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Home My WebLink AboutCommittee to Elect John Gross - 2015 30-Day Post-Primary (2) II II Reset Form I Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number I (Mark X) Name of Filing Committee,Candidate or �roMpj l 1( � ?o 7j� 1 TO)H^) �r Lobbyist ` `fl G '�C J Oy/osr Street Address 2/S0 /1'l e 'a oA_D City 3a 1�5 SfaflJp'J State Zip Code 1700-7 Type of Report(Place x under report type) 1-6" Tuesday 2- 2o Friday 3.30 Day Post 4-60,Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year ` Amendment Termination (MM/DD/YYYY) !t/034%1+S y�1l fJ Report ❑ Report ❑ Summary of Receipts and From Date To Date For Office Use Only Expenditures /"7a; yy Zo 0,6- A.Amount Brought Forward From last Report $ B.Total Monetary Contributions and Receipts $ (From Schedule 1) • O� C.Total Funds Available $ (Sum of Unes A and B) n ^' 0 D.Total Expenditures � crs (From Schedule III) S0' 00 W O E.Ending Cash Balance $ f7 (Subtract Une D from Line C) y�• Q r I F.Value of In-Kind Contributions Received a W (From Schedule II) NOTARIA EAL'0 G.Unpaid Debts and Obligations $ JENNIFEA EASE (From Schedule IV) ry blic — Affidavit SectlonARLISLE BORO.. C EBL "i COUNTY Part 1-If this Is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. Commission f .� 5 a I swear(or affirm)that this report,Including the attached schedules on paper,Is to the best of my knowledge and 26 _ Sworn to and subscribed before me this / 72 day of 3_)M ee ba- 20 IS / ytfrofP �er n Subptlttingrpport 1 CC . ((�7//'•00SSJJ Signatures I Printed Name 9 vb My Commission expires 5 I L• <~ , yyV V , o MO. DAY YR. Area Code Daytime Telephone Number Part II.If this is a report of a Candidate's Authorized Committee,candidate shall sign here. 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 lune 3,1937(P.L.1333,NO.320)as amended. Sworn to and subscribed before me this 3!: day of r !• 20 l� /) n 3alvnyUZ,ofU Can pie SS H C. ! 00, ignature " Printed Name My Commission expires 12- 116 —71-7 M0. DAY YR. Area Code Daytime Telephone Number NOTARIAL SEAL JENNIFER CEASE Notary Public r CARLISLE BORO., CUMBERLAND COUNTY JA Q-..., My Commission Expires May 12,2016 IV'//)/ SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number �omrnf�cc /o E/�'{ •1 G��S S.Unitemized Contributions and-Receipts-$50.00 or Less per Contributor . 00 Total for the reporting period (1) $ 2.Contributions of$50.01 to From Part A and Part B) .00 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) .00 Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 06 4.Other Recelpts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Oo Total for the reporting period (4) $ . oa 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 Pagel,Report Cover Page,Item B) Q 45 I I 'i r . i SCHEDULE III Statement of Expenditures Filer Identification Number: t� �s C.ommt"[�JeG o �fe� TN.J To Whom Paid / /A/ lV /R{rErl/0! 1/•rG- / Date[MM/DD/YYYY[ CeC..ocw 'W � 00 ntM / I House# 11 Street Address �J� . HV- Description of Expenditure - - City �,,nt0 Nr ��f :State `�lA Zip 17011 Te e - 'Ziau Code To Whom Paid Date[MM/DD/YYYYJ $ House# treet Address Description of Expenditure - ---" CityrState Zip Code To Whom Paid j Date[MM/DD/YYYYj $ House# Street Address Description of Expenditure - - i City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House#. Street Address . Descriptionof Expenditure City State Zip -- - - Code To Whom Paid - Date[MM/DD/TMJ 7sl House# IStreet Address Description of Expenditure L City 'Stater -ZIP— Code ZipCode To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City -State dip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure city State "Zip - - Code To Whom Paid Date[MM/DD/YY" $ 1. House# Street Address I Description of Expenditure City - State ZIP city