HomeMy WebLinkAboutFriends of Lisa Grayson - 2021 Annual Report Commonwealth of Pennsylvania
Campaign Finance Report PAGE 1OF
(COVER PAGE
(NOTE: This report must be dear and legible. It may be ed or printed in blue or black ink.)
Filer Identification , Report CANDIDATE 1 COMMITTEE 2, LOBBYIST 3.
Number: Filed by:
Friends of Lisa Grayson
Street Address: 161 Shatto Dr
City:Carlisle State: PA Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3. AMENDMENT YES NO ✓
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO ✓
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. II, YEAR 12021 FILING METHOD PAPER DISKETTE
report type) REPORT _ ( .0 )CHECK ONEpp
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
MO. DAY YEAR Number Code Code Code
Register of Wills OTH REP 21
11 02 2021
(SEE INSTRUCTIONS FOR CODES)
Summary of Receipts
MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
and Expenditures from: ® 12 3 2021 To 12 31 2021 C) A
C iV
N
A.Amount Brought Forward From Last Report $ 400.00 31�Pt
B.Total Monetary Contributions and Receipts(From Schedule I) $ 0.00
A (
C.Total Funds Available(Sum of Lines A and B) $ 0.00 '= Crt
D.Total Expenditures(From Schedule III) $ •--- Q =
E.Ending Cash Balance(Subtract Line D from Une C) $ 400.00 Z
CDF.Value of In-Kind Contributions Received(From Schedule II) $ --- .COI
•
G.Unpaid Debts and Obligations(From Schedule IV) $ ---
AFFADAVIT SECTION
PART I-If this is a Committee report,treasurer sign here. If this' • Candidate report,candidate sign here.
I swear or affirm)that this re ° «( port,Inducing the attached schedules,on p.�•r or comkette,are to the best of my knowledge and belief try. = - d complete.
; zil
c.Sworn too aa�nddsubscribed before me this6thTL January /4oi . Z�/a KA.��.Ll20 yAv•1 ��a6�/ arson Submitting Report
-444 �lA�, /da�/r j r a A.Cooper
/ Signature j 66 KI3 Printed Name
My commission expires eJ-&4 ` _ 1 , O (717)422-4457
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
6th day of January 20 22 c��
°°� Signature of C
�y0 �d'h Lisa M. Grayson
Signature Co;',.o�6 .,•>,, Printed Name
�Jo°�'�' 1jd . (717) 580-1254
r, * O y
My commission expirese:,j-I '~;•O�az,,t)„ d,
MO. AY YR. o''c;q`�ao�0..Ao6�~O.Q Area Code Daytime Telephone Number
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