HomeMy WebLinkAboutEast Pennsboro Republican Association - 2015 Annual Report Commonwealth of Pennsylvania
CAMPAIGN FINANCE REPORT PAGE 1 OF
(COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
flet Identification Report CANDIDATE 1 COMMITTEE 2 LOBBYIST 3
Number: ► Filed By: ►
Name of Filing Committee, Candidate or Lobbyist:
Street Address:
City. 6-^ I StetU Vl� Z'° Code: al�..� — 1 N! D
D
TYPE OF eTH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
eTH TUESDAY 4. MD FRIDAY S. 30 DAY a. TERMINATION
PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? 'YES NO
(place X to
the right of ANNUAL YEAR
FILING METHOD PAPER DISKETTE
report type) REPORT 015 1 1 CHECK ONE ,
Name of Office Sought by Candidate: j!!!17yEAR
District OfficeParty CountyNumber Code Code Code
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAV YEAR MO. DAY YEAR
Summary Receipts 111111. ZU Z D To la 31 20
and Expenditures from: III
A Amount Brought Forward From Last Report $
B. Total Monetary Contributions and Receipts (From Schedule 1) $
C. Total Funds Available (Sum of Lines A and B)
U s• �
D. Total Expenditures (From Schedule III) SXi O rn m
E Ending Cash Balance (Subtract Line D from Line C) $ — /L� 5 z
rV
F. Value of In Kind Contributions Received (From Schedule Iq $ t7
C7 —O
G Unpaid Debts and Obligations (From Schedule IV) $ � =K
AFFIDAVIT e
PART I — If this is a Committee report treasurer sign here. If this is a Candidate report candidate sign e.
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 toandll subscribedTbefore
(me Ithis
SW,
I deY of �1 (/�J 1� .1 2010
ig tura of rson Submitting Report
S20 uLray %9 LBAJIO
tM110NWEALTN E Printed Name
M commissionBETHRJUTAL SEAL -0�1 7f7 —733—el
ANY SALZOAFO DA YR. Area Code Daytime Telephone Number
Nntary Public
PA 'II YI eget 16 andid. te'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 June 3, 1937
(P.L. 1333, No. 320) as 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)