HomeMy WebLinkAboutThe Eichelberger Committee -2015 2nd Friday Pre-Primary Commonwealth of PerotsYlvarda
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 Identification01, Report 1
Number: Filed By. ple
Name of Fil`�M'" Candd1id__ate or Lobbyist:
Street Address:
PC) . VI>X I x{32
city. ,-1/,,0,1A I State: �1 Zip Code.
1CS YJ�(ry II�'JJ —
TYPE OF 1. 2. 3. jiskirki
5, n
REPORT
dSEtT a. 919b3 4 S• ifs; �: e.
(place X to
the right of 7• YEAR `!
report type) Pte# n
Name of Office Sought by Candidate: fflawl District Office Party County
Number Code Cotle Cotle
ISEE INSTRUCTIONS FOR COOESI
Summary of Receipts Im
and Expenditures from: ► L}I 0I 2015 To 105 1 VLt I Z0l S
A Amount Brought Forward From Last Report S 11 /6, 9 :
B. Total Monetary Contributions and Receipts (From Schedule 1) S 2 4Jp0,Co
C Total Fonds Available (Sum of Lines A and B) S ` .� �� 61 y
D. Total Expenditures (From Schedule 110 S „S� O(� 4-
E Ending Cash Balance (Subtract Line D from Line C) 5 300 �}
F. Value of In-Kind Contributions Received (From Schedule 11) 1 Zt j
G. Unpaid Debts and Obligations (From Schedule M S
. . a
Af>'#'f�d • ; ',a. - _^.. �Prex3..,ir sigR%ter�. �:.. ��t„p.�a tBdatb`
I swear (or offirmo that this report, including the attached schedules, an paper or computer diskette, we to the beat of my knowledge and belief true,
correct and complete.
Sworn to and subaeribed before me this ����
day of 20 lrS
Signature of 27 Submitting Report
CO-WORIMEAI OF nMIN Primed Name L
M commission e91RfaRIALSEAL I
BETHANY DIMULO DA YR. Area Code Daytime Telephone Number
I swear or r tat to the best o my knowledge am belief this political committee of Dieted y prow' ' of the AM of June 3, 1937
(P. 33, No. 320) as amended.
LiSto and subscribed before me this CANS
`�—�
day o4 '�`may 20 1�
Sig ure of Cand'tl e
tLTH PEWND1tWBMI Print d Namee-; /
My commission ekIIIiAR L SEAL �� I IL' (o?,:3
BETHANY l L DAY YR. Area Code Daytime Telephone Number
CARLISLE BORO;,CU' RLAND CNTY
My Commission Expires Oct 7,2017
OSEB-502 (7-99)
i
SCHEDULE 1 .P{IGE 2 OF F 1
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Comnnpaw.,or Candidate r/' Reporting Period
�Lj � .� hQ^i< ,� l-(}'Yh wr • From S To
TOTAL for the Reporting Period (1) $ o
Contributions Received from Political Committees (Part A) $ b £ o
All Other Contributions (Part B) $ C 0��
I i J C7 ,
TOTAL for the Reporting Period (2) $ 1 ) LID L) Oo
Contributions Received from Political Committees (Part C) $ ^�
All Other Contributions (Part D) $ / DOC)
TOTAL for the Reporting Period (3) $ �� O()O Do
d rARNI 3119 .' PAW 1a '
TOTAL for the Reporting Period (4) $ "
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from �� _
Boxes 1, 2, 9 and 4; also enter this amount on Page 1, Report $ 21
Cover Page, Item a.)
DSES•502 (7-99)
SCHEDULE 111 PAGE OF 1
STATEMENT OF EXPENDITURES
Name of Fiiling Committee or Candidate Reporting Period
UC.i'I�.t r Q/^ �f�'✓1✓f-I, II'�� From
To Whom PaitlII A -- " - mount
✓/ pI'CZ 5f,,0 . .3o IS 2 .5 0 OD
A
Mailing Address q Description of Expenditure
� td.{,l 1 �C01C. ✓L UP�4n��5.5 P/�.
