HomeMy WebLinkAboutFederation of Councils of Republican Women - 2015 30-Day Post Election 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 Identification01111Report , CANDIDATE 1 COMMITTEE 2 LOBBYIST 3
Number: Filed By: __ - . -
Nem of Filing Committee, Candidate or Lobb�yist�J
-
Street Address:
City: State: Zip Code:
or 5 -
TYPE OF BTH TUESDAY 1• 2ND FRIDAY 2. 30 DAY 3' AMENDMENTYES �NO%
REPORT PRE-PRIMARY PRE-PRIMARY.. 'POST PRIMARY REPORT?
eTH TUESDAY J7.
2ND FRIDAY S' 30 DAY e. TERMINATION YES NO
(place X to PRE-ELECTION PRE-.ELECTION POST ELECTION REPORT?
the right of ANNUAL YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , - PAPER DISKETTE
Name of Office Sought by Candidate: s • • a District Office Party County
Number Code Code Code
ffDAY�
YEAR iS (SEE INSTRUCTIONS FOA CODES)
FOR WFIC SE ONLY
MO. DAY YEAR I MO. .DAV YEAR
Summary of Receipts m
land Expenditures from: Poo, 1101,01151To /1 CZ)
�_5 o .c
f— iV
A Amount Brought Forward From Last Report $ 7 & 7f. S'1 W
B. Total Monetary Contributions and Receipts (From Schedule 1) $ ��, 7S" C3 3
C. Total Funds Available (Sum of Lines A and B) $ 3 a C tV
D. Total Expenditures (From Schedule III) S t�
ZY CJ1
E Ending Cash Balance (Subtract Line D from Line C) $ 1 -7 -2-
F.
ZF. ,Value of In Kind Contributions Received (From Schedule 11) $
G. Unpaid Debts and Obligations (From Schedule IV) $ O ,
AFFIDAVIT a
PART-f --If this is a Committee,report treasurer-sign here. If this is a Candidate report.candidate sign here. "
1 swear (or affirm) that this report, including the attached schedules, an paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. /1
Sworn to and subscribed before me this
day of 20 \ 1 CC••..�i////./«�� l/����-�qf�—'
.Signature of Person Submitting Rep
Signature Printed Name 9
My commission expires %17 —��6 /
MO. DAY YR. Area Code Daytime Telephone Number
PART 11 -Af-this is a report of a Candidate's Authorized Com ee, candidate,shall sign here.r
1 swear (or affirm) that to the best o1 my knowledge and belief this�ticel committee has not violated any provisions of the Act of June 3, 1937
tP.L. 1333, No. 320) as amended.
Sworn to and subscribed bbefor`e1 me tthhi_s`^^_'
day of 20
Signature of Candidate
O
Signature
Printed Name
My:V �•V �LpV
DAY YR. Arca Cod¢ Daytime Telephone Number
Jennifer Robertson,Notary Public
Mampoen twp.,CumberlarM County 1
My Commisslon Expires Mayo@pRflBr+en of State • Bureau of Commissions, Elections and Legislation 'V
MEMBER,PENNSYLVANIA AS tl ice Building • Harrisburg, PA 17120-0029 • (717) 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 ,
TG/2G�1GG
From C� 1� To G S
TOTAL for the Reporting Period (t)
i
I
,' . .. ,.... I
Contributions Received from Political Committees {Part A} $ {
i
Ai! Other Contributions (Part B) $ y
TOTAL for the Reporting Period (2) $ i
t
i
m ..
Y i
Contributions Received from Political Comm}tt®es (Part C} $
i
All Other Contributions (Part p) $ i
TOTAL for the Reporting Period (3)
1
t
TOTAL for the Reporting Period
(4) 1 $
7 5i
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $
Boxes 1, 2, 3 and 4. also enter thta amount on Page i, Report J!`'Q, 7. I
Cover Page, Item a.) !
ji
I
i
i
i
I
oSisB-Se2 t7-eat .
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 Ffling Committee or Candidate eporting Period /
— d/e' U j From 14A611,
Full None
3rra.��ec.eJ f �
Mailing Addrees
tY Stab Zip one,(Flus 4 n
cz /2 1
Recalpt Desall"IM 61
Full Name
Malting Address
City State Zip Cade CRIUS 4 LWIL WIN I JAMOUITE
Receipt Description is
Full Nannt Wall
Mailing Addrssa
City Stab Zip ones(Plus 4 AmetWIT
_ S
Receipt Description
Full Name
Matting Address
City Stab Zip Cees (Flusry
Receipt Description
Full Nsme
Mailing Address
Cllr State 23y Cede 011"'oParlount
Racaipt Desmlption
Full Name
Meiling Addbaa {
city State Zip Code Plus 4 tN
Receipt Descriptionj
rrI
PAGE TAL i
Enter Grand Total of Part E On Schedule 4 Detailed Summary Page, Section 4. S
OSEB•sos 17-OW