HomeMy WebLinkAboutCommitttee to Elect John Gross - 2015 2nd Friday Pre-Primary t Commonwealth of Pennsylvania �z
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.)
2. 3
Filer Identification pool , CANDIDATE 1 COMMITTEE x LOBBYIST
Number: Filed By-.
Name of Filing Committee, Candidate or Lobbyist:
Comr„I'l'lcc ?o [IecL �n.14,J GR765 Tr�4ac..ft/'
Street Address: I
City: State: Zip Code:
'Bo;I INS pro —61!s- —}A 17007 -
TYPE OF STH TUESDAY 1. .2ND FRIDAY 2. 30 DAY. 3. AMENDMENT YES NO X
REPORT PRE-PRIMARY / PRE-PRIMARY -^ POSTPRIMARY. REPORT?
BTH TUESDAY 4. 2ND FRIDAY. ` 5. 30 DAY.' 6. TERMINATION
(place X to T
PRE-ELECTION PRE-ELECTION POSELECTION REPORT? YES NO
the right of ANNUAL- T YEAR FILING METHOD
report type) REPORT i ) CHECK ONE Poo. PAPER X DISKETTE
Name of Office Sought by Candidate: 1 u s • • District Office Party County
%raw-cf,L,P jf MO: DAY '.' YEAR Number Code Code Code
OT-H QcP I ai
5 i4f r�tl4 (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts Mo. DAY YEAR Mo. DAY viral:
and Expenditures from: , I L av' j To 4 '
A. Amount Brought Forward From Last Report $ '00
B. Total Monetary Contributions and Receipts (From Schedule 0 $ $V 41!6, QD
C. Total Funds Available (Sum of Lines A and B) $ 5 4 i;'. O7
D. Total Expenditures (From Schedule III) $ ags, 4p&,
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In—Kind Contributions Received (From Schedule 10 S
G. Unpaid Debts and Obligations (From Schedule IV) $ - 0Q
AFFIDAVIT
PART 1 — 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.
Sworn to and subscribed befi re me this NOTARIAL SEAL
,y,}� O JENNIFER CEASE '
}S day of I11 NotaryPublic 20 l 5 ���
CARLISLE BORO., CUMBERLAND COUNTY Signature of Person Submitting Report
bll�uo mission Expires May 12, 2016 (��ell
Signature ) Printed Name
My commission expires 5 12— ! 717 1 3 — y%s-,--
Mo.
SMO. DAY YR. Area Code Daytime Telephone Number
PART 11 — 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
IP.L. 1333, No. 320) as amended.
Sworn to and subscribed! before re this NOTARIAL SEAL
JENNIFER CEASE
0 day of / 141 Notary Publirio �_C]_
BERLA14[ t1N Signature of andidate
ommission Expires May 12, 2016 7&d4a ^ �12os S
Signature II J Printed Named/p 7
My commission expires S /Z / IQ 71a—I {--7 /a2-2
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 �e2
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing
ff Committee or Candidate
COMrhlTec I o Reporting Period
ei� From �t 61
Y �-,57
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period $
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $ .Z$O, OD
All Other Contributions (Part B) $ t� 0O w
TOTAL for the Reporting Period (2) $ 2{ 850. pp
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $ ao
All Other Contributions (Part D) $ S--eo- Co
TOTAL for the Reporting Period (3) $ S06 of-,
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $ a a
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 (]-99)
PAGE 3 OF /2
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 LCandidate Reporting Period
LOMAr1�4 ^)—a F �a.�7 T�HJ �yQSS From /-I -;Pois To '4
DATE
DATE AMOUNT
Full Name of ContributingCommittee 'MO. DAY YEAR OO
C)'tezr...5 f-r mr�e �ca�a y .7 apes $ /Jr.
