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)