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HomeMy WebLinkAboutKaren Mallah for Camp Hill Schools - 2021 2nd Friday Pre-Election Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.Rov/campaignfinance • ra-stcampaignfinancePpa.gov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu of full reports (form DSEB-503), and Independent Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Reports. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist `e-\\ ••• .\ C� l v V\s Reporting Cycle Name El Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 IX Cycle 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday' 2nd Friday Pre-Election Pre-Primary Pre-Primary Post Primary Pre-Election ❑ Cycle 6 ❑ Cycle 7 El Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part I- If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here. If this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and Q_SAN.ps*%. I 0 1 2r' Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) C--\r‘c \-e s .�. �\5O `A c -Y, ,\\ Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 tryPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinancePpa.gov Part 11-If this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. X/i/P1,0•41 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) .;17/1) }IQ .).11 CDrip Will ) 19A, Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 Commonwealth of Pennsylvania PACE ) OF ,� • •- CAMPAIGN FINANCEREPORT (COVER EASE) NOTE: This report must be clew wed terrible. it may be typed or printed in blue or block ink.) Number:roe ntific tipn j .Flied bycnt CAft IDA'TEfa. GOl�1MiTT , Lt l tS '� memo of Fitin Committee,Cendrdete or Lobbyist #1 cur. Cum t']4 ___'!C:_______1 l Street Addrec l _A C;ly: State: .'dip Code: • • TYPE Q1 t3Tif TU QAY• ^ t• MD FRIDAY • 2• -30 DAY 3• f..Alt frim• YES .NO REPORT r PRE-PRIMARY "PRE-PRIMARY; PDSTri�7iiklA Y REPpttT7 PRE-ELECTION c F - L cT oN + 8 F21E4 AGN 6. �rytitl t (place X to a r,- . S NO_ report typo) ►RT p F-TF t if oi,'rl, PAM% `4 '1i 1 the right of 7. YEAR • t• �I iMtnc of Office LIEleN eeCc y\C9� . \Ke_C r,: ',= . r Office .tp A m �' (T.Xtn \A•. 1\ c�- .2 O\ ‘5 `t' � ! (SEE INSTRUCTIONS .�• d� t �\ - QU-' RUCTIONS FOR CODES) rr it - - r - -- --- - -- - . � FI AISE rOttY NO." toe .* 'YAJAR. titf.1 ekt .. YEAR " - - - - 2- Summaryof Receipts } end Expenditures from: 0 / 5-0ti. To 10 1% ?-b 2\ e A Amount Brought Forward From Last Report II 0 t•.1 r•.N , lt) A. To131 'Monetwy Contribution, and Receipts (From Schedule I) 6 ^A (eta F a '. 9 C. Total Funds Available (Sum of Lines A nd 13) $ 3.O c G-. t „ f� PO - - �� TotalD. Expenditures (From Schedule tl(l V 8. 5S ' E. Ending Cash Balance (Subtract Line O horn Line 0 S 1O_ to i11 F. Value of In-Kind Contributions Received (From Schedule Ile $ - 1 --I co G. Unpaid Debts and Obligations (From Schedule IV) $ (3 AFFIDAVIT SECTION PART I 'fI-this,is.a Corrnittee reptxL treasurerlsign here. If t)tis is.* '(tartdidate•rc pad 'Cartdidat® shin f1ere I sweet for affirm)that this Import, including the aitochod schedules.on paper or computer di.Y.cttc. are to the beat of my ihnwlr-:dpr Pi/,d belief true correct *red complete. I Sworn to end eubwcribed before me this _day of 70 r ' Si gnctura a of Pcreon Staa-entIng Rap tt�'( Printed m'e '� I SignetWe 1t !