6.06 10I� > Printed Name 4
/ /� tS i, / �. — ! Q 4
My commission expires �f;(,(/L. 'LI i . tJ� 17 �/�(� tJ O? !
MO. DAY YR. Area Code Daytime Telephone Number
PART Il 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
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
hbevec- ocok From To
To Whom Paid ,MO. • l'--DAY:t: 4.E.444 Amouvnt
C Mailing Addi 3IG0, ( $
ssDescription of Expenditure
110° 1/,) COVA 1Cd 91.5,.A %
City State Zip Code (Plus 4)
Cif-1 -ri
To Whom Paid ,NEAR.I r Amount/eq 3 -3 1 eQ $ 0-5 30
Mailing Address DescriptioA of Expenditure
0. 6)11V\e(-CA g toe e‘c coiv‘ ree\S
City State Zip Code (Plus 4)
To Whom Paid Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid Mo DA YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid .YEAR.: Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid M0 ',q?DAY- ''YEAR: . Amount
Mailing $
Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid YEARI Amount
Mailing $
Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid . ::nDAY :N•E M;I Amount
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. $ 60?63. 30
DSEB-502 (7-99)