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HomeMy WebLinkAboutFriends of Shane Cohick - 2021 2nd Friday Pre-Primary • • Commonwealth of Pennsylvania CAMPAIGN FINANCE REPORT PAGE 1 OF (COVER PAGE) - (NOTE This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Report ```" .-es,^ 1• "'� '" • W 3. Number. ► Flied By �:,j f .> Name of Filing Committee, Candidate or Lobbyist /fZ2E-AJO 5 d P sij-41IE de f-i- oG Street Address: 396 11-6G-A'� -- '._. S_ i�G-- RZ , S /76- *.5� City:`„ _ ,�/ L.T t,& State: fJil z! Cod TYPE OF 04WfiroW1. it z . 3 • • 3. 1 t l it . REPORT ':«firauiii.,>`.a hi` <1.44„41..- :, ir<:,as w,, xUa '•',M ,,> (place X to i(f� ® ..... s • D $ ' 1m 0 CS • the right of ,-i, ^ry report type) ,.I.G1ri:« 7. YEAR_ t :. H ,>''{., •ham =,. ..��:�' • :sat .:, Name of Office Sought by Candidate a • eF L •N District Offiee Party�-y� County i 0' ig>w z;ti•fi :f�.y:.; Number Code CR Code e (4 J 1-�-ePEFF- lJ �sJ 'Y c2-1 (SEE INSTRUCTIONS FOR CODES). �� "i L. •• °.�...:. ..'-•.�.•.. .-• ;L- .,:.A..,,,...,, AIM:;•ate':.'' •a.„.A.Yv.:.., ,. Summary of Receipts ► G ��/ and Expenditures from: 01 98r �Z/ To = : r , A Amount Brought Forward From Last Report $ '',-w1 =�u r_ • B. Total Monetary Contributions and Receipts (From Schedule I) $ / ), 60 _ • ,c-� , C. Total Funds Available (Sum of Lines A and B) $ L.:J -7) D. Total Expenditures (From Schedule Ill) $ 5-0 PO cp C E. Ending Cash Balance (Subtract Une D from Une C) $ UD F. Value of In—Kind Contributions Received (From Schedule II) $ 0 l G. Unpaid Debts and Obligations (From Schedule (V) $ 10 i AFFIDAVIT:SECTION ,- -, • .4tr'L..' w ' lormultm cvgn. intaFtleffSian 41 8 .e " I swear (or affirm) that this report, Including the attached schedules, on paper or computer d , are to the beat of • d•e end belief true, correct end complete. r' i. Sworn rt�o and subscribed before me this ,j �, /� y ',day of ( 1 1 20 1 i .../4111111.51111""1 •• Waityil V .. Report ; 8 ature Printed Name I My commission expires 0 (c 0 a-V ( 717 _ Y tim _3021 !, MO. DAY YR. Area Code Day me Telephone Number - ?. .;?Asxa.i <'ffA �)O9bn'Cv.. /.�4.=%, H �fC'<In ^ .,^.' _ _' '• •. I swear (or affirm) that to the best of my knowledge end belief this political commi has not viol • • talons of the t • 3, 1937 'y (P.L. 1339, No. 320) as amended. Sworn to and subscribed before me this I _day of i 20 rJ}i If <E,' IL742 (ji 17* ••• re of Candidate v Si a /� ..ef T7 Jr e ��yy /� Primed Nam My commission expires 66 0 ri olp 4 I 717 31 -- /7 ?"t MO. DAY YR. Area Code Daytime Telephone Number COMMONWEALTH OF PENNbYLvru'iA NOTARIAL SEAL COMMONWEALTH OF PENNSYLVANIA Wendy L.Metzger.Notary Public NOTARIAL SEAL South Middleton Twp.,Cumberland County Wendy L.Metzger.Notary Public DSEB-BO2 r7-se) My Commission Expires June 2,2021 South Middleton Twp.,Cumberland County MEMBER,PENNSYLVANIAASSOCIATION OF NOTARItg My Commission Expires June 2.2021 MEMBER.PENNSYLVAN.AASSOCIATION OF NOTARI=_S 0 SCHEDULE I PAGE 2 OF .-S CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name�yof Filing Committeeor Candidate Reporting Perio !/ �[�� rkr_64 C.5 0 P g 0 T�� From ©_ O__/ To °7 r�C. 2l i,:s ll •. £e11�..4 , **400/1W'.. r'��o^ +X•'. �Jb�p�ir K& $` f- � , ewa; " vS4 t TOTAL for the Reporting Period (1) $ 0 .. mm•, .. . ,. �"z��`N.:�.... k:.� ��.q 'x` Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ 00 TOTAL for the Reporting Period (2) $ ot i t7 ,....�� °t. ,•; t t { T �a .�a' a cc T.- + t:' Z :; p �N Contributions Received from Political Committees (Part C) $ --- All Other Contributions (Part D) $ //coo TOTAL for the Reporting Period (3) $ /O 0 p, I `-, .r. ,F "'twr4, ,, £*vw ..,4 'n3&,-.._ iw:.- ».�_�� .:° x, ...'... °,, ",„;;, , _... 1 rrei %, ar A'p V S1 , TOTAL for the Reporting Period (4) 1$ TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING I THIS REPORTING PERIOD (Add and enter amount totals from $ j�Boxes 1, 2, 9 and 4; also enter thfe amount on Page 1, Report 75-611`/ Cover Page, Item B.) DSEB-502 (7-99) • B PAGE 3 OF PART ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to Itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate 'Reporting Period riltriEMIP s or SW) tJ ee l-I- 0e_ From O J/03120 Z I To 6 CI-12- Z02 DATE AMOUNT Full Name of Contributor •4'""` " s rail- .s- c 2M-3- ca�.