-- j - _ My comrfliasion Exotic: 1 }- Ste./ ` 5 S I S MO. DAY Yit- - Axel,Code Daytime 7ele or+e Number I. • __ 7 PART! `If'This Is C. a report_of a .ndid ito'e Authos17,ed Cothaniittee ci $2dato.shati ign-hare . • - I f swear for erffirTrO that to the beet of my hmarri edge er,d belief thl. political committee hat not violated any provielona of the Act of Jtrrio 3, 1937 V.I.. 1333, No. 320)at emended. Sworn to end rubseribed before me thin r day of 20 7 Sig an a of C ;date 1.1 r Signature tint d - - My eornmiaa'fo;, avpiro=• _ -- � � r MO. DAY TR. Area CoOc Dc eime Telephdne Number Aral /t - .. -- ----- Y�-- -_ _ _ Ddprtrtmcrtt of State S Bureau of Commissions, Elections and Legislation 303 North Office 'Building i iiarrisburg, PA 17120-0029 •' (717) 7E7.52E0 OSER•507 p•SB) SCHEDULE I PAGE 2 OF 1 a CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period From 6/€ \ To /O l L$ i l a.( 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) I $ (� °'3 1 , $$ 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART 'A AND PART B) Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ 1 , ( (1 $a TOTAL for the Reporting Period (2) $ \ ��/0 ii� SO 3. CONTRIBUTIONS OVER $250.00 (FROM :PART C AND PART D) Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ Eo o. 0 o TOTAL for the Reporting Period (3) $ �d p 4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC (FROM PART E) TOTAL for the Reporting Period (4) $ 0 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ Th,Q 9 Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report Cover Page, Item B.) • DSEB-502 (7-99) PAGE OF I `_ PART A CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES • $50.01 TO $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Committee or Candidate\ (� 1 Reporting Period `'1o,xen � �\\0. `C'o � �0.-crLy\-\". 5c-`16`3\ From 1a To 1oll8I2i DATE AMOUNT Full Name of Contributing Committee N O. DAY YEAR $ Mailing Address • MO. DAY YEAR $ City State Zip Code (Plus 4) Mo. DAY YEAR $ • Full Name of Contributing Committee MO; DAY YEAR- Mai I ing Address "-MO. DAY ' YEAR $ City, State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MO. DAY YEAR $ • Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MO. DAY YEAR $ • Mailing Address MO. DAY YEAR. $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MO. DAY YEAR - $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributing Committee MD. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR $ PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ DSEB-502 (7-99) PART B PAGE MGLDF I 9... 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 From Lk%t2_.% To tio(lb ‘2.1 DATE AMOUNT Full Name of Contributor ,X•",4/10.;•:••,,Y, ''' .'13AY:::','''"'''YEAR . i al $ \00 Mailing Address ':. Y:Yyt.40::%,• $'t DAY t YEAR4 • 1\) g,n4 cs,L-,-eiv ' $ , City State Zip Code (Plus 4) ,-:,41‘4cr.;•,:Nt.::..1:)ANe:m YEAR C-C1,11N-N ci A I,\ 11"" no\\ - $ Full Name of Contributor MO DAY {Y_,,,,YEAREln K_CIA'f—sC1 'CNC Cl'A "\7/ S 3 Mailing Address MO DAY ,':'YEARX Q,*- K $\I\ c?Nci City State Zip Code (Plus 4) ' ' .rditi7.43.0,13AY '4,YEAR1 \1 — $ Full Name of Contributor • MG, •!.,:•DAYad TYEAR, V\C.:N,NC-P-... \ "—I 0-\-\C\e S 3 a t $ a5.5 Mailing Address '4VMO:':e'.: :'f;tiAS YEAR•gi 1 6 0 0 \—QQA.)cA 43 V- ifiA. ,)--5,\\ $ City State Zip Code (Plus 4) :...;,406..m$40AY.Iry,,,`: YEAC'',. , MA (9132_ - - $ Full Name of Contributor ,-.::;,4111;XIW, ,.'DAY ;, .•':,,,'YEAIV,:,:, -\94?...7.\- --\r Vr--lie-a —C1S $ atc,0 Mailing Address •••,,,MW''',,,:,,,":7Z:OAN'',41,':', YEAR . - $ ..,,,,c...,,J,,,\ Q-_,:,T--\----- City State Zip Code (Plus 4) 'EAR6 Pire.