HomeMy WebLinkAboutEast Pennsboro Republican Association - 2015 30-Day Post Election Commonwealth of Pennsylvania PAGE 1 OF
'- - CAMPAIGN FINANCE REPORT ICOVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification11111, Filed Report , 1. 2. 3,
Number: By. CANDIDATE COMMITTEE LOBBYIST
Name of Filing Cor
Can idat¢ or LPb�b�yist:
YW L Q
Street Address: IJ
City StetgnZip/ to ! — — 1W)
TYPE OF OTH TUESDAY 1. 2ND FRIDAY 2. 30 DAY
/�/V 0 3' AMENDMENT YES NO
REPORT PRE-PRIMARY PREPRIMARY POST PRIMARY REPORT?
eTH TUESDAY 4' 2ND FRIDAY 5. 30 DAY TERMINATION YES NO
(place X to PRE-ELECTION PRE-.ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: 1 • • District Otf ice Party County
MO. DAV YEAR
Number Code Code Code
II N V (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR MO. DAY YEAR
and Expenditures from: Pop, 1 /0 W To Z*J Zi?I n o
c
A Amount Brought Forward From Last ReportS %%,, r csl
Vf M O
M m
B. Total Monetary Contributions and Receipts (From Schedule 0 $ 70 n
r
C. Total Funds Available (Sum of Lines A and B)
D. Total Expenditures (From Schedule III)
$ n
CD
E. Ending Cash Balance (Subtract Line D from Line C)
7 cn
F. Value of In—Kind Contributions Received (From Schedule 11) S to
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT
PART I — 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, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sw t 'and subserib d Defore me this
day of 20 !.J
ign tura oflerson Submitting Report
A Printod Name
codBABI uH � Q3� -9203
My x�
BETHANY SAL29WLO DAV YR. Area Code Daytime Telephone Number
PA 11 — OEf T PQZ+7tdida 's Authorized Committee, candidate shall sign here.
1 sweine est o my knowledge and belief this political committee has not violated any Provisions of the Act of June 3, 1937
(P.L. 1333, No. 320) es amended.
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation ,
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
From To
To Whom Paid M0. DAY Amount
E I Zl7f� �(0�3 . Ll
Mailing Address Descrip ion of Expenditure
5
City S to Zip Code (Plus 4)
0 p 1d / —
Tc Whom Pai , M. :bAY. " "YEAR mount
V 1 15 /SD.U.
Mailing Address Descr' tion of E.,a.dH.,a
City tate Zip Code (Plus 4)
G� /r4 /r—
To Whom Paid MO. DAYYEAH: mount
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 4)
To Whom Paid "C MO. "DAY'i YEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid "r MO: ,DAY- YEAR -jAmount
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...J. D-DAY j YEAR Amount
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. g
DSEB-502 I7-99)