HomeMy WebLinkAboutDay, Susan - 2015 2nd Friday Pre-Primary Commonwealth of Pennsylvania
PAGE I 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.)
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Filer Identification , Report , ` 1� ,� 2 c" 3.
C#iT`3D }f4TE : Cfl t :Li1�(3:f
Number:
Name of Filing Co ittee, Candidate or Lo yist: "!� �,
I 1
Street Address: Lo
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City: State Zip Code: _
TYPE OF ? vsjb 1 r�Nxr x�fltraY of xr 3 ?31E gSMENT
REPORTtxx s px 1MARY rpsT [1tiMAk{ AEP(F3T? YEs NO
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.(place X to REF
the right of • ��.•�, ,%-�z•%+S 7. .,.
report type) °s PfLE1)d l. THO4
Name"of Office Sought by Candidate: r • a a District Office Party County
Number Code - Code
Yi��a csrra � rs��r �uc� ` J C o43 hiC3 rr� 07/
OJ �q ao MEE INSTRUCTIONS FOR CODES)
§A.O�.�A•tF ...m'6EAcjj' . .`: fAO .: IXA�/Y
Summary of Receipts
and Expenditures from; , 6 0 (� To 06. 61S 1 d0K `
A. Amount Brought Forward From Last.Report $ -
B. Total Monetary Contributions and Receipts (From Schedule 1) 5
C. Total Funds Available (Sum of Lines A and B) $
D. Total Expenditures (From Schedule III) s - U 1
E. Ending Cash Balance (Subtract Line D from Line C) $ 6
F. Value of In—Kind Contributions Received (From Schedule II) $ ^
(a' k10 f 4/0
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT SECTION
I swear (or affirm) that this report, including the attached schedules, on paper or comp diskette, are to the best of my knowled and belief true,
correct and complete.
Swornrnd subscribed before me this
day of Mo., 20 IJ
Signature of Pe on Subm £ g Report
C N it Pri m
y @YIidN SEAu
M c mmissi on e
Notary P DAY VR. Area Code Daytime Telephone Number
:PART I. ` ` : AtttftcsRLA
e. .. . t tt9e, tatttt dates SEtat! sigrj:tar&.
1 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
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAY YR. Area code Daytime Telephone Nu^m^�b'e'xr
DSEB-502 (7-99) 1
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SCHEDULE 11 PAGE OFV
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS DECEIVED
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 �} - To
.. .. ...
tz U1�EITEIVI[ZE[3 tId KINO AITR18(1TIC}I l;ECEt2-r 1(AL�,iE_�4f $5tk:114 � SSS PE#ifiC3NTRi#StfT�t . :<
TOTAL for the Reporting Period (1) $ g 9
TOTAL for the Reporting Period (2) 77
$ a
3 IN K1I�ILTC1NT#�IBt}TEC3A RECElVE)3 1fALL1E 17{ t# DIm {ERt3A13.-.PART fi
TOTAL for the Reporting Period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2,
and 3; also enter on Page 1 , Report Cover Page, Item F.)
DSEB-502 (7-99)
SCHEDULE PAGE OF
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
Frornj)� _0q— To 0�_09_
DATE AMOUNT
Full Name of Contributor
A2 V 7
Mailing Adores
; D4.y�_
W
City rdZip Cod. (Plus $
llt"e
Description of Contribution
Full Name of�7 trb tor
v3 230 on(cv,(— $
Mailing
_gmm
(Plus us 4)))))))
City
GO r(m—lo rs
Description Of Contribution:
Full Name of Contributor
Mailing Address
City State Zip Code (Plus 41
Description of Contribution:
Full Name of Contributor
Mailing Address
City State Zip Code (Plus 4)
Description of Contribution:
Full Name of Contributor
Mailing Address
City state Zip Code (Plus 41
Description of Contribution.
Full Name of Contributor
_aW ......
Mailing Address
City State Zip Cod- (Plus 4)
Description of Contribution
PAGE TOTAL
Enter Grand Total of Part F on Schedule 11, In-Kind Contributions Detailed $ �
Summary Page, Section 2.
DSEB-502 (7-99)
�- SCHEDULE III PAGE OF
STATEMENT OF EXPENDITURES
Name of Filii ommittee or �LZV ReportingPeriod /'
From G3� J To >g'!�
E
v� ,^ MO. DAY YEAR. mount
Address Description of Expenditure
vc F
a Zip Code (Plus 4)
To Whom d MO. DAY YEAR moth
(� J
Mailing Address Descrip ' n of Expenditure
s
City at Zip Code (Plus 61
7o Whom Paidi/? ,^ MD. DAV YEAR mOul�
Mailing Address 0Dese tion o Expenditure
IC p�bV
eo
itY ((// a Zip Code (Plus 4)
To Whom P4id MO. --DAY. I YEAR mount `
Mailing Address
f� /� Descr' tion of Expenditure��
City /l'` ) /`\1 to Zip Code (Plus 41
Carl s ( o -
To Whom P DAY I YEAR mOUDYI� s
Maili19
Adtlrass Descri ion of Expenditure �,jl
City /V,l/l, e Zip Code (Plus 4)
r-11
I b/3 -
To Whom Paid MO. DAY YEAR Amount 91
MailingA dress Desf Expenditure
ocr' 'o o
L�.�s rr air I
city a Zip Code iPlus 41
r [s [7 - _
To Whom aid MO. I DAV I YEAR mounttO S
C� / b t
Mailing Atltlr s Descrip ' n of Expenditytg
LAIC
Citya Zip Code (Plus 4)
sl ►Wto 0 -
To Whom P/rdl MO. DAY YEAR mount
oras_
Meiling Address Descripof Expenditure
City to a Zip Code (Plus 41
-
PAGE TOTAL
Enter Grand Total of Expenditures on Page f, Report Cover Page, Item D. $
OSE6-502 47-991