City S e Zip Cade (Plus N
I�•vSd-
To Whom Paid —{� mount
Melling Address , Description of Expenditure
P (� `
>,X:•v,CQS
PtyState Zip Code (Plus 6)
\(o
r n 4 L YR 17405-
To Whom Paidmount
u hem W. r7a
Mailing Address Description of Expenditure
`f -7 Notf (7uHt A2 t �Iefl'�4l
C tyr State Zip Code Witis 4)
NP JA G yr t c 5 bit PZ711405t) -
To Whom Paid mount
V �P �r fP 't Zsn. �o
Mailing Address Description of Expenditure
-5-4 8z kz,- C ,c I. cru. _; sp✓t�:«
City State Zip Code lus 4)To Whom Paid, !"� l Amount
Mailing Addresst� ^�y Daseription of ExpendituretY State Zip Code (Plus 4)
tnk Q?�+ 1�4vs
To Whom Pei Dunt
EPR " ..: _ z. .5 -.
Meiling Address Description of Expenditure
P O. 20`1
Pry State Zip Code (Plus 4)
n k FA- Hyde
TO Whom Paid I jAiL - mount
/l in,4c-' Cu L1 Lel le,ad 30 157 /Z 000
Melling Addresd I Description of Expenditure
ti' 3 n< G5
City State Zip Code (Plus 4)
Nye K1 �A-� i-cw, VA- (-f072. -
To Whom Paidmount"-"
! - ::. po
orbs �r,tt, oaf CwAe,�U� P s y s . 2 (�Ov _
Mailing Address Description of Expenditure t
D a (a 61 G LOAN � a� CM »,7 e --
C:tY {� /i state Zip Cade (Plus 41 n C
lzlz
,PAGE TOTAL c
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
OSEB-502 0-991
Commonwealth of Pennsylvania PAGE 1 OF I [
CAMPAIGN FINANCE REPORT ICOVER PAGE)
fNOTE- 'This report must be clear and legible. It may be typed or printed in blue or black ink.)
�1. -...... 1. T��, �.W 2, j x
.10
3.
Filer Identification Report
Number: Filed By-. Poo. r
10111 l a WW" r I
Name of Filing Committee, Candidate or Lobbyist:
-The-
ST-tld1gC&
City. State: Zip Code:
P
TYPE OF
..AME.......
REPORT
....... ......
..........
(place X to
the right of 7.
report type)
am ..- eas'
Name of Office Sought by Candidate: P r of office 'arty County
Number Code Code Code
-74
4
ISEE INSTRUCTIONS FOR CODES)
ISummary Of Receipts `
and Expenditures from: To S 11,05
A. Amount Brought Forward From Last Report $ C� . C11G. GY
B. Total Monetary Contributions and Receipts (From Schedule 0 $ 0- 00
C. Total Funds Available (Sum of Lines A and B) $ 31 (04
D. Total Expenditures (From Schedule 111) $ W 1'- -7-7
E EndingCash
sh Balance (Subtract Line 0 from Line C) $ '010,13-7
Ca D. Total
of In-K.Ind Contributions Received (From Schedule 11) $
Q
UpaDebts
-L,5-
Q Unpaid Dqtbtsand Obligations (From Schedule IV) $ lot
AFFIDAVIT SECTION
N E �M
I swear (or affirm) that this report, including the attached schedules, an paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sworn to and subscribed before me this
I�Tu day of k'AH —COMMONWEALT 8 L
NOTARIAL SEAL
S, natur f Person Submi"ing Report
f/_Vl rj 41
CAMELA J.MARTIN N bile . .z ��,g
0
Sig urs rand MY Printed Name lag Expires Line 2 2018 �2�-
My commission expires 0 Q
Mo. 'DAY YR. Area Code Daytime Telephone Number real
........... ...........-,-...............
. ...........
I swear lot affirm) that to the best of my knowledge and belief this political com as he not Violated n ov , no of the A t of June 3, 1937
(P.L. 1333, No. 320) as amended.
