HomeMy WebLinkAboutFittry, Dashell - 2015 2nd Friday Pre-Primary Commonwealth of Pennsylvania PAGE 1 OF
40* 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 , . CANDIDATE 1 '✓ -COMMITTEE 2 LOBBYIST 3
Number: Filed By.
Name of Filing Committee, Candidate or Lobbyist:
'T_?iJ,e ii "ff.
Street Address:
n
ZZ 6 Z /jctj Mlle �G
City: State: Zip Code:
P'4 170i�? -
TYPE OF STH TUESDAY 1. 2ND,FRIDAY30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY .PRE-PRIMARY POSTPRIMARY- REPORT?
6TH TUESDAY. 4. '2ND FRIDAY i5' 30 DAY 6. TERMINATION
(place X to PRE-ELECTION PRE-ELECTION. POSTELECTION "REPORT? 'YES NO
the right of ANNUAL 7. YEAR FILING METHOD
report type) .REPORT I iCHECK ONE PAPER DISKETTE
Name of Office Sought by Candidate: MO.I • • District Office Party County
DAY' 'YEAR
Number Code Code Code
C oLt'% (C)M07 I S SICYI&_
zi J ISE. NSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. tDAY YEAR MO., oar .YEAR -
and Expenditures from: , 1 I Z v!' To 2 ul
A. Amount Brought Forward From Last Report S C _
S. Total Monetary Contributions and Receipts (From Schedule O $ (�
C. Total Funds Available (Sum of Lines A and B) S
D. Total Expenditures (From Schedule III) S �Vi� uC) -
E. Ending Cash Balance (Subtract Line D from Line C)
F. Value of In—Kind Contributions Received (From Schedule IO $ L
G. Unpaid Debts and Obligations (From Schedule IV) $ J
AFFIDAVIT
PART I — If this is a Committee report treasurer sign-here. If this is a Candidatereport candidate sign here.
I swear (or affirm) that this report, including the attached 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 i
day of 20,
Signature
SI
ature of Person Submitting Report
Signature Printed//ame —t
My commiss�TN�PFNILSYI
NOTARIAL ML 19A PIYR. Area Code Daytime Telephone Number
PART It — idat 's Authorized Committee, candidate shall sign here.
swe (or afAyl QGt111111aSlpl6nlplt�Osff]r00 ttlowle a and belief this political committee has not violated any provisions of the Act of June 3, 1937
P.L. 1 ,
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAV YR. Area Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation "•� _
303 North Office Building • Harrisburg, PA 17120-0029 • (7171 787-5280
DSEe-502 (7-99)
` PAGE CX OF ''Q
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid Mo. DAY YEAR mount
r iP✓CS�s 3 / zo;5 ' 05. OU
Mailing Address Description of Expenditure
27,6 -2
City State Zip Code (Plus 4)
661.11s1C 0-r 170/5 —
To Whom Paid '.MO. ''DAY YEAR Amount
Mailing Address Description of Expenditure
City Stat¢ Zip Code (Plus 4)
To Whom Paid Mo. 'DAY I YEAR. mount
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)
To Whom Paid 'MO.-r. DAY .' YEAR. mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid .MO. I DAY. : YEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid —MO. `DAY I YEAR ]Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid Mo_.r -.'-DAY YEAR'-. mount
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. $ 6_U v0
1p
DSEB-502 (7-99)