HomeMy WebLinkAboutGross, John - 2015 30-Day Post-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 IdentificationpoolReport 1. 2. 3.
Number: Filed BY t CANDIDATE X COMMITTEE LOBBYIST
Name of Filing Committee, Candidate or Lobbyist:
Tto C . Gloss
Street Adfdrrasss: M 1 (^
City: State: Zip Code:
qoi I.Jy Srri.a'S, Tf1 /7o07
TYPE OF STH TUESDAY 1. 2ND FRIDAY 2 30 DAY 3' AMENDMENT YES NO X
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY � REPORT7
STH TUESDAY 4 2ND FRIDAY. S. 30 DAY 6. TERMINATION YES NO X
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORTT
the right of ANNUAL 7. YEAR FILING.METHOD
report type) 'REPORT I ) CHECK ONE.., PAPER X DISKETTE
Name of Office Sought by Candidate: 1 r . a District Office ,Party county
CIAm�cr'GtN� C OIAJ[��rl4sY rf� MO. ` DAY i YEAR Number crd� IGC P pr /Code a
s p dors
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary Of Receipts MO. DAY I YEAR MO. DAY YEAR
and Expenditures from: , g aofS To 4s aot5
A. Amount Brought Forward From Last Report $ 5,4 -T G
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) $ 9 L
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In Kind Contributions Received (From Schedule 10 $ -
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 candidate sign here.
I swear (or 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. A
Sworn to and subscribed before me this of/Y/!//�/1!/i//.p
0day of Jr� 20 1 5 �. (///
atur/er of Pe son Submitting Report
—�� Signature Printed Name
My commission expires ::S12— I !� / c9y /- -77,27
Mo. DAY YR. Area Code Daytime Telephone Number
PART 11 - If this is areport ofa Candidate's Authorized Committee, candidate shall sign here.-
swear for 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 NOTARIAL SEAL
JENNIFER G ASE
day of 20 Notary Pu he
CARLISLE BORO., CUMB RLAND COUNTY Signature of Candidate
My Commission Expire iMay 12, 2016
Signature Printed Name
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
\
Department of State • Bureau of Commissions, Elections and Legislation `ve`
303 North Office Building • Harrisburg, PA 17120-0029 • (7171 787-5280
DSEB-502 (7-99)
SCHEDULE I PAGE 2 OF _
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
TrIN C . G eosS From -S I4 /61,21,S- fo 4/T /Q015
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) $ /&S. 7 f
All Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $ /(ol. 7
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) $
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $
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 1 , Report
Cover Page, Item B. )
DSEB-502 (7-99)
PAGE 3 OF
PART A
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES
$50.01 TO $250.00
Use this Part to itemize only contributions received from political committees
with an aggregate value from $50.01 to $250.00 in the reporting period.
Name of Filing Committee
or Candidate Reporting Perio/d
--J-614 r4 C • &rcly From To 6/iiiil s
DATE AMOUNT
Full f�jO mil q rib-r.g Co�rpittR �0�� ^ s MO. QDAY YEAR
C lKC COM'R C7ro.S T 0DA n1 $
Mailing Address MO. DAY YEAR
yso mew� a;,��v4d $
City t State Zip Code JPius 4 MO. DAY YEAR
�o/ J 9 S�1r1Nq's,
14 $
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address M . DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY NEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code Plus 4 MO. DAY YEAR
$
Full Name of Contributing Committee Mo, DAY YEAR
$
Mailing Address MD. DAY YEAR
$
City Zip Code Plus 4 MO. DAY YEAR
$
PAGE TOTAL
Enter Grand Total of Part A on Schedule 1, Detailed Summary Page, Section 2. $ /C.$,
DSER-502 17-991
PAGE Z OF Y
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Perio
V OP4 to C. G le 6-5:5, From S 9 eZol S To
To Whom Paid DAY' YEAR mount
Co�,� v { Cr�mq c�laJd 3 /a 4elS �. oa
Mailing Address /(L Description of ;antliture
e-,r ik,esC VtU4fC LO 7 �Jo
City St to Zip Code (Plus 4)
Carltslc r' 1 /7013 -
To W m Paid M0. 'DAY YEAR-' JAmount
Rnr...ra rt�-t Sl,o T a` 1,21,Y /2-3,5' ge
Mailing Address Descri t'on of,Expenditure
33o E. Nl�k S • �'I'rt,1Ll
City State Zip Code (Plus 4)
4f�.r I, a 'C/ dig 1 FsE3 —
To Whom Paid Mo. DAY YEAR1 Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid M0. '.DAY .YEAR"'! mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MD. -DAY YEAR ' mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MD. :DAY .YEAR,. mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ', Mo. -DAY `YEAR-` mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid -`'Mo: =DAYYEVR:e'. mount
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. $
DSEB-502 17-99)