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HomeMy WebLinkAboutCommittee to Elect John Gross - 2015 Annual Report III�II� 11 Reset Form 1 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 I Lobbyist 17 Number (Mark X) Name of Filing Committee,Candidate or y� 1 A Lobbyist COM.Mr r'so rb AdelToMa 6fass Street Address Also I'�Ow.✓I'�rMInJ Qo4a city 1�otlt�g S ra55 I State /3.. Zip Code y7oe7 Type of Report(Place x under report type) �7 1.6th Tuesday 2. 2nd Friday 3.30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2no Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election E] El El El El E Date Of Election Year Amendment Termination (MM/DD/YYYY) !t'3 llawr dof S Report Report In Summary of Receipts and From Date To Date For Office Use Only Expenditures IZ I at japits !i a1 /,2015- A. o/SA.Amount Brought Forward From Last Report B.Total Monetary Contributions and Receipts (From Schedule 1) • OO r. C.Total Funds Availables ^ 901 E! (Sum of Lines A and B) `. + L D.Total Expenditures u I�Tc (From Schedule III) 7 7. 402 E.Ending Cash Balance $ W (Subtract Line D from Line C) - UD F.Value of In-Kind Contributions Received $ (From Schedule 11) p N G.Unpaid Debts and Obligations $ C (From Schedule IV) n Part I.If this is a Committee report,treasurer sign here.1f this is a Candi to sign here. 1 swear(or affirm)that this report,including the attache schedules on p h st of my knowledg and belief true,correct and complete. Notary Pub IC Sworn to and subscribed before me this CUMBEP.LAf OUNTY CAR ISLE BORO., Tres P 016 an of nS r: 20 I My Commission Exp' Signature of PersaffJJ SufSnitting report U / Oa1].e� .�4ItG ted Name SignatureC 11 Punted Namett�(G} !� My Commission expires 5 12 I b 717 4 •--7 7ar7 MD. DAY YR. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear for affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of lune 3,1937(P.L.1333,NO.320)as amended. Sworn ttoo and subscribed before me this (F'I- day of n r 20signature of��_ fwd idate Of/A/G�IY�S�3' Signature '/ Printed Name My Commission expires 5 ) 2— I h j/'/ 9 Mo. DAY YR. Area Code Daytime Telephone Number E NOTARIAL SEAL NNIFER CEASE Notary Public CARLISLE BORO"CUMBERLAND ,00N6Y 4 4 son Expires May 2 SCHEDULE III Statement of Expenditures Filer Identification Number: CoMroI�r�To Ejcc�T1 ToNw Gross To Whom Paid Date[MM/DD/YYYY] $ / cm Soaa C. Gross /a a/ aof r House# Street Address s • Description of xpenditure y$o 1n ow.1t,,r a -2occ c/ le.. of A-4.,e f p"#-) City �ol/. SP�ayS ( State /'A Code 17007 �pc�scs P+1e� brC4o-[: To Whom Paid Date[MM/DD/YVYV] $ i House If Street Address Description of Expenditure - cityState - Zip Code To Whom Paid Date[MM/DD/YYYY] $ House#' Street Address Description of Expenditure city State Zip --� Code To Whom Paid I Date[MM/DD/YVYY] $ I House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YVYY] $ House# ii Street Address Description of Expenditure - - City State ZCoip de To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure I City _ — State rZip - Code To Whom Paid : Date[MM/DD/YYYY] $ i House#: Street Address Description of Expenditure City j State Zip Code To Whom Paid Date[MM/DD/VYVY] $ House If i Street Address Description of Expenditure I. I. City State: Code SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 00 2. Contributions of$50.01 to (From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) Sp,0 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) 5DO 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B) • �0