HomeMy WebLinkAboutCover, John - 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 Committee, andidate or Lobbyist:
Street Address:5— G r 2c, w mo ,
City: /�w ! State Zip Cyf /.":2 —
TYPE OF 46 H TUESDAY 1• 2ND FRIDAY 2 30 DAY 3• AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? X
6TH TUESDAY 4. 2ND FRIDAY 5 30 DAY 6. TERMINATION
PRE-ELECTION .PRE-ELECTION. POST ELECTION REPORT? YES NO
(place X to
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( I CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
�� MO. DAY YEAR Number Code Code Code
/ve/v43 xy S',r /-vior 5 lif ( I (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY.. YEAR
Summary of Receipts ►
and Expenditures from: / / 2/ To 3 ,3 z-/
C.) C
A. Amount Brought Forward From Last Report $ •--..._---. _-
4
B. Total Monetary Contributions and Receipts (From Schedule I) $ r1-1
C. Total Funds Available (Sum of Lines A and B) $ I
D. Total Expenditures (From Schedule Ill) $ `f/�c� 66 CJ 7:12,
Z�
E. Ending Cash Balance (Subtract Line D from Line C) $ 0 Cs
t'=
F. Value of In—Kind Contributions Received (From Schedule II) $ C.J1
G. Unpaid Debts and Obligations (From Schedule IV) $ —ti
AFFIDAVIT SECTION
PART I — If this is a Committee r:•., 1 Basurer sign here.. If this is a Candidate report, candidate sign here.
I swear (or affirm) that this report, in• uding t'- t-. hed schedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. Aje°04,4
0
Sworn to and subscribed
/before m- this�CCON r`>O,pislosp
llJ�/'I//,l / V 1 � i bP�i •_N /� .day of �i ,O d otd
�� - '9 Dig OV�Av Ot • ignajure of Person Submitting Report
"l���t.c-�/ �G)'6e,-do* a�i` �ysow o Ail G- CO V e r
< Signature
/��7 �16p0 j0 7 Printed Name/ p�
My commission expire d,//1 • ' l i Q-V�3 66 j� < / ) ? a$ — 053 V
MO. DAY YR. Area Code Daytime Telephone Number
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 to and subscribed before me this
day of 20
I 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 r% ' OF
SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid MO. DAY YEAR Amount
s &AJ SOAPvj C 3 z Zi $ 35` r CO
Mailing Address Description of Expenditure
)/a 1 15 /1- w,t o/e sf /e , ca✓'i 5/6/11-S
City State Zip Code (Plus 4)
To Whom Pai MO. DAY YEAR Amount
c1.5 z I7 Z/ $ oa
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY ' YEARAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY, YEAR. , Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEARAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEARAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY. YEAR 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. $ y80, 7D
DSEB-502 (7-99)