--C--\"10,...W•C—r-7\C:2Nrsr.... Pr V10 5 GS - $ . Full Name of Contributor ':•':.MC)::-f,.'. DAY YEAR )k..,. \ 42, ‘7""e„,-.„.S "\CSA_NI-4*".. 9. a 'l A k $ ( CI• ZIAC> Mailing Address ' ..,'M0.,',<:'.4,':Yy'. DAY,•. .',',WAR.' \\( \ $.V.\ 5- Ve_ City State Zip Code (Plus 4) •Auftxp,. ,:‘:;:DAYR-?..., •.:YEAV',' ‘ 1 'ICk 1% — $ Full Name of Contributor , !,',!KMM . 'DAYY.Y'.,:. 'YYEAR'. Cy 49., \ Mailing Address ',''4/10.':,..,..•: ':.,0A'Y''?•':;:'.;',;.'".YEAR:: $ \C\c% QA C‘NYLI ---\Y`C, ''...- \ \--- City State Zip Code (Plus 4) ''',;. •01(;),');.:',' '''.',DAY'::':: •;YEAR•,.'• la P XIN CORV CA 9 q 007- - $ Full Name of Contributor ..), MC):,,, ',)'.-MAY..,X, >,':',.YEAR tkca...._--k-Acle_st- 's\-•\-e _\-*.-e_....\--sc,,,,2s,Ql.\<„,c..,\-1 Q( Li A-\ $ aa c Mailing Address '•••,14A13.•?R1 q,.IDA`eW ,'."YEAR $ City State Zip Code (Plus 4) ,'4,''Ms:): ••••j,,:;',,.':15A.*•,,,,.i *YEAR4 '-'t 3 1 19.Lk - $ Full Name of Contributor e3 .:i.E):.laDAY. ,!Q..A-b \-,......-- ..s ..k.... 1 a 5 3,k ., /6o Mailing Address VICItta DAY YEAR a a 5 \,( .,-1 C-A.1..- $ City State Zip Code (Plus 4) '04,10: ,attAYIR5:'YEAll',.. c>(:::\ \-10‘\ — $ PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $--- *. - \313,WC DSE13,502 (7-99) ® 12 m L A t o o t o \-H\•,\\ -tee �.� to \ \btat As% N i o oc)3 PAGE 5 OF PART C CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value over $250.00 in the reporting period. Name of Filing Committee or Candidate ` ` i Reporting Period `K ev+e cyl c:LA 1(,.. 4;:- ci x- C 0,,� 1``? ; `,\ 5 c�ao`S From ‘ 141S12 1 To 1.0 1 i 8 12 DATE AMOUNT Full Name of Contributing Committee MO. ' DAY YEAR $ Nf Mailing Address 'MO t DAY - 'YEAR :. $ City State Zip Code (Plus 4) :MO.`... DAY- YEAR Full Name of Contributing Committee MOM.,; . DAY ;YEAR : $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO: DAY YEAR $ Full Name of Contributing Committee MO.. DAY YEAR $ 'Mailing Address MO. DAY ' YEAR $. City State Zip Code (Plus 4) MO. DAY YEAR $ Full Name of Contributing Committee MO. DAY YEAR"'. $ Mailing Address MO. DAY YEAR City State Zip Code (Plus 4) -. MO.. DAY YEAR " Full Name of Contributing Committee MO. . DAY YEAR $ Mailing Address MO. DAY YEAR $ . City State Zip Code (Plus 4) ;MO, DAY:' YEAR ' Full Name of Contributing Committee • MO. DAY .YEAR $ Mailing Address MO. DAY YEAR City State Zip Code (Plus 4) MO. ., DAY .YEAR" $ Full Name of Contributing Committee MO. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY .YEAR Full Name of Contributing Committee MO. ' DAY YEAR - $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. -DAY YEAR. PAGE TOTAL Enter Grand Total of Part C on Schedule I,'Detailed Summary Page, Section 3. , $ DSEB-502 (7-99) PART D PAGE t� OF i a ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value of over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate ` 1 \ \ Reporting Period 1�� �r ` 11 e..\\�\ c�� �osrnc r\\ \��C,Noe�tS From 1$tZI To1G(1% 12.E DATE AMOUNT Full Name of Contributor .�'.MO. g- DAY;'1. YEAR $ 0\3•\ 0..,\ S a\t�rc,o y, g 0 a Mailing AdtfrAss "MO. , A DAY','.' :YEAR ''. City State Zip Code (Plus 4) ='MO • DAY , YEAR:^? <2...\›.) ' Sot \\ M \G02Lk $ Employer Name Occupation C7\0 'SoA,'•=,6, �\C".nC..1\,‘) c� \c S \�a e.. .t_.‘c- Employer Mailing Address/Principal Place of Business fa W -1`1-'°, 5',. \•1qx,...,3 0vV; , E.\`1 \V©"Ly Full of Contributor .:; MO DAY YEAR=•7, / $ \e-_\\iii S0. �\hQ.`n 300 Mailing Address •MO ` "V DAY."