Mailing Address MO. DAY YEAR
iii Ore o..P $
City State Zip Code Plus 41 MO. DAY YEAR
"Zi 1145 wr9 R? /7oeq — $
Full Name of Contrib tin Committee MO. .DAY YEAR
pore. it �;d FCccoP y k. I 'i $ r a s
ailing Address MO: DAY YEAR
30y �(. aL76 Sr �o fur -p7a $
City State Zip Code lPlus 41 MO. DAY YEAR
C4mP / 1i11
17oie - $
Full Name of Contributing Committee -MO: DAY YEAR
y s $
Mailing Address 'M . DAY YEAR
City State Zip Code Plus MO. DAY YEAR.
Full Name of Contributing Committee "MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City Stete Zip Code Plus 4 MO. DAY YEAR
Full Name of Contributing Committee MD, 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 '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
$
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ GYM
DSES-502 (7-99)
PART B PAGE Y CF 1;L
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of Filing Committee or Candidate Reporting Period
Ce/nrwl�lec To Elm 70tio QrocS From /— t_ ys To ,5- N aa1S
DATE AMOUNT
Full Name of Contribut r MO:. ` DAY YEAR
3r�cc a.rc. 3 s is $ aO"'
Mailing Address MO. DAY" .YEAR
City
AA r1�5
State Zip Code Plus 4 -.MO: DAY YEAR .
/YI iOt JlfCb 1 10'% /7o6s - $
Full Naml�e f Contributor MO. DAY - YEAR
f. . WC.1Lti .3 do /s $ / OO.ao
Mailing Addre�s1s --.Mo> DAY .YEAR $
(e7 (�/u tdef
City State. Zip Code Plus 41 MO:. DAY _ -YEAR-
CC..rllcic. PO4
Full Name of Contributor MO. DAY YEAR $
Tom < aee ie 3 1'I IT
Mailing Address MO. 'DAY YEAR $
City State Zip Code Plus 4 MO. DAY t YEAR
C 4 rl E'% 194 1701l— — $
Full Na e o f,Contributor MO. DAY YEAR
rllwn m:F2c Gress 3
47 1S $ /e25• o�
Mailing Address ":MO. DAY YEAR $
lao Spr1 �5 u1Cw �..at
City 1 CState Zip Code Plus 4 'MO. DAY I YEAR G �fIt IC 1taW /?oil' — $
Full Name of Contributor MO. DAY YEAR
Ta C. Swts�el 31 1S $ lo7S•"�
Mailing Address MO. DAY YEAR $
33S 1°�,rK �r�c
City State Zip Code Plus 4 MO. DAY YEAR
Full Na a of Contributor Mo YEAR $
Mailing Address Mo. DAY YEAR
I -ell 14)wlfC.] $
City State Zip Code Rus 4 MD. DAY YEAR
PA - $
Fulli a of Contributor MO. DAY. YEAR
osc 3 31 1S' $ /
Mailing Address -MO. DAY ts //.W-
DSEB-502
ayo r1. 3grrt s-Lii
City , JI State Zip Code Plus 4 `MO. DAY
aea o }I � I-), ,( -
Full Name of Cp ntributo 'Mo. DAY S-t rpC" � OI ctw31 Mailing Address 11MO. DAY961, dkta"Lwat /City 5 ate ip Code Plus 4 M . DAY gas► _Enter Grand Total of Part B on Schedule I, Detailed Summary Page, SectionEB-502 (7-99)
PART B PAGE� OF /pZ
