HomeMy WebLinkAboutGale, Randall - 2015 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF q
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 1• 2. 3.
Number. 010, Filed By: PoolCANDIDATE x COMMITTEE LOBBYIST
Name of Filing Committee, Candidat or Lobby'st /`
c
Street Addr ss:
City. State: zip Code:
dt F -
TYPE OF STH TUESDAY 1. 2ND FRIDAY 2• 30 DAY AMENDMENT �� NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT,
STH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6' TERMINATION YES NO
(place X t0 PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD PAPER DISKETTE
report type) REPORT ( ) CHECK ONE
Name of Office Sought by Candidate a • • • District Office Party County
,(^'/(, /I,I C//' / ,gyp/',/T�,(r//� Number Code Code Cod,
C//}Oyl � /T(� lV�e� I�L G�ULI/1/V"l. MO. OAY YEAR
,;;If( tSEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY 'YEAR MO.. DAY YEAR -`
Summary of Receipts , ( To
and Expenditures from: 4 _1
A. Amount Brought Forward From Last Report
EL Total Monetary Contributions and Receipts (From Schedule 1) S /t cat
C. Total Funds Available (Sum of Lines A and B) S
—1]
$
D. Total Expenditures (From Schedule III)
_..
E Ending Cash Balance (Subtract Line D from Line C) $ tv
(7:)
F. Value of In Kind Contributions Received (From Schedule II) $
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT
PART 1 — If this is a Committee report treasurer sign here. If this is a Candidate report candidate sign here.
1 swear for 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- COAIMpNWEALTH Of PEfN811T,VAt1Y1
Sworn to and subscribed be to me Mis NOTARIAL SEAL O{ `
,c{I HEIDI O BREACH (/
day ofNgtar P9WIC 20
CITY OF IWIRKBUR ItIN C `grgnature of Parson 5 tttl Report
CoIRInWiwfFapins Alp i�,2818 �11aA 1 J�A �� '
Signature Primed Name 7/ /y/j.
My commission expires 8 2n I cp � ' / `q 't U
MO. DAY YR. AZ C de 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 ,Yh/
0.gEB-502 0-991 ��J"
SCHEDULE I PAGE 2 OF _
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
/] From
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $
All Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part 0) $ C
TOTAL for the Reporting Period (3) $ /
WON
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) 1 $
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 t , Report
Cover Page, Item B.) l
DSEB-502 (7-99)
PART D PAGE `OF
4—
ALL OTHER CONTRIBUTIONS
OVER $250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period �.
1k,A" �� , / 41 6-6k� - From To
DATE AMOUNT
Full Name of,C t b t
$ 1./';.
t
Mailing AddressMo, YEAE
kw� $
City I S t _Zip Code (Plus 4) MO. DAY YEAR
Employer Name _ Occupation -
(� i
Employeri mg AddreAslPrincipal Plea of Business
a
c/q o Gcl 171101
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code (Plus 4) MO. DAY YEAR
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO- DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code (Plus 41 M . DAY YEAR
Employer Name Occupation
Employer Meiling Address/Principal Place of Business
Full Name of Contributor MO- DAY YEAR $
Mailing Address MO. DAY YEAR
$
City state Zip Code (Plus 4) Mo, DAY YEAR
Employer Name Occupation
Employer Mailing Address/Principal Place of Business
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO. DAY YEAR
City State Zip Code (Plus 4) MO. DAY YEAR
$
Employer Name Occupation
Employer Mailing Address/Principal Piece of Business
PAGE T TAL
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $
DSEB-502 (7-99)
SCHEDULE 111PAGE OF---!!!---"'---
y
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate I/ Reporting Period(�7
/, /„ ` f� From -l rX J To
To Whom Paid �� v. GU,� �/"1��' MO. OAY YEA mount
Mailing Atltlress (' Description of Expenditure
City S ZipCodePlus 4)
�� , W/ ( Y iC1—/I
To Whom Paid MO. DAYYEAH mount
L r
Mailing Ad ess, Description of xpenditure
itY � � ^� States Zip codP�m
To Whom Paid c,/lF• t. MO. DAYYEAH Amount /)
u GC — C r,
Mailing Xtic�es Description of Expenditure la
dzzL
City State Zip Code)(Plus 4)
l S �V� t�Y� I fX L
To Whom Paid MO. DAY YEAR punt
Mailing Ad ^ ./ Description of EXPep iture
City St t Zip Code Plus 4)
l n
To Whom Paid MO. DAY YEAROlglt
Mailing Address Description of Expenditure -
City State Zip Code (Plus 4)
To Whom Paid MD. DAY YEARAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid MO. DAY YE! Amount
Mailing Address Description of Expenditure
City State Zip Code Plus 4)
0100011
To Whom Paid MO. DAY YEAR I Amount
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. is / r
DSEB-502 (7-99)