Sworn t
subscribed before me this
day of 206
ignature f Candi ate
'A ,
She nct:vlol ad an no
c
C)MMOf11M&TH44 Aftv" \Printed Neffie
My c TT-1!3W%WAQlAI qFAI C719
&UqflqY SQXRULO DAV YR. Area Code Daytime Telephone Number
sly
CARLISLE BORO;.CUMBERLAND UNTY
My commission Expiles Oct 7.2017
DSEB-502 (7-99)
PENNSYLVANIA CAMPAIGN FINANCE REPORT
This report must be typed or printed le ibl in blue or black ink.
INSTRUCT/ONS
This form is intended for the use of candidates, political committees and contributing lobbyists who are required to disclose contributions
and expenditures. Candidates must file separate reports when they make expenditures or receive contributions on their own behalf and
separate from their campaign committee. A candidate's report discloses contributions received and expenditures made individually by
the candidate. A contributing lobbyist's report discloses only expenditures the lobbyist personally made to influence the outcome of a
candidate's election.
Candidates and their authorized political committees file reports in the office where their nomination documents are filed. If the
candidate's reports are filed with the Secretary of the Commonwealth, a copy of the reports filed by the candidate and the authorized
committee must be filed with the County Board of Elections in the county in which the candidate resides.
REPORT COVER PAGE
The Report Cover Page identifies the filer, the type of report and what reporting period is covered. It also summarizes the detailed
contribution and expenditure sections from the body of the report.
Filer Identification Number-This number is assigned by the Bureau of Commissions, Elections and Legislation to candidates and
committees who register and file with the Secretary of the Commonwealth. A candidate's filer identification number is
assigned by the Bureau when the candidate files nomination petitions. A politica/ committee or lobbyist filer identification
number is assigned when the committee or lobbyist files registration documents in the Bureau.
Report Filed By-Please indicate which type of filer you are by checking the appropriate box on the cover page.
Name of Filing Committee, Candidate or Lobbyist, Street Address, City, State, Zip Code - Please enter appropriate name and
address.
Type of Report- Please place an "X" by the applicable report type.
Amendment Report- Check "Yes" only if the report is being filed to correct, add to, or in some way change a report that has
already been filed.
Termination Report - Check "Yes" only if the filer has no cash balance, no unpaid debts or obligations, and wishes to cease
operation. Contributing lobbyists may file a termination report if they do not anticipate making further contributions to influence
the outcome of a candidate's election.
Filing Method- Indicate whether the complete report is filed on paper, or if the report is filed by diskette accompanied by the
signed and notarized cover sheet.
Name of Ofce Sought- If filed by a candidate or candidate's committee, indicate office sought.
Date of Election- If this is a pre-or post-primary/election report, indicate the date of the primary or election.
District Number- If filed by a candidate or candidate's committee, indicate district in which candidate is seeking office.
Office Code, Party Code and County Code- If filed by candidate or candidate's committee,.refer to code charts at the back of
this report form. Enter the corresponding code letters for the office sought and the:Political party of the candidate; enter the
corresponding code number for the county of residence of the candidate. Candidates for local offices who file only with the
County Board of Elections should enter Office Code OTH for Other Offices.
Summary of Receipts and Expenditures- Enter the appropriate dates of the reporting period covered.
Amount Brought Forward From Last Report (item Al - The balance, if any, as of the first day of the reporting period. For
committees, it is the amount reported as the ending cash balance on the previous report filed, if any.
Items B through G- See detailed instructions on each corresponding schedule.
Affidavit Section - Must be sworn to by the filer acknowledging the accuracy of the report (Part 1). On reports filed by a
candidate's authorized committee, the candidate must sign an additional affidavit (Part 11).
Page Number- Calculate the total number of pages in the completed report and indicate. OQ.top pf covet,page. Subsequent
pages should be numbered consecutively. ' -
y
Reports Filed on Diskette: The cover page must accompany all filings, including diskette filings. Diskette filings(must also meet the
technical specifications of the Department. These specifications are available at www.dosistate:pa.us or by contacting the Bureau;
SCHEDULE PAGE 2 OF
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
—�Vle From H-(.5- To
.............. ..........