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of Filing Committee or Candidate Reporting Period
Contnttlw T eleA -'oNJ Gro6S From t -!-c7yf� To Z4 y - oda IS
DATE AMOUNT
Full Name of Contributor MO.. DAY I YEAR
-J � 6. Tr y , aip,s $
Mailing Addres�s7 +MD. DAY - YEAR -
!� (,-ifcle $
City State Zip Code Plus 4 "MO. DAY< YEAR
Full Name of Contributor ,,td -.MO. - DAY. YEAR
/
r�LNJi {. • /„1 /l6r 1 '201s, $
Mailing AddressY MO. DAY'.' .YEAR
a crr� b-�•� c:r�d $
City �1 L Ste
te. Zip Cod. Plus 4 MO. DAY YEAR-
/ !7011 — `�/rte $
Full N e of Contnin or MO: DAY YEAR
Mailing Address 'MO. -''.DAY YEAR
/So J�w✓ --t $
City State Zip Code Plus 4 MO. .DAY: YEAR
�rllsbarq 'j ! 1 17219 - I $
Full Nam¢ of C tributor MO. DAY YEAR
�/ti PG 5 g• mewcly y $ So•
Mailing Address MO. DAY YEAR
a8�+1 u,4-6Q. C:r�lr $
City CS to Zip Code Plus 4 `MO- DAY YEAR�0
Full Name of Contributor MO. DAY YEAR
?rarn,c C . Geor y 3 aa5- $ 50, ao
Mailing /GaAddress MO. DAY YEAR $
a
City State Zip Code Plus d MO. DAY YEAR
La.rlrsle- ?d r�o� - $
Full Nam of ContributorDAY YEAR
C.f. leo,4eerol -D. /-lwrdtf, �^ y 3 9oN $ aSo. uo
Mailing Address MD. DAY YEAR
of Zone'l.lt.1 �r,oc $
City 'r5- I State Zip Code Plus 4 MO. DAY YEAR
Ce.r c PR 11013 - 1765 $
Full Name of Contributor MO. DAY YEAR
7"er, C . '�, ar y .3 ,2oif $ il"W pO
Mailing Address
Of' s („J, /✓I alta Strider- MO. DAY YEAP $
City State Zip Code Plus 4 MO. 'DAY YEAR
Mcdk6wo'esbvr5 IAA -L230 $
Full Nam of Contributor Mo. DAY YEAR OV
rj. Z"#rf vrtrll��, Tr T- 3 50r5- $ a6o.
Mailing Address `,D _MO. .DAY' YEAR
?l . 0, 2O)e S1 $
City n State Zip Code Plus 4 M . DAY YEAR
`ur�tS'e 'TA /'7013 - $
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $
DSEe-502 (7-99)
PART B PAGE L OF /Z
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of
YY Filing ,,Committee or Candidate /Y Reporting Period
C..aprM r7t�c Td eleA —X—)4A C�/OSS From /`1.-ol0i5 To Z-11 -07046-
DATE AMOUNT
Full Nage pf ConiAbutor 1 MO. DAY YEAR $
F4,1 Ca (�rthmiW ` !o e5atS /o oo
Mailing Address // -MD. DAY' YEAR .
sa
aa • (j,(s�� � +c App. y y $
City State Zip Code Plus 4 'MO. DAY. YEAR
/Itcc��dlcs b,�r9 mid /�aS'S' -lo Liv $
Fullg of FonttibutoZr'L ` :MO. 6AY.. YEAR
V, S $
Mailing Address "Mo, DAY YEAR
Sa4L ST¢ATN monk' Dr $
City LL JL IA Sttaa�te. Zip Code Plus 4 'MO: DAY " YEAR
McAdel CStJGtr�I )7o*> — $
Full Name of Contributor MO. DAY. YEAR
/a'+k � 4 /aNwc Am4rd�ad L4 F( 2w5 $ d>"
Mailing Address MO. DAY. YEAR $
is ala S, p;* Sf
City State Zip Code Plus 4 MO. DAY YEAR.
