HomeMy WebLinkAboutCommittee to Elect John Gross - 2015 2nd Friday Pre-Election Commonwealth of Pennsylvania PAGE 1 OF y
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink..)
1
Filer Identification 0011", Report ► CANDIDATE 'COMMITTEE X .LOBBYIST 3
Number: Filed By:
Name of Filing Commitx candidate or Lobbyi t: ,f
Coin pt t To C/Cc� U_v fln! C�foS,T
Street Address
2/6.0 /�a„tEc, J wry
City: �o�IraSIOFIs+y3 state:
7 zip
TYPE OF eTH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO X
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT7
eTH TUESDAY a 2ND FRIDAY: `' 30 DAY 6. TERMINATION "
(place X t0 PRE-ELECTION' '.PRE-ELECTION x POST ELECTION REPORT7 YES NO x
the right Of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE., PAPER �( DISKETTE.
Name of Office Sought by Candidate: r • • District Office Party County
C�..0 lel-/l�j /7 , G nGA— D Number Cotle Code Code
{ (_,-[aG.�J L MO. :DAY <YEAR
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE.ONLY
Summary of Receipts Mo. Onr vEad` MO. onv YEAR a
and Expenditures from: , C, 5-- To to !R 1261 `5G o
sm en
A. Amount Brought Forward From Last Report $ Qq?. 175 W CD
70 --/
B. Total Monetary Contributions and Receipts (From Schedule 0 $ ,00
� N
C. Total Funds Available (Sum of Lines A and B) SN
998 . 15 lZ__1 a
D. Total Expenditures (From Schedule III) $ 900 . 83
O
G
E. Ending Cash Balance (Subtract Line D from Line C) $
F. Value of In—Kind Contributions Received (From Schedule=
,pp
G. Unpaid Debts and Obligations (From Schedule IV) $ .60
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, incl idling the attac"AgAgvft an paper or c puter diskette, are to the best of my knowledge and belief true,
correct and complete. JENNIFER CEASE
Sworn to and subscribed before me th Notary Public
)'lha CARLISLE BORO., CUM AND UNTY
9t0• __day of Exp° 12, 01
�f Signature of Person Submitting Report
t C_ZA-A-0- CT/,"P r
Signature Printedj',N,amme
My commission expires S 12— / (c 7/7 YZ O' $(Q� v+ �'ol�
MD. 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 for affirm) that to the best of my knowledge and belief this political committee has not viola d any provisions of the Act of June 3, 1937
1P.L. 1333, No. 320) as amended.
Sworn to and subscribed before me this
day of 20 C/
Signature of Candidate
6P414
Signature Printed�rName
ECARLISLE
sior� f�SL 16 7 y*— 7727
O. Y YR. Area a Daytime Telephone Number
Notary Public
SCRO., CUMBER. �NN
mission Expir o a P rip"y o State • Bureau of Commissions, Elections and Legislationf�f
�ffic Building • Harrisburg, PA 17120-0029 • (717) 787-5280 .%
DSEe-502 (7-991
SCHEDULE 1 PAGE 2 OF V
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or CandidateReporting Period
tnom. ,-Hev To Flet/ QT -J CYd3S From 19"'1' offs To
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ o�y
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 D) $
TOTAL for the Reporting Period (3) $ Oo
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 vd
Cover Page, Item B.)
DSEB-502 (7-99)
SCHEDULE II PAGE 3 of y
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
FNMe�of Filing Committee or Candidate Reporting Period
InomfAkilee o El�A oNn� (! 2o5S From �• Y o7>�S To
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ pp
2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 (FROM PART F)
TOTAL for the Reporting Period (2) $ O�
3. IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G)
TOTAL for the Reporting Period (3) $ pa
ETOTALUE OF IN-KIND CONTRIBUTIONS DURING THIS
PERIOD (Add and enter amount totals from Boxes 1 , 2,enter on Page 1 , Report Cover Page, Item F.) Do
OSEB-502 (7-99)
PAGE L OF /
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting PYgd
4�ornm j I)et T E)rf4 G1r-.53 From t' To
To Whom Paid
/I�S 0. DAY YEAR mOu t
MailingI /1gqtltlress ,rte +� Descripti n of Expenditure >,
;k�
City t State Zip Code (Plus 4)
3D+�> : �Ptf,ygs r�a� _ P! cs pr, a-. Pr,j4 sA
To Whom Paid "MO. :DAY YEAR Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. I DAY YEAR-- mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid S,.MO. DAY YEAR Amount
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. I DAY I YEAR^.]Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO:. . -`DAY.' YEAR ' Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. I DAY I YE4R mount
Mailing Address Description of Expenditura
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ q00 • V
DSES-502 (7-99)
CHARLES R.GEROW
4725 CHARLES ROAD
MECHANICSBURG, PA 17050
April 29,2015
I Charlie Gerow of the above referenced address, have become Treasurer of the Committee
To Elect John Gross. As of this date I appoint Julie G. Gross to full-fill the duty as Assistant
Treasurer for the same Committee. Her address is:
450 Mountain Road Boiling Springs, PA 17007
CY24Uk Y414/
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