-t.':'YEAR a $ 3 c \->J: \\C, v z. City State Zip Code (Pius 4) ` :,MID:': „:DAY YEAR¢^:' e( .m \ •. \\ VA 1410 \A - . $ Employer Name Occupation Employer Mailiat Address/Principal Place of Business °1 CI t\\(5 `C v t_ Q0.-%4V\? \\',\\ Q rk - i 1 \\ Full Name of Contributor MO.n- !='•'DAY:':': YEA14•,= $ Mailing Address MO ' :DAY.."• 'YEARfr-• $ 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 YEAR4 $ Mailing Address 'MD. ;''+':DAY .YEAR.t,z $ 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 P""YEAR'' $ Mailing Address M0. ::'DAY •YEAR.`_ $ City State Zip Code (Plus 4) *MO DAY-. "YEAR"? $ Employer Name Occupation Employer Mailing Address/Principal Place of Business I PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 4 • DSEB-502 (7-99) PART E PAGE 1 OF (a OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period ff T o ,c Qcw �W 't\ 5 From 4A%k .1 To 1'2,‘ Full Name �^ Mailing Address �tl City State Zip Code (Plus 4) „Mo. DAY :YEAR• Amount Receipt Description Full Name Mailing Address City State Zip Code (Plus 4) :‘'MO. DAY YEAR'''.Amount Receipt Description Full Name Mailing Address City State Zip Code (Plus 4) "'MO.` DAY::`: ,YEAR < Amount Receipt Description Full Name Mailing Address City State Zip Code (Plus 4) ,MO. DAY YEAR : AmOUnt Receipt Description Full Name Mailing Address City State Zip Code (Plus 4) MO. DAY YEAR lAmoUnt Receipt Description Full Name Mailing Address City State Zip Code (Plus 4) MO. DAY YEAR moon $ Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0 DSEB-502 (7-99) SCHEDULE II PAGE E OF is IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Name of Filing Committee or Candidate n c c Reporting Period j f Fl Clues e�'1 ` 10.E\,.31\ o c V c�rn� • \\ �o\Jci�o�S From $ \L'1 To (0 l(8 I. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ d 2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F) • TOTAL for the Reporting Period (2) I $ , (, .10 3. , IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G) TOTAL for the Reporting Period (3) $ d TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS ,� �`�' REPORTING PERIOD (Add and enter amount totals from Boxes 1 , 2, $ 4'� 10 and 3; also enter on Page 1 , Report Cover Page, Item F.) DSEB-502 (7-99) PAGE 9 OF SCHEDULE II • PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period CO e\k 11\ Sc\ From e, To AC) It% ).-2-\ DATE AMOUNT Full Name of Contributor ' NO. ' :DAY YEAR. Ce Mailing Adc%s'rn " is Q-:(1-1 c-x--2,-7\c 5 I C 7./5-zA $ \Q1(9.10 MO ,.bAY .'zYEARIZ 16 City State Zip Code•(Plus 4) ==,•",,OAY YEAR c>i) 1'1 CI I Description of Caintribution: \i•Nc\ ck,c-No\ jccFull Name Name of Contributor MØi •," DAY. \fl\ k a.-- io/k $ 5-0 Mailing Address •Mla. DAY YEAR City State Zip Code (Plus 4) -*;41113:,,:.! DAY YEAR p Vlokk —365q $ Description of Contribution: Rcz.. ea -C , 1, \(gee " Full Name of Contributor (—) Mai ling Address $ City State Zip Code (Plus 4) :•;::1140.. SADAY $ Description of Contribution: Full Name of Contributor DAY ',YEA1C.C. Mailing Address IMO. DAY :YEAR City State Zip Code (Plus 4) •,'11110.,;,': .1:;;DAY EAR Description of Contribution: Full Name of Contributor ,:YEAR Mailing Address MO DAY YEAR $ City State Zip Code (Plus 4) :;1)110.,•,*. DAY EAR; $ Description of Contribution: Full Name of Contributor Mailing Address WO: City State Zip Code (Plus 4) 'IMO: :YEAR, ( Description of Contribution: PAGE TOTAL Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, Section 2. $ )L\ ,1 0 DSEB-502 (7-99) PAGE CO OF la SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period \\ 5c..