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Home My WebLink AboutGross, John - 2015 30-Day Post Election IIIII�II Reset Form Print Form Commonwealth of Pennsylvania.CampaignFinance Report (Note:This report must be clear and legible.It should be typed) Filer Identification : Report Filed By Candidatev Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or �0 m� C . /I QO SS- Lobbyist ,y� 6 Street Address yS0 I, ae v J OA'D City r7r ray Sf�JtjS State �� Zip Lode / 007 Type of Report(Place x under report type) 1-6s" Tuesday 2- 2"a Friday 3.30 Day Post 4-6"'Tuesday S-2`4 Friday 6-30 Day Post 7-Annual Special 2w Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election El El El Date Of Election / Year Amendment Termination (MM/DD/YYYY) U103I'pIJtS o)OI•S Report Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures Mao �}jrs It ho aor r A.Amount Brought Forward From Last Report $ I B.Total Monetary Contributions and Receipts $ C) o (From Schedule 1) .06 C C.Total Funds Available $ s cam+ (Sum of Unes A and B) M ori D.Total Expenditures $ n (From Schedule III) •1 Z CJ E.Ending Cash Balance $ /�t,� (Subtract Line D from Une C) ` J n 3 F.Value of In-Kind Contributions Received $ O (From Schedule II) G IV G.Unpaid Debts and Obligations $ DO (From Schedule IV) Affidavit Section 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,Is to the best of k d a and belief true, orrect and complete. Sworn to and subscribed before me this .3Y� dayof 1)'[esnty- 20 Ig re a fPerso Subm In o Signature / Printed Name /9 My Commission expires 5 12 I b 7 f7 ` • �� MO. DAY YR. Area Code Daytime Telephone Number Part 11-If this is a report of a Candidate's Authorged Committee, h n here. I swear(or affirm)that to the best of my knowlea and belief thl5fggj�Vi l has not violatt I any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. Notary Public Sworn to and subscribed before me this CARLISLE BORO., CUMBEP.LAND COUNTY My Commission Expires May 12. 2016 day of 20 1 Signature of Candidate 1, Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number `_Q1 SCHEDULEI Contributions and Receipts Detailed Summary Page Filer ldentifiotion Number I L 1.1.1nitemiaed Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 2.Contributions o to From ,Part A and Part B) Ct' Contributions Received from Political Committees(Part A) $ i All Other Contributions(Part 8) $ i Total for the reporting period (2) $ j3.Contributions Over$250.00(From Part C and Part D) D Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) G -O 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 D ICover Page,Item B) I i t i i SCHEDULE III Statement of Expenditures Filer Identification Number: �l ON1�1 C . L7/osS To Whom Paid [ Date[MM/DD/YYYY] House If Street Address Description of Expenditure City rState Zip Code To Whom Paid Date[MM/DD/YYYY] $ riHouse It treet Address Description of Expenditure City State rLp - -- [ Code To Whom Paid [ Date[MM/DD/YYYY] $ House#i $trees Address Description of Expenditure I City -State `-Zip Code To Whom Paid [ Date[MM/DD/YYYY] 7s House# Street Address rDesalption of Expenditure City StateLp Code To Whom Paid I Date]MM/DD/YYYY] 1 $ House# Street Address Description of Expenditure --- ---- -- --- City I FZtp Code To Whom Paid [ Date[MM/DD/YYYY] I $ House# 11 Street Address I Description of Expenditure qty State ii.Zip--- 1 11 Code To Whom Paid ! Date]MM/DD/YYYY]_ $ House# Sdeet Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 1 $ House N Street Address -Description of Expenditure City - ---- -! State Zip--- Code I I 3