...................
RM1.5- AIt3 esu xims
TOTAL for the Reporting Period (1) $ o C,
Contributions Received from Political Committees (Part A) $ 2-t o
Ail Other Contributions (Part B) $ C>0
TOTAL for the Reporting Period (2) $ 1 Lt CC),LO
Contributions Received from Political Committees (Part C) $ 000
All Other Contributions (Part 0) $ C',v C
TOTAL for the Reporting Period (3) $ C.CC,
TOTAL for the Reporting Period (4) $ GC
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
OT L MONETARY
T C
THIS REPORTING PERIOD (Add and enter amount totals from
Boxes1 . 2, 3
oxes=12, 3 and 4; also enter this amount on Page 1, Report
CoverPave' rt ,
over PaVe, Item B.)
OSEB-502 17-99)
SCHEDULEI
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page- provides a summary of all monetary contributions and receipts during the reporting period.
item 1: Unitemized Contributions and Receipts represents the total amount of contributions and receipts of $50.00
or less in the aggregate per contributor received during the reporting period. Items 2, 3 and 4: Enter the total for
each section from the corresponding schedules in the report (Part A, Part B, Part C, Part D and Part E).
Enter the total from Schedule I on the Report Cover Page, Item B.
Definition of Contribution: Any payment, gift, subscription, assessment, contract, payment for services, dues, loan,
forbearance, advance or deposit of money or any valuable thing, to a candidate or political committee made for the
purpose of influencing any election in this Commonwealth or for paying debts incurred by or for a candidate or
committee before or after any election. "Contribution" shall also include the purchase of tickets for events such as
dinners, luncheons, rallies and other fund-raising events; the granting of discounts or rebates by television and radio
stations and newspapers not extended on an equal basis to all candidates for the same office; and any payments
provided for the benefit of any candidate, including any payments for the services of any person serving as an
agent of a candidate or committee by a person other than the candidate or committee or a person whose
expenditures the candidate or committee must report under the act. The word "contribution" includes any receipt
or use of anything of value received by a political committee from another political committee and also includes any
return on investments by a political committee. (See 25 P.S. §3241)
Instructions for Reporting Contributions
The aggregate total of contributions from an individual contributor within a reporting period determines which part of the report
form should be used to disclose a contribution or receipt. The form is designed to list the dates and amounts of as many as
three separate contributions from the same source in one line item.
Contributions and receipts of $50 or less, per contributor, during the reporting period, need not be itemized on the
report. The total amount of all unitemized contributions should appear on Schedule I, Contributions and Receipts
DetailedSummary Page, Line 1. A record must be kept of the receipt dates of contributions and the names and
addresses of each person from whom a contribution of over $10 has been received.
Contributions and receipts over $50 and up to $250 - report the name of the contributor, mailing address, amount and
date received on Schedule I, Part A, "Contributions Received from Political Committees," or Part B "All Other
Contributions."
Contributions and receipts over $250 - report the name of the contributor, mailing address, occupation, employer's
name and address, amount and date received on Schedule I, Part C, "Contributions Received from Political
Committees," or Part D, "All Other Contributions."
Receipts - Use Part E, "Other Receipts" to report all other monetary receipts or income; e.g. refunds received, interest
income, returned checks and prior expenditures that were returned to the filer during the reporting period.
Address - In all Parts, a complete address, including zip code, must be provided. Space is provided for the Zip Code
Plus Four. The State block should be completed with the U.S. Postal Service's standard two-letter abbreviation, such
as PA for Pennsylvania.
Date- all date blocks in the report must be completed with eight digits. For instance, March 24, 1998 would appear as
03 24 1998.
Total- of each Part should be transferred to the appropriate section on Schedule I, "Contributions and Receipts Detailed
Summary Page" (Page 2 of the report form).
Occupation and Employer- Part D, which lists individuals who have contributed over $250, also requires the occupation
and name and address of the employer of the contributor. Report the principal place of business of any contributor who
is self-employed.
