HomeMy WebLinkAboutChippo, Sherri - 2021 2nd Friday Pre-Election 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 XCOMMITTEE LOBBYIST
Nam Filing Commit , Ca Q;da�e or Lobbyist:
Street Address
.no 5 93 �`t .e. \ .\-e
Cit /M�t�\ e l Sta e: pc_. Zip Code:� r`
TYPE OF eTH TUESDAY 1. 2 FRIDAY 2. 30 DAY 3. "AMENDMENT YES NO
REPORT PRE-PRIMARY RIMARY POST PRIMARY 'REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5X 30 DAY 6. TERMINATION YES NO
(place X to PREELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
s. Number Code Code Code
` \ TC )Zif-N5VS\
�1 J \_-^„VIAk MO. DAY. YEAR
1�\!(`i" Q lvf`►. r\ (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts M//O. DAY YEAR MO. DAY YEAR
and Expenditures from: �• z r
E.0 -'
A. Amount Brought Forward From Last Report $ — 0 ^ rr1 CD
X? C."'
B. Total Monetary Contributions and Receipts (From Schedule I) S r- O IN..)
•
6V
C. Total Funds Available (Sum of Lines A and B) $ C_—
D. Total Expenditures (From Schedule III) $ \1‘67+J I D-K a
LAJ
E. Ending Cash Balance (Subtract Line D from Line C) $ ----0 — at.
NJ
•--i 00
F. Value of In-Kind Contributions Received (From Schedule II) $ .--, O "‹
G. Unpaid Debts and Obligations (From Schedule IV) $ 0
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 a Cached schedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sworn to and subscribed before me
this �
c.
°land day of or ' th-Cr 46' , p��g8 /
L'...141174( --069/1./(dt
• ,,4,v 41r!s,v„,kaayd Signature of Pgc�on S ittin\ port
A,��bGc
Signature ` r°a�9 /{ - Pr inted'Name
My commission expires pl , iq 1d66joj, `,� 6'i,� -GAa�
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 OF
SCHEDULE Ill
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CV"\ \ From To
TVV4k.om Ppid, MO. DAY YEAR Amount
M ding ddress t� Description of Expenditure
_\ons NNs\sassi
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 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)
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. $ ` l'nj, a-)
DSEB-502 (7-99)