HomeMy WebLinkAboutCitizens for Schin - 2015 Annual Report Commonwealth of Pennsylvania PAGE 1 OF
CAMPAIGN FINANCE REPORT (COVER PAGE)
MOTE This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification10- _ 2Z r�3Z r� Report ,
Number. ( J J / Filed By. CANDIDATE
1 COMMITTEE2✓ LOBBYIST-
Name of Filing Committee, Candidate or Lobbyist:
1 )^
Street Address:
L20 t
City. State: Zip Code:
fIL I��II P19 17011 -
TYPE OF 6TH TUESDAY JPF
D FRIDAY 2' 30 DAY 3• AMENDMENT YES
Wo
REPORT PRE-PRIMARY - E-PRIMARY � -POST PRIMARY- REPORT?
6TH TUESDAY - D FRIDAY 5. 30 DAY a. 'TERMINATION
PM-ELECTION. E-ELECTION POST MICT109 REPORT? ��S_' NO
(place X tothe right of ANNUAL EAR FILING-METHODPAPE? ✓ DiSKE77Ereport type) REPORT 015 ( ) CHECK 40NE-,
Name of Office Sought by Candidate: s• a e District Office Party County
Number Code Code Code
MD. DAY 'YEAR.
(SEE INSTRUCTIONS FOP CODESI
FOR OFFICE USE ONLY
Summary of Receipts M0: DAY Mo: DAY . -YEAR
and Expenditures from: 000. /0 19 .201 To lZ 31 x015
A. Amount Brought Forward From Last Report $ a / 70 • ,S-?
CM 'rt
B. Total Monetary Contributions and Receipts (From Schedule 0 $ M t'rT
� m
C. Total Funds Available (Sum of Lines A and B) $
D. Total Expenditures (From Schedule 110 $ -1D
O
E Ending Cash Balance (Subtract Line D from Line C) $ a /70 �T C w
F. Value of In Kind Contributions Received (From Schedule 10 $ -I CA
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.
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. /
Sworn ITInd subscribed before me ,this
� (�
day of r V 20 tax
—'t Signet re of Parson Submitting Report
N An n SC�1 r✓)
NOTAR
lure Printed Name
BETHANY S ZA ULO -7 ^7 /7/
My eo mission expirerN IIC // / /(p/ —Llk7l
CARLISLE BORO;,CSWERLAND UldXY YR. Area Code Daytime Telephone Number
7 9017
PART 11 — '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. 3201 as amended.
Sworn�o nd subscribed before
,�'ym�e1�this �
�� day of I J:"V-�'I 20
[/� -\�/� `{'{'�r [" Signature of Candidate
COMM WEAL D BYkV NNVN Cj�l� '�.--
Printed Name a
My cc ission e:tpi,,W0TA LSEAL 717 7(o1 -497/
BETH t
YR. Area Code Daytime Telephone Number
CARLISLE BORO;,CUMBERLAND My Commission tpllesOcl 7
• Bureau of Commissions, Elections and Legislation
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