HomeMy WebLinkAboutSchin, Richard - 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 Identification , Report , CANDIDATE COMMITTEE 2. LOBBYIST 3
Number: Filed BY
Name of Filing Committe Candidate or Lobbyist:
I C11 1 - t
Street AtldressS:
C�Li-5 _ ale-
r.
City: State: /� Zip Code: —
n i d P / 70//
TYPE OF STH TUESDAY 1. 2ND FRIDAY 2. / 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY (/ POSTPRIMARY REPORT?
aTH TUESDAY 4. '2ND FRIDAY:. 5. 30 DAY- 5' TERMINATION YES NO
(place X t0 PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT I ) CHECK ONE 100- PAPER ✓ DISKETTE
Name of Office Sought by Candidate: r District Off ic¢ Party County
Number Code Code Code
MO. 'DAY �YEAfl
'� l / ' 1� (SEE INSTRUCTIONS FOR CODES(
FOR OFFICE USE. ONLY
Summary Of Receipts MO. DAY YEAR MO. DAY YEAR
and Expenditures from: , / �I-)/S To
A. Amount Brought Forward From Last Report $
B. Total Monetary Contributions and Receipts (From Schedule 0 $ -
C. Total Funds Available (Sum of Lines A and B) $
D. Total Expenditures (From Schedule III) $ 9p0, pp
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In-Kind Contributions Received (From Schedule II) $
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT
PART I - If this.:is a Committee report,-treasurer sign here. If this :is a Candidate report candidatesign here. -I ILA IF
I swear (or affirm) that this report, including the attached schedules, on paper or computer diskette, are to the best of my knowledge and be113' 1ua,a
correct and complete. WQ D N
a w Z `m
Sworn to and subscribed before me this
l day of 20_ 2•"`-til'7/' S 1 2 E O.
J
nS net a of Person Submitting Report QH
w °Z
y' Z—
f Sig ature Printed Name
.. 1 ° dw EMY commission expires � m
MO. DAY VR. Area Code Daytime Telephone NumU
PART II - If this is a.report of Candidate's Authorized Committee, candidate shall sign here.
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
NSignglure of Candidate
r
,gee Ain S_ Ah
Signature Pri ed Name /
My commission expires / / / . 41P'71
MO. DAY YR. Ch4litione 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) IV
PAGE ` OF
_ SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
Y) From To 6 /S
To Whom Paid MO. . DAY YEAR mount
C 5�1� z 2 moo. �U
Mailing Addr s Description of Expenditure
o 'Sr3 ' Sf.
City State Zip Code (Plus 4)
To Whom Paid '.`MO.. °DAY.' YEAR. mount
4i �r 027 /5- $
Mailing Addr s Description of Expenditure
"�o S 3� St.
City State Zip Code (Plus 4)
act VYt 17011
To Whom Paid - M0. '.DAYYEAR Amount
Mailing Address Description of Expenditure
City State Zip Cotle (Plus 41
To Whom Paid MO. I DAY. I YEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 61
To Whom Paid MO. ::DAY I Y£AR:. mount
Mailing Address Description of Expenditure
City State Zip Coda (Plus 4)
To Whom Paid `:-MO. "'DAY- 'YEAH :. mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid Mo. DAy. yEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid (MM I'-`DAY' 'YEaR ` mount
Mailing Address Description of Expenditura
City State Zip Code (Plus 41
PAGE TOTAL
Enter Grand Total of Expenditures on Page t, Report Cover Page, Item D. Is 900, 00
DSEB-502 (7-99)