C4rl e PA / ;0I3 - $
Full Name of Contributor MO. DAY YEAH
C . Qdy 4. 54,54.) l,✓•GI�A) a/ 5r oarIY $
Mailing Address ..M0.' DAY YEAR
CoIGO '28,614idwlc Lir` $
city I State Zip Code Plus 4 MO- DAY YEAR
$
Full Name of Comir,le P•or MO: DAV YEAR
�J Ilr�.w �Powa Jo ,1Dts $ l a'
Mailing Address Mo. DAY I YEAR
_?L4 Z AyrbtrG 7]c $
City State Zip Code Plus 41 Mo.. DAY YEAR
C4.rIi-SL �A /7oIS -Q2S`I $
Full Name of Contribu-iyo�r
NLQ. DAY YEAR
J`Q./h CS L. �6 4./' 4/ ld 267s $
Mailing Atldress MO. DAV YEAR $
W. Mala Sf
City State Zip Code Plus 4 MD. I DAY I YEAR
Full Name of Contributor Mo. DAY YEAR
$
Mailing Address MO. DAY YEAR
SG Z.rb,A.rc Zr $
City State Zip Code (Plus 4 MO. '.DAY YEAR
C4,rl14
Full Name of 1Contributorrn MO. DAV " YEAR
t du.$ T- V r' /'r'l: JD r3 Iia t 3 $ Jac. m
Mailing AtldressMO. DAY YEAR $
�f Yf)ar�4r��
City State Zip Code Plus 4 Mo. .DAY YEAR
r�cc�14 )to6bwl�j PA $
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ /376,
DSEB-5n2 (7-99)
PART B PAGE '/ OF oZ
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of Filing Committee or Candidate Reporting Period
C4mm� 1 cc T� Oe.� J oNd Gfo6S From �siS Ta •S
DATE AMOUNT
Full Njme of Contributor MO. . DAY YEAR CG
�Vzw r� • ` Sc. +.f fro f Sh r�rc/ y G Jo iS $
Mailing Address MO. DAY YEAR
D11oS ��j�4s ?Ir $
City State Zip Code Plus 4 -.'MO. 'DAY ' `. NEAR
C4.PIt4IC Rj t7ot3 - $
Full Name of Contrib for `MO. - DAY,' .YEAR
Tmrny � . .'tors $ Oar—
Mailing
`Mailing Address MO. DAY - YEAR
1111 "Wiv +rkya GN• $
City State. Zip Code iPlus 4 MO. DAY YEAR
/A ca ha.)t Isla w/"'1 174$0 - $
Full Name of Conutor MO. DAY: YEAR
7kh.Mtrib'?. arc s y 1G abjs $ / ai o0
Mailing AddressMO. DAY .YEAR
j�tu6.�S� t rC Q44re $
City ,,fi�� L State �Zip Code Plus 4 MO. DAY'. YEAR
Ae G k 4..r LC5
Full Name off Contributo�rJ M .DAY YEAR $
.TG.cr.:e- 64,r./ 076 j:* Ids.
Mailing Atld1.S� MO. . DAY YEAR
3 c Ic $
City State Zip Code Plus 4f MO. .DAY YEAR
All4J 6 C pA 1-7 46,> — $
Full Name ofontributor M0: DAY YEAR
. o EL Y ao a',s $ 1�
Mailing Address M0. DAY YEAR
ill Wtirb Oink 0rde, $
City stat Zip Code Plus 4 MO. DAY YEAR
1�1 t. fl.l�� SPn ��s I7oGS - $
Full Name of ContribuRRr d
DAY YEAR
144TH19Nt
r. S% 01 7015 $
Mailing Address M0. DAY YEAR
City State Zip Code Plus 4 MO. DAY YEAR
1;4 111 4.)101 "rj PA nafo — $
Full Name of Contributor Mo. DAY YEAR
f'liiii 4 owtsw G aw �►c.tl y Stl a4f5 $ loo.
Mailing Address Mo. DAY YEAR
o . Cdr a�3 $
City State Zip Code Plus 4 MO. DAY YEAR
CwM t1f �� A
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO: DAY YEAR $
City State Zip Code Plus 4 M .DAY YEAR
$
PAGE TOTAL
p
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 9 � '
DSEB-502 l7 991
PART D PAGE p OF 1 a
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
COMM �-
To �� Tof/J �oS.s From To
DATE AMOUNT
Full Name of Contributo1r IINin. DAY YEAR
Guf Erche�gef y a yt�f gcao. "
Mailing Address
t!DO(o S. Arc 3L. DAY YEAR $
CityI LL State Zip Code (Plus 4) Mo. DAY YEAR
Mei,+w , e$Vwr9 r7azS -`{ZIr $
Employer Name Occupation
Caw.7I. o'r �ra,M O[/� I4.� Ci04.uL'1 L-OWAII.SSfo47C�
Employer /^1 Mailing Address/Principal a ress/Principal Place of Business
I C•w41,OL S4ue/ t C Lr1t1,1 �?A 1-70(3
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 AddresslPrincipal 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 AddresslPrincipal Place of Business
Full Name of Contributor M0. 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
PAGE TOTAL
Enter Grand Total of Part D on Schedule 1, Detailed Summary Page, Section 3. $ jOC. to
DSEB-502 17-99)
PART E PAGE [ OF
OTHER RECEIPTS
REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC.
