HomeMy WebLinkAboutGlen Grell for House Committee - 2015 30-Day Post-Primary ISI III Reset Farm 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 .x Lobbyist
20(:)4052-
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist U �"a 1 '�✓ T��S� 1�'T
Street Address 5445 Ma ✓'� C-'1".
City AA�G`,,.,n;��U State PA Zip Code
Type of Report(Place x under report type)
1-6rh Tuesday 2- 2nd Friday 3-30 Day Post 4-61h Tuesday 5-2"a Friday 5-30 Day Post 7-Annual Special Zro Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
E 1x] E E 1:1 E E
Date Of ElectionYear Amendment Termination
(MM/DD/YYYY) 11 QJ 2d�� Report Report
Summary of Receipts and From Date To Date For Office use Only
Expenditures -
5Atl -15 c' 8iS
A.Amount Brought Forward From Last Report $ -72)442-.-7c
�-a
- B.Total Monetary Contributions and Receipts
(from Schedule I) '=_',�;� C_ --)
C.Total Funds Available $ -jd
(Sum of Lines A and B) -1 2 t�2•
D.Total Expenditures $
(From Schedule III)
E.Ending Cash Balance $ '-1 7D '� � ^I
(Subtract Line D from Line C) 1 d(20Z-{ . 71
1'V
F.Value of In-Kind Contributions Received $
(From Schedule II) b C17
G.Unpaid Debts and Obligations $ —�
(From Schedule IV) G
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 my knowledge and belief true,c a AE mplete.
Sworn to and subscribed before me this
+h day of Qf u6L 20
a gfyerson5uhyjtti�g.repyrt _ J-
�y� Si' �ffr Y J �lJ/9fU�
Signature Prin ed Name
COMMONWEALTH OF PENNSVLVANI 7� 2`'q-57 2 l
My Commission expire NOTARIAL SEAL Y' 7 l
MO. txMBETHfROROWN Area Code Daytime Telephone Number
Notary Public
Part I-If this is a repo t iz t shall sign here.
I swear(or affirm)that s o m now e e n e f olitic 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 / �A��\�
1-�daY of - 2 `O �✓�.
Signature andida
Signature ^� Printed Name
My Commission exj ires COMMONWEALT OF PENNSYLVANIA 1 `4 5� _`��(�G
MO. Wb'I'ARI:EBROWN L Area Code Daytime Telephone Number
MERIBETHNotarLETON TWERLAND COUNTY
MY Commission Exug 21,2019
SCHEDULE III
Statement of Expenditures
Filer Identification Number: ^ 0040 G-
To Whom Paid �l¢Ck SL;),M �YoY� Date[MM/DD/YYYY] $ 500 Oo
J
5-12512015-1
House#Q(�,45a Street Address ^A� i _ 1, Description of Expenditure
city C10[�1V1 y 1'r`State ee Y�OZip
`7� Co✓I 1FM �
Code
To Whom Paid T' Date IMM/DD/YM] $
�idy� a C-�Fri. C)C- PA co 13 1?AIS ZSo.CIO
House# I� Street AddressSecs-L.o� �.y
City N.State J Description of Expenditure
^ In Zip RdrY1�J�OVI P� Code I110Z COVIk �LA�O
To Whom Paid Date[MM/DD/YYYY] $
Ncus¢ R Ca �qYf C-4 (v Zo IS q Co.oa
House# Street Address Description�Ooy,fExpenditure
Sao rS
StateCity �Yl! A 7/ t ICode 11I0V ,
C�✓1
To Whom Paid Date[MM DD/YYYY] $
Fries off' J¢�ica 3Ydvvbak� (0s zols- 500. c>o
House a Street Address VOX Description of Expenditure
City State
To Whom Paid Date[MM/DD/YYYy] $
N(M (V Y% o� Frq,<6o - Fps A � s 1261 s 1soo.av
House# I Street Address VOM" Description of Expenditure
City State 1 �J Zip \
M¢GY�Ni_bM 1�A Code (�Q� O��✓�
To Whom Paid Date[MM/ D/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/Yyyy] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code