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HomeMy WebLinkAboutBlack, H Edward - 2015 30-Day Post-Primary Gommonwealth of Pennsylvania PAGE t OF lb CAMPAIGN FINANCE REPORT {COVER PAGE) (NOTE This report must be clear and legible. It may be typed or printed in blue or black ink.) .... ..,—a-. . Filer identification 2. 3. 01111. Report , _ _ Number: Filed By: x. � tow.�F'� a Name ofF I7 g C thee, Candidate or L byist: Q 0 Street Address:Z .y G a,i 49w c O��0 M 1L� City State: ^�. Zip — CA' // /7011 � TYPE OF T %DAV ,. S1tb4 mtbme 2. aft ua ass ri�us i REPORT i' Wow T'[tt�1kA`5° a. E 1ltL4fv$ ' s. .�0 dTA B. (place X toD9'3Ci�F: ` 5- taoN f @3'{Iti.. . ASPF73Z the right of - " " 7. YEAR - - report type) AEIPJ :: f! 'l+i -: Nmne of Office Sought by Candidata: a . e • Diat" Office Party County L6wFjQ �[ ef�s�/ fr7w�/7/fida /r Number Code Code Coda C O/t4M /55 1 e7A1�� j"12`7 1( ( UI� (SEE INSTRUCTIONS FOR CODESI EA Summary of Receipts and Expenditures from: 001' O110112-0/09) To Ulu 01 to/15- A. Amount Brought Forward From Last Report S B. Total Monetary Contributions and Receipts (From Schedule 1) ll C. Total Funds Available (Sum of Lines A and B) S O D. Total Expenditures (From Schedule 111) S -1 13• E. Ending Cash Balance (Subtract Line D from Line C) F. Value of In—Kind Contributions Received (From Schedule IO 5 U Cx Unpaid Debts and Obligations (From Schedule M S li l ✓.'tea,. - rWtrr iK *^.2: s's. • 'inrrty�l;w ,�aFq'a$g ';,c&�r 53853.7;TeF'R !t 3t1TS !`.C'ti,�•yn(4ff�$tB seFgT c a«nituKty Ys sigre- !' I swear far affirmil, 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 t /efJ�/ of J ,( �G 20 �5 tgnature o{ parson mitling Report ll�c� r A/. UW��t2JLAcIG Notarial Seal y Printed Name D My commission expires Notary Public //� ��"'�az{n rp MO. MlddletowiPS&O,DauphlntQbuunty Arae Code a rme Telephone Number s�at omobm AO a I swear (or affirm) that to the best of my knowledge and belief this political committee hes 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 y MO. DAY YR. Area Code Daytime Telephone Number 1 rJSEB-sae 17-11S) SCFIEDULE I PAGE 2 of CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period W. Ep WAI L,-c t-- From o( o Lol-4 To 1/0 coUFi�lpJv� c17u5 �E'4�vc=y¢Lc�J QQ �tcc(= �C=p Ir. .777�777�7*101TION4, TOTAL for the Reporting Period (t) $ Contributions Received from Political Committees (Part A) $ A!I Other Contributions (Part B) $ TOTAL for the Reporting Period (2) $ Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) $ TOTAL for the Reporting Period (3) $ 77 71 Dia ti E7:f OMM 1 T AMW "01M M 000 PAOT 1 TOTAL for the Reporting Period (4) $ TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ Boxes f, 2, 3 and 4; also enter this amount an Page f , Report Cover Page, Item B.) DSES-502 U-99) PACE OF SCHEDULE III STATEMENT OF EXPENDITURES Name of �Filing Committee or Candidate ��) y Reporting Period f7. L 0 K/A t 1/ el,4 cc.- From G{ O/ Za/ To G�'O Q tl✓ ITo WhoPaitl 1m — 4C.0cs c) / tae ea Mailing Address Description of Expenditure ec/r 45C= Cl7 CrtY State Zip Code (Plus 4) }To Whom Paid - -- --�. mount S1,1rX15 Mailing Address Desert tion of Expenditure 3 O �Z AL = D �JI/L� Saes_/L7 vPG/ 'I ity /, 5 e Zip Code (Plus 4) C L G7/L " 4f To venom Paid .; ,; ;y@q mount 5 / -fo c oru o: 15 a 295! '�.Mailing Address Des ription of Expenditure � qoZ 17-7 City Stee Zip Code IPlus 4) 5He To whom Paaidc, _ mount I R. ✓ V.�.� 6 G U y f" 2 06 l m. ng Address Desorigg���on of Expentliture C X 1 7f-c Af io 5 City statezip Code (Plus 4) r✓(;,LiA4. 1 oto— cw I,To W�ppm Peid - f ) f AI t- 05- Mailing Address Desert tion of Expendit re Hy State Zip Code Wius 4) fl To Whom Paidi.`�: j. mount Mailing Address Description of Expenditure City State Zip Code (Plus 4) �To wham Paid ! ; ;:: -, a Amount Meiling Address Description of Expenditure ity State Zip Code (Plus 4) .. To Whom Paid ; iY-*R Amount Mailing Address Deseript)on of Expentliture City State Zip Code (Plus 4) •PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 1 51