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HomeMy WebLinkAboutGross. John - 2015 2nd Friday Pre-Primary Commonwealth of Pennsylvania S ' 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 Identification001" Report Filed B ► - t. 2. 3. Number: y CANDIDATE x COMMITTEE LOBBYIST Name of Filing Committee, Candidate or Lobbyist: To N,.r Z-7 G res Street Address;sO City: l pI k IM V SI r" '� GS 9tata/PA Zip Code: TYPE OF STH TUESDAY 1. 2ND FRIDAY 2.n 30 DAY 3. AMENDMENT YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? C� eTH TUESDAY. 4. 2ND FRIDAY.. - 5. 30 DAY 6. TERMINATION (place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? YES NO C' e ort tt f '.ANNUAL 7. YEAR FILING METHOD DISKETTE 1/ p yp REPORT ( ) CHECK ONE PAPER /� r Name of Office Sought by Candidate: .� 7!0 • • District Office PartyCountyCuM6ir-fO,J ` O ti.Ju rC rNumber Code code Code AY YEAR9 aors oTH REP 2t (SEE INSTRUCTIONS FOR CODES) - :FOR-OFFICEUSE ONLY Summary of Receipts MO. DAY YEAR MO. DAY YEAR and Expenditures from: ► I I �i'6t - To S l pZol� A. Amount Brought Forward From Last Report $ po B. Total Monetary Contributions and Receipts (From Schedule 0 $ ,OD C. Total Funds Available (Sum of Lines A and B) $ •Op D. Total Expenditures (From Schedule III) $ E. Ending Cash Balance (Subtract Line D from Line C) $ 51{�• �` F. Value of In—Kind Contributions Received (From Schedule 10 $ - �0 G. Unpaid Debts and Obligations (From Schedule IV) $ ,LNp all AFFIDAVIT PART I — If this is a Committee report..treasurer .sign here. If this is a Candidate report, candidate sign here. I swear (or affirm) that this Ileport, ncludinjII,,%"tA1cM0che u as, on per or computer diskette, are to the best of my knowledge and belief true, correct and complete. '.SE Sworn to and subscribed before me this day of 1 y I y Signature of Person Submitting Report nNN C. Gly--S ignature �7 Printed Name My commission expires / / Z / / 17 09-77Z7 MO. DA 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 day of 20 Signature of Candidate Signature Printed Name My commission expires MO. DAY YR. Area Code Daytime Telephone Number Department of State • Bureau of Commissions, Elections and Legislation 303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 DSEB-502 (7-99) SCHEDULE I PAGE 2 OF S CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period 70t1 t I C. G Q655 From To E UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR 7! TOTAL for the Reporting Period (1) $ o0 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART_A AND PART B) Contributions Received from Political Committees (Part A) $ U� All Other Contributions (Part B) $ Do TOTAL for the Reporting Period (2) $ o0 3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D) Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ TOTAL for the Reporting Period (3) $ d0 F OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) 7 TOTAL for the Reporting Period (4) $ Od TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ Boxes 1 , 2, 3 and 4: also enter this amount on Page f , Report C� Cover Page, Item B.) DSEB-502 (7-99) SCHEDULE II PAGE .3 OF S 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 -j-6 HM C. 6606-C From /- f - ifs To 5'4-'20/3 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ ,Up EIN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F) TOTAL for the Reporting Period (2) $ co 3. IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G) TOTAL for the Reporting Period (3) $ p� TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes t , 2, $ and 3; also enter on Page f , Report Cover Page, Item F.) 00 DSEB-502 (7-99) PAGE OF SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee orrn Can i/lte Reporting Per io �or/n( C.. (> I@o5S From 1 / / Qo%S To •s `�� � To Whom Paid Mo. OAY YEAR mount O « !rl RSC 1 l2 /S Mailing Address 1 Description of Expenditure 64-a 'F. /I19� S�re�l ?.rr��wge E lue�o as City state Zip Code (Plus A) Co.r. l .s �e /?0/3 - To Whom Paid - Mg.'MO. `DAY '7YEAR - mOun u14i4e.( ST/t7is �tor�+� .sertJlet f fa 1S g. o0 Mailing Address Descriptioq of Exp¢nd iture Fri City State Zip Code (Plus 4) To Whom Paid !� L ' AY - YEAR mount Cew✓'t o? lA "A"ber l MO. D id /s S m Mailing Address Description of Expenditpre / Ceu�-& ou.Se sc?utre usl�/ t? Istr. City �t5 L sjpte Zip Code (Plus 4) To Whom Paitl MO. '. "QDAY YEAR mount Ca.S� o Canerfa✓o! 3 to /oo. Mailing Address Description of Expenditure COwt`��ot.tZe. Sawn(Y �i'I Fu City State Zip Code (Plus 4) Ca,r Isle 1''n 1?,013 - To Whom Paid f /� r r I - FAO: -DAY YEAR Amount l-�Antpo�elJTmwasM �P Kefl..p�l'�er.� /?,SS'oela.'�C•e,J l /S' �/S;fao Mailing Address Description of Expenditure /�pZ7 uerN[,Ss .//rrJG {/Iev NCl City / State Zip Code (Plus 4) eohaares�wr+� 1?4 17=e - To Whom Paid MO. ''-DAY YEAR Amount Mailing Address /I Description of Expenditure S4re04 :Mg11 y( ENJCL LS City CStat¢ Zip Code (Plus 4)IQ t�ol� To Whom Pe,d'j ^ / I MO. DAY YEAR mountto I O— C 11 CJ 11 �� lRlcr ar Mailing Ad fess Description of Expenditure Ad) �4r�� sG J�quKrc L)d. Re City state Zip Code (Plus 4) C4rI� rnoo - To Whom Paid Mo.. --DAY . YE4Rmount Mailing Address Description of Expenditure City State Zip Code (Plus 4) PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, [tern D. $ SN7, S DSEB-502 Q-99) PAGE OF SCHEDULE IV STATEMENT OF UNPAID DEBTS Use this Section 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 J HA) C. Gloss From / / /�6�5 To 6/ Name of Creditor Outstanding Balance of Derto Mailing Address DATE MO. DAV YEAR i. DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of creditor Outstanding Balance of Debt Mailing Address DATE IMo. DAY , YEAR DEBT INCURRED City State Zip Code (Plus 4) Description of Debt at Name of Creditor Outstanding Balance of Dert Mailing Address DATE S:MO. DAY YEAR I DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor Outstanding Balance of Uebt Mailing Address DATE MO. I DAY "YEAR i• DEBT INCURRED City state Zip Cotle (Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt Mailing Address DATE MO. DAY YEAR DEBT INCURRED City State Zip Code (Plus 4) Description of Debt Name of Creditor Outstanding Balance of Debt Mailing Address DATE ;MO. DAY YEAR 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. $ O DSEB-502 (7-99)