PAGE OF
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 Reporting Period
From To
DATE AMOUNT
Full Name of ntributing Committee -k.:DAY , $ cc
Mh��idmCog RC- ......
. ... ........
$
City State Zip Code (Plus 4)
Full Name of Contributing Committee
X. -.w�z
$
Mailing Address
City state Zip Code (Pius 4)
See
Full Name of Contributing Committee
Mailing Address
maw...
City State —=pCode tPWS 4) .........
$
Full Name of Contributing Committee $
Mailing Address $
City State Zip Code (Plus 4)
A
Full Name of Contributing Committee ....
Mailing Address
City State Zip Code (Plus 4)
Full Nam. of Contributing Committee
(sx
$
Mailing Address
City state Zip Code (Plus 4)
Full Name of Contributing Committee
Mailing Address
City State Zip Code TWs 41
Full Name of Contributing Committee
Mailing Address
City State Zip Code iPlus 4)
$
PAGE TOTAL
Enter Grand Total of Part A on Schedule 1, Detailed Summary Page, Section 2. $
DSEB-502 (7-99)
PART B PAGE '4 OF
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 i S To LEL±_�
DATE -AMOUNT -
Full Name of Contributor M
$ CIO
Q_r 71
Mailing A001MRSS
City StateZip Coda (Plus 4)
$
Full Name of Contributor
sc-ci-v 'k \? \l0r)rW_ $ Go
M.M_ng_A_dWres.
City
z Mesas)\_0
CState Zip Code (Plus 4)
$
Full Name of Contributor $ 100'ri Q.
ib,Fln`g�r ..A
ycoo Nix Ser (fir, fUorlll
City State .4.1.::::>..,:._ .......
...
1 1 C3 5 $
Full Name of Contributor�
$ 250' C'Q
M..I,ngTddreSS
12 ml Lo $
ulty state Zip Code (Pius 4)
pq $
Full Name of Contributor
$
JC
Mailing 6rej
City tate p Code li'lus 4)
Cc'r(;-A e
Full Name of Contributor � _7
Ar Y,.,rs*er\ o(- Q'r)Q_ $
zSo Op
aping Faaa
cityZip Code (Plus 4)
S�� I WA
R,
Full Name-of Contributor ==amw
CSC_ok_! W '7=T $
C4State Zip Code� Tlus 4� $
wcr
Full Name of C.hf'ributo
Mailing Address
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ 1
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
From To 5-(-j�
DATE AMOUNT
Full Name of Contributor
To'mp— Cl
Mailing Address ;;;.:.: 7,- 77
City
5tate Zip Code (Plus 41
I
Empl6yer Nam Occupation
):Z6,ld-k I
Employer Mai ng AdareaalPr b,pal,Z Cif at Business
1 '7390
-0
Full Name of Contributor
MailAddress
,7qo Lnr,,cj+ L't«le-
City to Zip Cod. (Plus 41
Aewerlf I�
Employer Na Occupation
Employer Mailing Address/Pr pal Place of Business
Full Name of Contributor
Mailing Address
city State Zip Code (Plus 4)
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor :RAV( Lm eB..
Mailing Address
City state Zip Code (Plus 41
a>'.,.,..:y:`o— ,—, �`:-- g..
