HomeMy WebLinkAboutEichelberger, Gary - 2015 2nd Friday Pre-Primary 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 Identification000, Report , 1. 2. S 1
Number: Filed By: CANDIDATE COMMI-fTfE. LOBBYIST
Name of Filing Co ittee, Candidate r Lobbyist:
Street Address:
City: w1 / Stat Zip Code:
i1 -
TYPE OF OTH TUESDAY 1. 2NO FRIDAY 2- 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY` REPORT?
6TH TUESDAY 4. 2ND FRIDAY : - 30 DAY : B. TERMINATION
(place X to
PRE-ELECTION PRE-ELECTION 5. POST.ELECTION ' REPORT? YES NO
the right Of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE., PAPER DISKETTE
Name of Office Sought by Candidate: 1 District Office Party County
Number Code Code Code
MO..' 'DAY :YEAR
SI Zai SEE INSTRUCTIONS FOR COOESI
FOR.OFFICE -USE ONLY
Summary Of RBC01ptS MO. DAY YEA MO.` DAY YEAR
and Expenditures from: , 0( L ( 2 01 59 To p 5 C)L ZN G
A- Amount Brought Forward From Last Report $
B. Total Monetary Contributions and Receipts (From Schedule 1) $ „?-
C. Total Funds Available (Sum of Lines A and B) $
D. Total Expenditures (From Schedule IIq $
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In—Kind Contributions Received (From Schedule IO $
G. Unpaid Debts and Obligations (From Schedule IV) $ — -
AFFIDAVIT
PART I —:cif this is a Committee report, treasurer sign here. If this is a Candidate're ate n here.
I swear for affirm) that this report, including the attached schedules, on paper or computer ette, a to the t of y knowledge and belief true,
correct and complete.
Sworn to and subscribed before me this
day of 20_.t-) NL
Signature erson Sub ing Report
IlL C ( ¢ Lok 0.2
Prin d Nam
M commissio N07 RI SEAL ^7I� qI? _ j&1(Y
� aai f1 O
NOIaIr PUD1�,°O. DA VR. Area Code Daytime Telephone Number
WNW
PAR II h te'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
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAV YR. Arca Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 0 (717) 787-5280
DSEB-502 (7-991
4y
PAGE OF
w SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Perio
From
To Whom Paid C( / MO. '. OAY YEAR AmountoQ
w l C IGG �a�n �/rofS S I IS
cumSDO, —
Meiling Address I Description of Expenditure
List) Ccn7riL7LrA2`
City ROIKState Zip Code (Plus 4)
n7s��, S _
To Whom PaidMO. .DAY YEAR mount
Mailing Address _ Descr' tion of Ex ¢nditure
City State Zip Code (Plus 4)
C�(� ()/4I h 3-
To Whom Paid -.MO. -DAY YEARmount
"
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ":MO. ' ''QDAY.' YEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid '-MO. DAY I YEAR'.l mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid },-MO. '.DAYYEAR ]Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO.. :DAY: YEAR r]Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 'MO. I DAY I YEAR... mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOT L
Enter Grand Total of Expenditures on Page t, Report Cover Page, Item D. $ Zen ,
MMP
DSEB-502 (7-99)