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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 I ' 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 - - C 4 Qty.IvW lilNlfYiL�t sat - 'code To Whom Paid Date[MM/DD'yyyy, $ 5a-W House# -- I-� 3r`eetAdd �D {�D� ` Description of6�enditure y mIUN�I,Gt,�L�uf9. sate PLS IZip Cade To Whom Paid Date[MM/DD'YYYYJ $ t�vo vps [ �t t>o Cto. 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... Cade