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor
Mailing Address
City State Zip Code (Plus 41
Mow MMWN:;%'s:Mltzx $
Employer Name Occupation
Employer Mailing AddreSSiPTintipal Plate of Business
Enter Grand Total of Part D on Schedule 1, Detailed Summary Page, Section 3. PAGE TOTAL
$
DSEB-502 (7-99) 1
it
PAGE l;. OF '
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From '(-1- 15 To 5-(4-07
To Whom Paitl mount
Mailing Address Description of Expenditure
sC2�sc�.�e 0� C on�r b
City C,:21— , //� Sttate Zip Code (Plus 4)
To Whom Paid "" -
R.:i`.::: mount
C m t— and F nF \:J m Z 3 I 1S Goo. 0 0
Mailing Address Description of Expenditure
L �C
City State Zip Code (Plus 41
To Whom Paid i3?"3tD?F>?ys:-r`<:3:37:f`�?{NEARss:! mount
k net I i 1 wo G o
Mailing Address Description of Expenditure
1b2 , S v,
City L S/t a Zip Code (Plus 4)
Ko—
To Whom Paid ii�gyq ---.gAy,,,:. 'Elkmount
.... 2 1
Mailing A ss Description of Expenditure
City Mn� e / $'aaatt. Zip Cod (Plus 4)
IKN�O✓Vl i`CJhW 1!I1 11V JCJ
To venom Paitla:iuga%moi >s ..`:.a >iarY£A"Amount-
,>-
2:; mount_5 400'Gcs
Mailing Addres Description of Expenditure
3a3 c�:n of n Sec r;ceg
Cit State Zi Code (Plus 4)
City �
14 a ��� N }t3 113
To Whom Paid „:pjty '1'EAtt ''. mount
1 1 o c c
Mailing Address Description of Expentliture
Coln C--) es
City Star. Zip Code (Plus 4)
To Whom PPaid`' '<"r.�gj?•ij:: g:3SJ.¢'y: :,",•E',Eyy(;r} Amount
Mailing Address Description of Expenditure
�+tnkinc, c�f,ccS
City S3�to Zip Code (Plus 4)
L e Iwf ?^9- C'g
To Whom Paid "yj ,::h :xigR.,�,r::YriAs " Amount
V. Z$•GO
Mailing Address Description of Expenditure
da\', Sec JIc�S
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $c6 9 ZZ
DSEB-502 (7-99)
SCHEDULE III PAGE OF
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid
Tmount
Mailing-
c�,,A 17)G $
mg Description of Expenditure
Cay State Zip Code (Plus 4)
To Whom Paid6Amount 9 1"tTl $ Liq�.C'
Description of Expenditure
City tate Zip Cod. (Plus 4)
14
To Whom PaidAffii Amount
-�3 1 1 z5 I $ 343
mc�'14
Mailing AddressDescription of Expenditure
q-2 D SAA(flu)� CI v cam`
City Stale Zip Code (Plus 4)
M"C"-+/'C-( 641 Pl-� 1.7050
To Whom Paid WArriount
Mailing AddressDescription of Expenditure
A) )q,,avl,aC'r-i A
city State Zip Code (Plus 4)
To Whom Paid .(10W Amount
?-O G Z3 i6- 1 $ a Ll 30.(to
Mailing-Address Description of Expenditure
City State Zip Code (Plus 4)
(4c
To Whom Paid Amount
7 a 1 16- $ Lit)oco (07)
Mailing Address Description of Expenditure
City State Zip Code IPIUS 4)
cx-
To Whom Paid
Amount CIO
Mailing Address Description of Expenditure
City to Zip Code (Plus 4)
To Whom Paid
..IA
zv mount
Mailing Address Description of Expenditure
DX —C-C�lb
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
DSES-502 (7-99)
PAGE OF �1 ?
r
SCHEDULE III
i
STATEMENT OF EXPENDITURES
I
I
Name of Filing Committee or Candidate- Reporting Period '
t - From l-\"lam To
"Che. F'rc1,e11,.et- � C_omr*ZrN
i
To Whom Paids>. ouni
- OL
Mailing Adtlres !! Description of Expenditure i
a �� �lc6x • e
ty a Zip Code(Plus 4)
M/�.� � t
/'JC Cvll(cs jK R f�OSa -
To Whom Paid (''� • .. - Amount
Mailing Address Description of Expenditure {
Pit(* k cTlotl v ces t
City - State Zip Code (Plus 4) _
to Whom Paid
m +hem Wa nes ,.` . Dnt94141511
, "'` T
IMailing Address_ �GLfit1 Description of Expenditure
ty (fL [[ Stele Zip Code (Plus 4)
To Whom Paid AmOUM
tZ4cl: t� -t z5o ae
Meiling Address Description of Expenantre
� ��,ecyicks
City St a Zip Code (Plus 4)
To Whom Paid a• ' _ Amount S
R tTl P r t n ' n Tlpt S
z0°tit
Meiling AtlArass. Description of Expsnditu,s {{
A- t al V S (-'A dl2s 1
1y.. St a Zip Code Wide {
To Whom Paidunt
Mailing Address - Deseriptfon or Pxpenditure i
of 1fTi- 4 mCG\ Serv/cq.
