HomeMy WebLinkAboutCitizens for Schin - 2015 2nd Friday Pre-Election Commonwealth of Pennsylvania
PAGE 1 OF
CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legibly It may be typed or printed in blue or black ink.)
Filer Identification , Report
7 - . J (p J�„Z �7 , CANDIDATE COMMITTEE LOBBYIST a.
Number: t I Filed By.
Name of Filing Committee, Candidate or Lobbyist:
6+i S fori ✓1
Street Adpfd�lre : �hj
. V J(0 14,
CityState: ppZip Code:
Card, HI I P/j / 0//
TYPE OF STH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3' AMENDMENT :YES NO V/
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
eTH TUESDAY 4. 2ND FRIDAY... 5, / 30 DAY 6' TERMINATION
PRE-ELECTION .PRE-ELECTION t/
(place X to POST ELECTION REPORTS NO 1/
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
Number Code Code Code
PMO. DAY YEAR
(SEE INSTRUCTIONS FOR CODES)
FOB'OFF14YgUSE ONLY
MO. DAY: YEAR MO. DAY YEAR
Summary of Receipts �1
and Expenditures from: ► / q v2Ci r) To lC ! !� ZOJS o
A Amount Brought Forward From Last Report S37,52 N
o a W
B. Total Monetary Contributions and Receipts (From Schedule 1) $ a cj(
C. Total Funds Available (Sum of Lines A and B) $_376 e. - •
C C
D. Total Expenditures (From Schedule III) $ JM /
Co
E. Ending Cash Balance (Subtract Line D from Line C) $
Co/1o.S3
F. Value of In-Kind Contributions Received (From Schedule 10 $
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT
PART I - Ifthis is a Committee report treasurer sign here. If this is a Candidate report candidate sign herr -
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.
Swo to and subscribed before me this
4-- day of ( �J` -O A 201-5
1 .f /J Signature of Person Submitting Report
COMMM
Printed Name
My eom fission exp I SEAL - 717 7/ / - � ?7 /
li0 DAY YR. Area Code /Daaytime'-TTellepho/ne Number
l
PART 11 t If tf19sC4Q119 Authorized Committee, candidate shall sign here.
1 swear (or affirm) that to the best of my knowledge and belief this political committee has not violated any provis[ Ts ofZt une3, 1937
(P.L. 1333, No. 320) as amended.
Sworn to and subscribed be
fore me this
`L�`1(day of V(-4 b-0 20
J` ignature of Candidate
17 Signature Printed V Name
/--� J )
My commission expires S )� •G2 �( Gl 7i � Z& / 4�-7/
M0. DAY YR. Area Code Daytime Telephone Number
C
M TH dF PENNSYLVANIA
NOTARIALSEPMepartment f State • Bureau of Commissions, Elections and Legislation �LIZABETH ATKINS44D(aly-RebliD'+sampden Twp.;Cumberland County Commission Expires May 13,2019
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
C, I �i13 7Of�( 711n From 4oakpa S To / Qf
Full Name
lylemb�,- ' /5LL Address _
5.211 e5%nt 5a)) re!!
City I J State Zip Code (Plus 4) "MO. DAV.' -vEAR moun
MU'll (` 'i LIA
n l o - 30 $ . v9
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) I'rMO. DAY YEAR 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 ". -YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. I DAY I YEAR Amount
Receipt Description
Full Name
Mailing Address
City State Zip Code (Plus 4) MO. DAY YEAR Amount
Receipt Description Y
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ dC)q
DSES-502 (7-99)
PAGE I OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To /0 lq&01,�-
To Whom Paitl MO. "DAY YEAR' mount
ZZ %r� '700, 00
Mailing Address Description of Expenditure
-wo /I/ rd o5 SEe l3f{ drain Ex
CityI State Zip Code (Plus 4)
davvisbL4 Pq /7/08 - Xadlt7y ju ,O11c5
To From Paid )MO. DAY VEAR- mount
CtL{Gri rl (o A2 �orS �5 l .7
Mailing Address Description of Expenditure
'7qqI -f2 fund 16155;7 L1e4t
City State Zip Code (Plus 4) i
darri5bLi- 04 7//Z-
To Whom Paid M0. '.DAV YEAR-' mount
Mailing Address Description of Expenditure
City State Zip Cotle (Plus 41
To Whom Paid MO- 'DAY YEAf1 .'.. mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 6)
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 jAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid MO. DAY:: YEAR` mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid MO. DAYYEI 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. $ J5�8 1 7
DSEB-502 (7-99)