\0•3( From 2-1 To lO IF/ 12-k - DATE AMOUNT Full Name of Contributor NI Wfill0. • DAY "' YEAR. Mauling $ Address NO. DAY ^YEAR $ City State Zip Code (Plus DAY Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor MO. ;- DAY"..'" ;YEAR Mauling Address <`,'"DAY YEAR City State Zip Code (Plus 4) MO. DAY , YEAR Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor MO. DAY:: ;YEAR Mailing Address MO. DAY YEAR, City State Zip Code (Plus 4) .MO' 'DAY ;YEAR Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor MO ' DAY YEAR $ Mailing Address AfEAR"' City State Zip Code (Plus 4) •1110,1' OAY Employer of of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Full Name of Contributor ,DAY• YEAR.' Mailing Address - MO:-. DAY 'YEAR"' City State Zip Code (Plus 4) MQ. ' =.DAY YEAR Employer of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution PAGE TOTAL Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed Summary Page, Section 3. DSEB-502 (7-99) PAGE 11 OF ta 2. . SCHEDULE III STATEMENT OF EXPENDITURES IName of Filing Committee or Candidate Reporting Period ', ‘\ °-)(1.Snc ct, s From 4 I% I LI To I To Whom Paid •: 1)4'0'...: : DAY' ER Amount C \-\''e)\ P ,(-0 ,s to 4 2,t Mailing Address Description of Expenditure 13ox City State Zip Code (Plus 4) C3-Verl 5 Ve_. Pi4 190'3 - To Whom Paid 7,,.igicL ., , .,bAY A .‘.•'1EAR 1 Amount lo to :,a) $ ICI . P.)a Mailing Address C- Description of Expenditure gs.00, .g - C.Ct.\ \D:C(‘ K)-;\cz,,j PI‘1.e._ 'N..)..Ca .51 l's.1`) City State Zip Code (Plus 4) To Whom Paid ' NIO:z'; ''DAY,;' :,%*EAR 1 Amount ....., Mai I i;: Address1r '' C i3 2 ?\C".C-)`-' ,‘"T f."‘" i() ..i Description of Expenditure V, 3 E5 rrIeLx V4 SV.c-,,_- . City State State Zip Code (Plus 4) P V-k\ 04--(1)e...\ vv\-1\c„..., F1) ickkC5'S — To Whom Paid "i'',1410:‘,..,,, 4: DAY.:. ':.YEAR jAmount CC-./1-• --- '\ 'Q-- 16 15 .41 $ .(4,',4•1 Mailing Address Description of Expenditure R (0 4. ...N,c1.-,me:c-- City State Zip Code (Plus 4)c•--)'("\-ve_x-- rflc.)- 02-kill — To Whom Paid .':(4,10.i:',;, 4 ,YEAW 1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid 1 n'MO. !i: DAY: , YEAR tiAmount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid . 1010.•., '-'DAY,,,.. .yEAFf.1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ':,.1.110. `-:.o.lkY'.'''YE A.Ii II 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. $ DSEB-502 (7-99) PAGE 1 p2 OF leg, SCHEDULE IV STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of Filing Committee or Ca`ndidate \1 i Reporting Period i `IN�\-+a..`c c, \10v`h cz,,,t" p \\ �eo 1S From C ' 'a 1'9--t To i0, /$!2 i Name of Creditor I v ' l 'Outstanding Balance of Debt Mailing Address DATE Mp , DAY YEAR $ DEBT INCURRED City State Zip Code (Plus 4) a Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE MQ DAY YEAR $ DEBT INCURRED City • State Zip Code (Plus 4) Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE AVID ^ AYD YgAR; $ IMMENIOMMENSOMMENII DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE MO Y DA YEAR $ tEMOREINENNERRERMEggfeg DEBT INCURRED g City State Zip Code (Plus 4) i; Description of Debt E Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE MO < DAY Y ,..::EAR $ DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor 'Outstanding Balance of Debt Mailing Address DATE DAY .! YEAR $ DEBT INCURRED City State Zip Code (Plus 4) Description of Debt PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ DSEB,502 (7-93)