City State Zip Code (Plus 4) ;
� I
To Whom Paid -�., _.- .. Amount .
Mailing Address Desprilrtlan of Expon000re
City State Zip Code (Pius 4) )
— i
To Whom Paid Amount
i
Meiling Address Description of Expenditure
City State Zip Code (Plus 4)
t
PAGE TOTAL l
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D.
t.
DSEB-502 (7-99)
SCHEDULE II PAGE r OF__LL
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 Reporting Period _
( From 1-1-1 S To S 94
Y _ U�1t'tEMi�E13 IN 1GfND.�T#11S'j'i'�Qt� 3� �L1. .;_;�� Ems. tlU4� t,1A L i�E#€ �4NdTRi6[S'C�.1R. `:
TOTAL for the Reporting Period
fl+1 1N# p0 "f IM04itt 0161 PtV 1 riiaUE # Sff. tCi S{1�¢ (F.RC3M PA1 T l
TOTAL for the Reporting Period (2) $ OGD
3 :- 1t+f icIIIE3CyNTf#[BTdC3 [. 1 `E#VEE V><41E t�VE[; :$25ttitLl, i£31 #� T '�
TOTAL for the Reporting Period (3) $ ( I25
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from coxes 1 , 2, $
and 3; also enter on Page 1, Report Cover Page, Item F.) _
DSEB-502 (7-99)
SCHEDULER PAGE IO OF
PART G
IN-KIND CONTRIBUTIONS RECEIVED
k
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
7 From To
DATE AMOUNT
Full Nam. of Contributor
C)U
Mailing Address
7-ity state Zip Code (Plus 41
Employer of Contributor Occupation
Employer Mailing AddressiPrincipal Place of Business Description of Contribution
mel>�t(-\c\ Face
Full Name of Contributor
Ll,
Mailing Address $
City State Zip Code (Plus 41
Employer of Contributor _Uc—cupation
Employer Mailing Address/Principal Place of Business Description of ContributioncA er-111 ce-A C)'SJ�'It�s
Full Name of Contributor
Mailing Address
City State Zip Code (Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor ��br" - ..!i7ftX....Rsf6KH,;:(
Mailing Address
City State Zip Code (Plus 41
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of Business Description of Contribution
Full Name of Contributor
Mailing Address
City State Zip Code (Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule 11, In-Kind Contributions Detailed
Summary Page, Section 3. $
DSEB-502 (7-99)
SCHEDULE IV
PAGE OF JL_
STATEMENT OF UNPAID DEBTS
Use this secton to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Name of Filing Committee or Candidate Reporting Period
From To
Name of Creditor utstanding Balance of De
W'0
Mailing Ad DATE
DEBT
CC.C' INCURRED
City State Zip Code (Plus 41
11
Description of Debt
PT ef)c-'> I ( zPt C) 1W
Name of Creditor Outstanding Balar�%of Debt
Q -0'f-,' -Ti q QC
Mailing Add a
DATE
lnODEBT
(11 INCURRED
City State Zip Code (Plus 41
....................
DQZof Debt
Lo C,(—\
Name of Creditor Outstanding Balance at De
Mailing Address DATE
DEBT
IN
City State Zip Code tPlus 4))
Description of Debt
Nam. of Creditor utstanding Balance at L)c
Mailing Address DATE
DEBTINCURRED
City state Zip Code (Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE .....
DEBT
INCURRED
City de (Plus I
Description of Debt
Name of Creditor0 tstanding Balance of Debt
Mailing Address DATE
.. ................................
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. $ li
DSFB-502 V-991