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HomeMy WebLinkAboutFriends for Sheryl Delozier - 2016 6th Tuesday Pre-Primary IIII L. Commonwealth of Pennsylvania -Campaign Finance Report (Note:This report must be clear and legible. It should be typed) Filer Identification rr Report Filed By Candidate Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Street Address I) r City � IR State zip code Type of Report(Place x under report type) 1-6'h Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2" Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election © ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Of Election YearAmendment Termination (MM/DD/YYYY) 41• It, apt(, Report ❑ Report ❑ Summary of Receipts and FroOom Date To Date For Office Use Only Expenditures 1 l I 3 t(V A.Amount Brought Forward From Last Report B.Total Monetary Contributions and Receipts $ W9 r'j (From Schedule 1) 1, DDD- JZ C.Total Funds Available $ LOO �C -Q/ (Sum of Lines A and 8) 5J. l D.Total Expenditures $ / ' 4 (From Schedule III) (D E.Ending Cash Balance (Subtract Line D from Line C) F.Value of In-Kind Contributions Received $ (From Schedule II) b- 0 G.Unpaid Debts and Obligations $ (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If ndidate report,candidate sign here. I swear(or affirm)that this report,Including the attached chedu k is to the best of my know) ge and belief true,correct and complete. Sw,r to and subscribed before me this C,qR N f Ty \q\ \\\\ � NQwC 0<< OrgR OFpB �'\ day of �` 20� yyCo� beryB�RO.('F/ NNS S@i0 dept �• N0 ure oft so Sub 't ''ng report EkAiie C� �ry Signature s pB� �nanp�tl re Printed Name � My Commission expires � ,0 ;W—36"5Q�s MO. DAY YR. Area Co Daytime Telephone Number Part II-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 lune 3,1937 P.L.1333,NO.320)as amended. Sworn to and subscribed before me this f _ yef ONWEALTH OF ENNSYLVANIA l IV, _ � NOTARIAL PtAL gnature of Ca to LISA K. STONE, otary Publico+) Signature I ury o . amsburg, uphin County Printed Name My 'ssion Expi s July 2, 2017 -It,,t't ��>� My Commission expires 0 m 1 MO. tPAY YR. Area Code Daytime Telephone Number S HEDULEI Contributionsand Ramipts Detailed Summary Page Filer Identifimtlon Number _S // " I 1.Unitemia?d Cbntributions and PewiCiptss450.00 or Lem per Oontributor Tot al for I he report i ng period (1) S lJ ._ 2.Ountributionsof$bU.Ul to (From Part A and Part q Ctntributions Peceived from Political Committees(Part A) $ All Other Obnt ribut ions(Part l) $ U Total for the reporting period (2) $ 3.Contributions Over$250.00(From Part Cand Part D) Oontribulions Fboeived from Fblitical O)mmittees(Part A $ _ SCO AJIOther Contributions(Part D) S 6U _ Total for the reporting period (3) $ 600— 4.Other Fleoeipts-Fefunds,Interest Earned,Returned Checks,ETC(From Part E) Total for the reporting period (4) $ O Total Monetary C)ntributions and Peoeiptsduring this reporting period(Addand S enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Gbver Page,Item B) D 0� PARE C ContributionsFboeived From Political Committees Over$250.00 Use this Part to itemize only contributions received f rom Political Committees with an aggregate value over$250.00 in the reporting period. Filer l&-ntiflratlon Number. �k(,«ticls hln2 19 .�.�- Rill Name of CO �� 1Date[MM/DDrYYYYJ $ (britr'itiutingt]irrimlttee ComGGt COPP i�ybgO Pk, L(ltt`� House# Street Add C i Date[MM/DD'YYYY] $ �vv I h I •�nS K,P �. City State Dte[MM/DYYYJ $ � N2Q �lot Full Name of Date[MM/DD/YYYYJ $ Contributing Committee House# 3reetAdd - .Date[MM/DIYYYYYJ $ Qty Sate ZpCode— Date[MM/DEYYYYY] $ Full Name of 1Date[MM/DD'YYYYJ $ , Contributing Committee House# lrStreet Add , Date[MM/DD/YYYYJ $ City S (b ate Zpde Date[MM/DD'YYYY]- Full Name of Date[M M/DD/YYYYJ $ Contrlbuting Committee Hoare# 1,3,eet Addre Date[MM/DUYYYYJ - Pty i $ate ZpCode Date[MM/DO/YYYY] $ . Full Name of iDate[MM/DD/YYYY] $ Cbntributing Committee Fbuse# Street Add Date[MM/DD'YYYYJ I QtyStateZp(bde -- Date[MM/DIYYYYYJ FUII Name of - Date[MM/DD/YYYYJ $ Contributing Committee jHoL*a# 3reetAddre IDate[MM/DYYYYYJ $ State ZpOxde Date[MM/DD'YYYYJ i PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) 'Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYYJ $ let(4 Ivo — House#. Street Address ' . Date[MM/DD/YYYY] $ City 6 S rt State Zip Code Date[MM/DD/YYYY] $ � .Employer Name Occupation rel�1' .Employer Mailing Address/ Principal Place of Business 'Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ ,City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] -$ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY]- $ House# Street Address Date[MM/DD/YYYYJ $. ,City - State .Zip Code Date[MM/DD/YYYY] $ iEmployer Name - Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid / Date[MM/DD/YYYY]. $- 4 4 " ' m er�2u i C t House# Street Addr ss Description of Expenditure City 1 E �/(�n'�Q�"W 'i� 7w State ren Zip 'S �`lernh.LY�(uc� Code To Whom Paid . 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