HomeMy WebLinkAboutMiller, David - 2021 2nd Friday Pre-Election 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 1. 2. 3.
Number: Filed By. CANDIDATE COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
DAVi,9 A, NI L kA,
Street Address: •
L114c i D/i) &iU..L
City: Stat A Zip Codg:
CAtL6sc� FA I I,
0/-S— _
'
TYPE OF 6TH TUESDAY I• 2ND FRIDAY 2' 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4• 2ND FRIDAY 30 DAY B. TERMINATION YES NO
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
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
Number Code Code Code
S-'C�J011G Lr/l^i� C J� MO. DAY YEAR
I/ O t 1-01 / (SEE INSTRUCTIONS FOR CODES)
'FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary
of Receipts ► ‘0‘ Q� ���� / 0 I? ,���
and Expenditures from: To
A. Amount Brought Forward From Last Report S l/ =
B. Total Monetary Contributions and Receipts (From Schedule I) $ 7u 0 CO
ill I
C. Total Funds Available (Sum of Lines A and B) $ Q0 Q 20
D. Total Expenditures (From Schedule III) $ /'fi/9 (//' '-> co
E. Ending Cash Balance (Subtract Line D from Line C) $ft?. l,R c p
C'�
F. Value of In—Kind Contributions Received (From Schedule II) $ Ca co
C�
II: trJ
G. Unpaid Debts and Obligations (From Schedule IV) S Q ---( r
AFFIDAVIT SECTION
PART I — 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 : f,tjc chedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. *both
Sworn
tt�o'and subscribed before m064-04)2i-
e this ,.�Rg �mitd,
I U day of ,,,,,vsTMb?an6��7bl shf
0,6'euy ,
NU,ny..7z6,660• Signature of Person pubmitting Report
_/! _ Jlt�t., 'Aar-_ Q 1)/0 L, f l l�/I„
Signature Printed Name
My commission expires ,,,,S,a \ 114 , .oa. ls ol,
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 for 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)
SCHEDULE I PAGE 2 OF
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
MOH)t) Mitt 61 From To
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) I $
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $
AD Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part D) $ 0 V ��
TOTAL for the Reporting Period (3) $ �
4. .OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from
Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report $ (�0_�
Cover Page, Item B.)
DSEB-502 (7-99)
PART D PAGE 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.)
Name of Filing Committee or Candidate Reporting Period
rnittEx From To
DATE AMOUNT
Full Name of Contributor
1-401 's d.
b 30 i 4°' 7U CA
Mailing Address DAY
9' /24,049O
City St Code (Plus 4) MC DAY
C.4AZ ois
-
Employer Naw_ Occupation 1/4 gE
olViJZ AZ16.) 1V1NW:70 p) 5reVili COF5)61AAn-/ Mit PAL/
Employer Mailing Address/Principal Place of Business
ffl< EtAJ I/4 ha? tams 140/v) /./Ome.
Full Name of Contributor
Mailing Address MO DAY "'YEAR $
City State Zip Code (Plus 4) 'MO., DAY , YEAR
. $
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO.- - ;DAY YEAR
Mailing Address MO \'•:DAY" ,YEAR .
$
City State Zip Code (Plus 4) MO:' DAY
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO. = ',DAY YEAR•`'
Mailing Address MO.'', -DAY -YEAR
City 'State Zip Code (Plus 4) MO. DAY YEAR
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO: ,DAY YEAR
Mailing Address i MO. DAY YEAR-.
City State Zip Code (Plus 4) MO. DAY', '';'YEAR •
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Enter Grand Total of Part D on Schedule I. Detailed Summary Page, Section 3. PAGE TOTAL$ 900 • 0c)
DSEB-502 (7-99)
PAGE OF
- SCHEDULE III
STATEMENT OF EXPENDITURES
Name of fling Committee or Candidate Reporting Period
J V l i9 /, I r i ` 1-0L., From To
To Whom Paid MO. DAY YEAR Amount
C4R Z7'<'/,/.:--/Jr°c e' s` 02 !s �v'! $ S z S. 9/
Mailing Address Description of Expenditure
/Is'l�sA s'Z'o�€�toc�oui 172_ Sv/y /0 0 y4�..✓� rrG,v_s
City State Zip Code (Plus 4)
,`V S- i A) f>c 7F75F —
To Whom Paid MO. DAY YEAR - Amount
i�r,)i p/JA 1' S/-/ /(i o s 1021 $ S/ ' st-
Mailing Address Description of Expenditure
So t 0/61/ ST. % i cc/LS
City State Zip Code (Plus 4)
CARLisz.r /Ad 4 1 946� -
To Whom Paid MO. DAY YEAR Amount
vs ' K ii sin . 10 O E' lot/ $ FIJ., S 7
Mailing Address Description of Expenditure
er tJM A/S7A<c 1J2 friA/G c(J-
City St to Zip Code (Plus 4)
C/�cLsL,� PA /9 o/3-
To Whom Paid MO. DAY YEARAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid
M0. ':;DAY : YEAR Amount
$
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 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)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 1, g6' 7. (<p
DSEB-502 (7-99)