Use this Part to report refunds received, interest earned, returned checks and
prior expenditures that were returned to the filer.
Name of Filing Committee or Candidate Reporting Period
Comm i-N4 To Ural- From r�-ob To
Full Name
Mailing Address
City State Zip Code (Plus 4) MO: DAY YEAR ' moue
Receipt Description Is
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. .DAY -:YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) Mo. .DAY YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. DAY- I YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) "MO. DAY YEAR Amount
$
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ • O0
DSEB-502 (7-99)
SCHEDULE II PAGE /0 OF
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
Comm'-R eG TD 'oN.0 &PleC-1 O055 From To S-4-aorS
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 00
2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F)
TOTAL for the Reporting Period (2) $ . 00
3. IN-KIND CONTRIBUTION RECEIVED VALUE OVER $250.00 (FROM PART G)
TOTAL for the Reporting Period (3) $ pp
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1 , 2, $
and 3; also enter on Page 1 , Report Cover Page, Item F.) . 00::::o
OSEB-507 (7-99)
PAGE r1 OF /-
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee orr Candidate Reporting Period
Comm, -4-c 1v F J Offl�l Grp S 7
From 004s To 54 A0
To Who Pai
O M�r MO: -0AY- YEAR mOu �
Mailing Address // ,,�J1,,�� Description of Expenditure II
City State Zip Code (Plus 4)
C,%Ats)c A 11.7013 -
To Why�[J� Paitl
1\D4k Ir11�T� S� '-MO. o:DAY VEAfl: mount
Li I• sols 8't3.3Sr
Mailing Address Description of Expenditure
iso �• H 1�� 5-�ru-E ►°r,N e,,,,, � a r+'1�.;�I s
City S,tpate ZiCode (Plus 4)
i a, I tz 1,e- p 17d 1 Zi ()
Ton Whop" Ppid Q 2(MO. - -DAY YEAR''' m0 t
C /Ir'i �u i� fcc�rJ� J !C� I'liuiN7GJ (8Iy- - c�
Mailing Address Description o Expe iture
Ev�.r� ^ I i, two c
City State Zip Code (Plus 4)
FwN (41
To Whom Paid LL `:MO. DAY I YEAR mount
$11Gt/rrA.lperLlfiN S eGrall<ItS , ILC 5 / ebls X707. 31
Mailing Address Description of Expenditure
/Vol E r St �.lr�t�.l Sr Ns
City St a T Zip Code (Plus 41
CaPkir Ie r"p 11013 -
To Whom Paitl ,MO. :DAY YEAH: mount
';
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid --SMO. -.DAY YEAP rC. 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. DAY 1 YEM mount
Mailing Address Description of Expenditura
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page t, Report Cover Page, Item D. $ p���g. too
DSEB-502 (7-99)
• PAGE OF
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the and of the reporting period.
Name of Filing 1Committee or Candidate Reporting Period
C_OYhMtTtec �)rrT �'otla f'Ibss From 1-1-c7611 To S-V '126f5
Name of Creditor Outstanding Balance Of Dert
Mailing Address DATE MO. DAY, I YEAR
DEBT
INCURRED
City State Zip Code (Plus 41
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 Dert
Mailing Address DATE IMO. DAY YEAR
DEBT
INCURRED
City State Zip Code (Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Dert
Mailing Address DATE 1 MO. DAY 'YEAR
DEBT
INCURRED
City State Zip Code (Plus 41
Description of Debt
Name of creditor Outstanding Balance of Debt
Mailing Address DATE rMO, DAY,, YEAR---
DEBT
EAR TDEBT
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. $ pa
DSEB-502 17-99)