HomeMy WebLinkAboutGross, John - 2015 Annual Report 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 Identification 011. Report 111111CANDIDATE x COMMITTEE 2 LOBBYIST 3
Filed B
Number: y.
Name of Filin Committ¢a Candid to or Lobbyist:
Street Address: ^O
City 3or1fay Sp4av, Stale: Zip Code: —
TYPE OF 6TH TUESDAY 1. LFRI,,DAyY2. 30 DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 5. 30 DAY 6. TERMINATION
PRE-ELECTION _ POST ELECTION REPORT? 'YES NO
(place X to
the right of ANNUAL 7. FILING METHODreport type) REPORT XlS 1 ) CHECK ONE ► PAPER x DISKETTE
Name
of Office Sought by Candidate:J r • a District Otiice Party County
MO. DAY YEAR Number Cod¢ Code Code
/I W ��'s (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts Mo. DAY YEMD. DAY YEAR
and Expenditures from: , /01 ! 1109To /2 3f 40a- C-) N
O
A. Amount Brought Forward From Last Report S �'� Q Rt tT
�1 Co
B. Total Monetary Contributions and Receipts (From Schedule 0 $ 'L/ t �, TTI m
C. Total Funds Available (Sum of Lines A and B) S L t?,pQj�, -rte N
_ to
D. Total Expenditures (From Schedule III) $ tz) 'a
n �
E. Ending Cash Balance (Subtract Line D from Line C) $ /7 p �� O
C IV
F. Value of In Kind Contributions Received (From Schedule 10 $ W
� 01
G. Unpaid Debts and Obligations (From Schedule IV) $
PART 1 — If this is a Committee 7CARLISLE
treasa•@IA h .L If this is a andidate report candidate sign here.
I swear (or affirm) that this report, incle atteeheA0y"jl(f0on paper or cc puter diskette, are to the best of my knowledge and belief true,
correct and complete. BORO.. CUMBERLAND COUNTY
sworn la ane subseriboa before me tni Commission Expires May 12. 2016
_ey, 0 day of o1 nQc1✓ 20 (�
IU Si nature of Person Submitting Report
JaNa C. ro e5'
SignaturePrinte0 Name
My commission expires 5 1 7 2 I b � '/y8- a392
MO. DAV VR. 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 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. DAV VR. Area Code Daytime Telephone Number `I
Department of State • Bureau of Commissions, Elections and Legislation `t
303 North Office Building 0 Harrisburg, PA 17120-0029 0 (717) 787-5280
DSEB-502 (7-99)
SCHEDULE I PAGE 2 OF 3,
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee o Candidate Reporting Period
Gras3 From/oral- ao/S To 12 31- o?o1S
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PERCONTRIBUTOR
TOTAL for the Reporting Period (1) $ Da
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART.B)
Contributions Received from Political Committees (Part A) $ 21
All Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part D) $
TOTAL for the Reporting Period (3) $ p o
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $ p D
=REPORTITNG
RY CONTRIBUTIONS AND RECEIPTS DURING
PERIOD (add and enter amount totals from
d 4; also enter this amount on Page 1 , Report $ r �
B.)
DSEB-504 (7-99)
SCHEDULE I PAGE 2 OF 3
a CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name
-i Qof•Filing Committee o Candidate) Reporting Period
*4 e . 61053 Fromia-ai- a *#T To 12 -.3! 02015
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00. OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ DD
2. CONTRIBUTIONS $50.01 TO 1250.00 {FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $ q,7 crZ_
All Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $
3. CONTRIBUTIONS OVER $250.00 {FROM PART 'C AND PART.D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part D) $
TOTAL for the Reporting Period (3) $ p a?
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period t4) $ p 7
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from
Boxes ! , 2, $ and 4; also enter this amount on Page f, Report 'T
Cover Page, Item B.
DSEB-502(7-99)