HomeMy WebLinkAboutGross, John - 2015 2nd Friday Pre-Election Commonwealth of Pennsylvania PAGE I OF 3
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 1 2
� COMMITTEE .LOBBYIST 3
Number: Filed 8y:
Name of Filing Committee Candidat or Lobbyist:
��vrlril C . ft3s�5
Street Address: r�I
7513 /'rOt.LJ�iJ�ot,L.-[
City: State:, Zip Code:
TYPE OF aTH TUESDAY 1' 2ND FRIDAY 2' 30 DAY 3. AMENDMENT YES NO )-cREPORT PRE-PRIMARY .PRE-PRIMARY POSTPRIMARY -REPORT?
8TH TUESDAY 4' 2ND FRIDAY 5. 30 DAY E' TERMINATION ` ,
(place X to PRE-ELECTION PRE-ELECTION X POST.ELECTION `. REPORT? YES NO:
the right of ANNUAL 7. YEAR FILING .METHOD
report type) REPORT - ( ) CHECK ONE 00- PAPER DISKETTE
Name of Office Sought by Candidate: r . • • Distract Office I Party County
�t '<` / /lit 14✓�y �� �„K/"�
O. DAY YEAR Number Cotle Code Code
M
(SEE INSTRUCTIONS FOR CODES)
FOR.OFFICE USE. ONLY
Summary of Receipts Mo. DAY I YEAR MO.` DAY YEAR
and Expenditures from: NO- ILY o7o�S To lU1 lc, 4&03- � na
A. Amount Brought Forward From Last Report
C=)
B. Total Monetary Contributions and Receipts (From Schedule 0 $ gQO . TZ r1 C-)
C. Total Funds Available (Sum of Lines A and B) $ 7%/ 9? >
2
D. Total Expenditures (From Schedule III) $ ,pp
E. Ending Cash Balance (Subtract Line D from Line C) $
.R
F. Value of In—Kind Contributions Received (From Schedule IO $
G. Unpaid Debts and Obligations (From Schedule IV) $ .OD
AFFIDAVIT
PART 1 - Ifthis is a Committee report treasurer sign here. If this is a Candidate report candidate.sigh :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 before me this
2)Sirday of (�C4c 20 Ll 7Nwii'fi/
ignature of Person Submitting Report
G�Signature / Printed Name
My commission expires ) 2- I LI �/ `'F— 27
MO. DAY YR. Area Code Daytime Telephone Number
PART II - If this is a report of a Candidate's.Authorized Committee, candidate shaftsignhere.
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
W.L. 1333, No. 320) as amended.
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My commission ex ire.
MO. DAY YR. Area Code Daytime Telephone Number
It I
JENNIFER CEASE
Notary Public '
CARLISLE BORO.,CUMBERLANDQMiliYet t of State • Bureau of Commissions, Elections and Legislation
My Commission Expires N2932NEUtb O five Building • Harrisburg, PA 17120-0029 0 (717) 787-5280
DSEB-502 17-99) 5 1 12- ib
SCHEDULE I PAGE 2 OF 3,
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee
/or Candidate Reporting Period
O tlnl vfIASS From 6 14 To/o/!5'
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ C�
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) $ pp
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) $ �jp0 , 83
I4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $ po
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $ qOO g3
Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report !i
Cover Page, Item B. )
DSEB-502 (7-99)
PAGE OFJ
PART C
. CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES
OVER $250.00
Use this Part to itemize only contributions received from political committees
with an aggregate value over $250.00 in the reporting period.
Name of Filing Committee�or Can/dd�date Reporting Period
m C?/`I•t! ` Ufe;G S From 6 /4 /t 't To 10Aof/,I-r"
DATE AMOUNT
Full ryry?�me of Contributing Committee MO. DAY YEAR
C m.�mt 'Tul.a �' o1.:�
Iti� 'J urf.J Gf�SS $
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 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
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
City --7t3T
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $
DSEB-502 (7-99)