-- ;a.3 ` Ty .. zo 2,i $ 2c0. 00 Melling Address ( :�'1.-kkr.17Jaitri 2 1/$ p,1✓&" /9v �J A $ City� A State/��/ � Zip Code 4) �.�.�, , �, '� VI oC 9/ $ Full Name of.Contributor 6j .: gai..3 $ Mailing Address ' a,,,. i .r;, ,1 $ City fiats Zip Code (Pius da .. �'. rvitor • $ Full Name of Contributor 1-.10a, Ivetkatc• , $ Mailing Address „i' r 5,-will, $ City State 2p Coda (Pies 0 r-int; 1* my_ Am:: $ A ' Full Noma of Contributor i '', $ Mailing Address • ' Itigik t lig 4. I $ `Crty State Zip Code (Plus 4) wr.4"'"':'-"Tur' Noin ` a. Full Name of Contributor , i "" 4401L1 $ Mailing Address k ;...i.. $ City State 'l`p Code (Plus 4) �� _ y $ PS". Full Name of Contributor ": .`.� $ Mailing Address ♦, tom, 1. City State Zip Code (Plus 4) 1 :it 1,4'a $ Full Name of Contributor $ Meiling Address „ : ;~ k"" '`" • $ City State Zip Code (Plus 41 :_.�'"' -^ �_A;_ ' $ Full Name of Contributor 4. Mailing Address ;' WO:.` City State ` Zip Coda (Plus 4) 7-- ,• °R - i PAGE TOTAL i......j , Enter Grand Total of Part B on Schedule I. Detailed Summary Page, Section 2. $ sv ,d 0 DSE8-502 (7-as) . PART D PAGE I/ OF _? ALL OTHER CONTRIBUTIONS • OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Namee of Filing Committee or Tndidate Reporting Period /" / v '� �/� /��'/V� r�/T. From D/`Off/atf0� TozoZi i' DATE AMOUNT Full Nameo"f��Co!+yibutor litet,-.:,, ,,Wfak„� n-�i✓� cam" G� fi:G� B/ p Er e2/ $ /a5217, L Mailing Address /� A� 7.,',,V", , >.: - '7.,.:;�':; `City „o Le.,, - S�t /Zip Code (plus 4) COOK;1,l.UV /ram_) `/f,�t/ $ Employer-./""Name _ P n e� ak _c Occupation �+ �y % UVreP PO�C l� G/PP/ c-L,I e, Employer Mailing Address/Principal Place of Business q S S e/voi fi aeitev A gitiOeA-- , P4 / 7d 2 -C ' Full Name of Contributor )..,,,, ,,1`�;fdIrglt $ Meiling Address City State Zip Code (Plus 4) 4 l4 $ Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor $ Mailing Address tifitti-y $ City `Stets Zip Code (Plus 4) I;;„ieVr g;„_ .;' .:UM,it — $ Employer Name Occupation 'Employer Mailing Address/Principal Place of Business Full Name of Contributor Y,; :.-;Wit Q;NW, $ Mailing Address ag-,• N City State Zip Code (Plus 4) ir._. i » i11 „i. a ) $ i Employer Name Occupation Employer Mailing Address/Principal Place of Business Full Name of Contributor AtilMs,..t'^ $ Mailing Address -- -city State Zip Code (Pius 4) i` r ��� Mae° Occupation Employer Name Employer Mailing Address/Principal Place of Business 41 I- Enter Grand Total of Part 0 on Schedule 1, Detailed Summary Page, Section 3. PAGE TOTAL //� DSEB-502 (7-99) $ /Q�� vV PAGE < OF SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing rC(o�mmittee or Candidate _ /��, /� Reporting Period T�Z!>✓��J�' t� S�� �—�`/ - ! From 6//&P'62"1 To 0 //z/262/ To Whom Paid p , R Gr 8 Pa/i/'/ .. ; > . ;- ' Amount 63 ®l 1do /' $ (/ S e/ D Mailing Address 1 • O`/ 4e9�q y greed-- / Description of Expenditure City Om m u• A Z7aCcde (Pius 4) To Whom Paid /r 6/ [(/ \• ��'i 1/ r& cite, . y ..•.- .:; Amount �1 Mailing Address Desc ption of Expenditure it 3 ! fiiVc- ,e . , ,E--7zr, / DF ,fi-lic/©S City St (P Zip Cods us 4) A , WV/L L- 17;92 LA/ C ti'Tn/a 147 (WsM4m 9 To Whom Paid ;,:100 Amount Mailing Address Description of Expenditure $ City State Zip Code(Plus 4) To Whom Paid 1 ' ,_;�, ; Amount $ Mailing Address Description of Expenditure City State Zip Code (Pius 4) To Whom Paid ;":° F*„ ' u .; ;7, 'b' Amount $ Mailing Address Description of Expenditure City ' State Zip Code Plus 4) To Whom Paid �("# *i 4.i.i.lstilyikiAllAmount Mailing Address $ A Description of Expenditure City State Zip Code (Plus 4) To Whom Paid e - FPIRAk =;Amount _ Mailing Address Description of Expenditure City State Zip Code Plus 4) To Whom Paid ..4r74014 ' jAmount Mailing Address Description of Expenditure City 'State Zip Code (Plus 4) IPAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ `a so C DSEe-1502 (7-99)