HomeMy WebLinkAboutDelozier, Sheryl - 2016 6th Tuesday Pre-Primary �. Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be dear and legible. It should be typed)
Filer Identification Report Fled ByCandidate Committee lobbyist
Number (Mark)Q
Name of Fling Committee,Candidate or �� ( n
Lobbyist t Yi'
3reetAddress i1 �I", r
City qFW
Sate vMn I I Zip
Type of Report (Race x under report type)d�i
1-5'"Tuesday 2- 2nd Friday 3-30 Day Post 4 5'h Tuesday 5.2nd Friday 6 30 Day Post 7-Annual Special 2m Friday Medal 30 Day
Pre-Primary We-Primary Primary Pre-Section Pre-Bedion Section Roe-Section Rut-Section
R F_ E] 1:1 1:1 El L1
Date Of Section Year Amendment Termination
(MM/DDrYYYY) Report 1:1 Report
Summary of Receipts and From Date To Date For Office Use Only
Sglenditures
i ( [� 1 $ (lc
A Amount Brought Forward From last Report
b. tz
B.Tot at
Mon talry Cbntributions and Receipts $
(From
C Total Funds Available
(Sum ofUnesAand
Bl
D.Total 6qunditures $
(From Sifedule ill)
E Ending Cash Balance $ V'`
(Subtract line Dfrom Une C) VI)
F.Value ofln-19ndContributions lecefved $
(From Scltedule II) 0. 6b
GUnpaid DebtsandObligations $
(From Sliedule IV) G "
Affidavit Section
Part 1-If this is a committee report,treasurer sign here.If t his is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached sheduleson paper,isto the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me Ihis COMMONW —�
` �� . _za LTHOFPENNS LV _
NO RlH1_ $EAL S ureof f'sson Sibmi n rp�por�t,�
ISA K. S E, Notary Pubg GCL
Sgna ure M of Hani urg, Dauphin Coun Printed Name
Y Commissl n Expires July 2„g t 22 pp//�
My Cbmmisson expires r2)1' �''d45
MO. DAY lR Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Autlrorized 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 Pct of,Lne 3,1937(P.L 1333,NO.320)as
amended.
Sworn to and subsxibed before me this
day of 20
9gnature of Candidate
Sgnature Printed Name
My Commission a Aires
MC. DAY YR Area(bde Daytime Telephone Number
9Q-IIDULEI
Contributionsand Fbiwipts
Detailed SLimmary Page
Filer Identification Number
t.Unitemlaed(britritm Ions and FleceIpts.$50.00 or less per Contributor
Total for the reporting period (1) $
Cordributionsof W.01 to om
Part A and Part
Contributions Poeeived from Political Oommittees(Part A) $
AJI Ot her Cbntribut ions(Part 8) $
v .
Toted forthereportingperiod (2) $
3.(bntributionsOver$250.00(From Part Cand Part D)
Cbnlributions Foceived from Political Committees(Part C) $
All Other O)ntribulions(Part D) $
Total for the reporting period (3) $
D .�
4.Other Peoelpts-Pefunds,Interest Earned,Flaturned Checks,EfC(From Part E)
Total for the reporting period (4) $ -
Total Monetary(britributionsand Fleceiptsduring this reporting period(Add and $
enter amount totalsfrom ryes 1,2,3 and 4;also enter this amount on Page 1,Faport
Cbver Page, Item B)
PARTE
Other Receipts
RffUNM INTFESTIN00ME, RETURN®CH83q ETC
UsethisPart to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number: , `-
Full Name ` I` 1Wea
U I UL 11
L
House# Street Addre T D .r , L6
CRy t Y� �3ale ZIP-- Date[MM/Ddnn $
t�1CUl, >�K �& Q)de d4CW0 (off a�
Fhoeip[ Description '
VwrnburW L4LAAL3
Full Name
House# - - - — Street Add
rl
aty State Zip--- I, Date[MM/DU Y" $
OxJe
Receipt Description
Hull Name
House# Street Addrej
6ty Sate zip
Date[MM/DDYYYYJ—
Oxie
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FEaelpt Description
Hull Name
tAddrej
Add
Dty State Zip Date[MM/DD'YYYY]
rode
FEceipt Description
Full Name
House# I 3 rest Addrej
Qty - --....._. State Date[MM/DD/YYYY]
Cbde
Receipt Description
Full Name
House# Street Address
Dty Elate Zp Dade[MM/DD'YYYYJ I S
03d e
FEbelpt Description
SCHEDULEIII
Statement of Expenditures
Filer Identiflortlon Number: .,
,To Whom Nid Date[MM/DD'YYYYJ $
'House#. 1 ( sreetltdd �1 Sly �1�L1� Description of Expenditure --- --
Qty g12C�lUa tt C4gate ZQxle
leo Cam Cr} r
To Whom Paid - Date[ M/ yYYYJ $
U& 1Y056a�s' t 31 l
House# greet Address p� iptionofExpenditure - -
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Qty.IvW lilNlfYiL�t sat - 'code
To Whom Paid Date[MM/DD'yyyy, $
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House# -- I-� 3r`eetAdd �D {�D� ` Description of6�enditure
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mIUN�I,Gt,�L�uf9. sate PLS IZip
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To Whom Paid Date[MM/DD'YYYYJ $
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House#; 3reet Addre Description of Expenditure
Qty Sate_ I Lp -I II Ca6
de
To Whom Paid Date[M /DD'YYYYJ.
House# sreetAdd- ':Description ofExpenditure _
Qty' sate Zp---
Code
•To Whom Peld I Date[MM/DD/YYYY[ $
17Y
use#1 greet Add - DescriptionofEcpenditure gate Zip
Code
To Whom Paid Date[MM/DD'YY" $
House#; greet-Acldr—e Dewiptionof5cperditure
Qty satei 1,71P
Dude
To Whom Paid Date[MM/DDrYYYYJ $
Nouse# gree{Add ;Description ofEcpenditure. - --
City. sate_ Zp...
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