HomeMy WebLinkAboutBuchs, Josceylon - 2021 2nd Friday Pre-Primary II
1I II
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 (Mark X) l�
Name of Filing Committee,Candidate or I
Lobbyist Josce-� t.a n jd C-'5
Street Address
2 I 1 �-I S •tee.-h
City Cco.ip. 141' 6 B1 State Zip Code 1,-7
Type of Report(Place x under report type) 4
1-6th Tuesday 2- y 5-2"a Friday 6-30 Day Post 7-Annual Special 2""Friday Special 30 Day 2"d Friday 3-30 Day Post 4-6th Tuesda
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
.
Date Of Election Year Amendment Termination
• (M CM/DD/YYYY) V I f d %/21 ` 2-1 Report Report
Summary of Receipts and From Date To Date For Office Use Only
•
Expenditures •
A.Amount Brought Forward From Last Report $
C-1 r-.
B.Total Monetary Contributions and Receipts $ c-' o
(From Schedule I) • _
C.Total Funds Available $ rtt
(Sum of Lines A and B) r- .._
D.Total Expenditures $ ` .‘
(From Schedule III) r`1 -p
E.Ending Cash Balance $ C7 =
(Subtract Line D from Line C) '� -�'- Q r
F.Value of In-Kind Contributions Received $ C.J
(From Schedule II) ,,.----_ -•G 6-4
G.Unpaid Debts and Obligations $
(From Schedule IV)
Affidavit Section
Part 1-If this is a Committee report,treasurer s',rCbpnre. this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including t -attac( h-: les on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this MFGm, wA
/�/� / P ��
/� day of // // 20 !�yCO�inCvibbe n'sy/t'0 — i_
�n�,��sss�°nF� C 4,,0 N°t ,,,--"___Si at { rsoo ubmittin report n(�
L✓ / ��i - i ,OnH+p es°�n4,°6/�c dryS�1 o S 1,h 6 6 h.0./-i
Signature /� �,•, ado J Printed Name c
My Commission expires
�A,.vl . IL-1 i9;O 3 'j60O6 I0I3 `1 t"1 c,,1-(D-tS-s b cl
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
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
•
•
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• SCHEDULE III
Statement of Expenditures
f Filer IdentiflcatiiiiiLNumj�ber
,To Whom Paid ,if ., a[ / /e �.,~.I I$
—. Date MM DD YYYY, �.
Hoouse X Soarf ddress P 'Description of Expendtture ggiti x i0
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q `� c .�jYe'• �wx.wvt
' Code ' \
To iholm"Paid 1. FDafe[MNI/DD/YYYXj` d>
gHouse t!j Street Address A�Desc`ript+on o"f Expenditure F F� "` x,
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,City .Zips i aey
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4i�. 3 ';4r.. 4,01
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4City PSState Zip a'
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Housek#} StreeL Address iDescription olExpenditurer,}pw:2, ��, '
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