HomeMy WebLinkAboutBosha, John - 2016 2nd Friday Pre-Election ' Reset Form Print Form
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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification // QQ (' Report Fled By - Candidate Committee Lobbyist
Number ` P I (Mark X)
Name of.Filing Committee,Candidate or
u,�
Lobbyist C] 605112-
Street
address ' 1 ,it 6Ll f... ....1 .re____City En c.( 0 I. tate n Tip Code ( -7 o 2—�
Type of Report(Place x under report type) t'
1-6n'Tuesday 2- 2"d Friday 3-30 Day Post 46u'Tuesday 5-2"d 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 Year. r Amendment .. Termination
-(MM/DD/YYYY)•. , • 1 1 68 Z a ( ccs. I Report Report
Summary of Receipts and .. " Fr Date. To"Date 111 For Office Use Only
Expenditures • •
, o1v 1 Z I6/2.+- zoo
A.Amount Brought Forward From Repo /
O
B.Total Monetary Contributions and Receipts _ $ •
(From Schedule I) O
C Total Funds Available $
ato
(Sum of Lines A and B) ' 0 •
D.Total Expenditures $ C� .�,:
1 Y f 7 ^s_k
(From Schedule ltl) Q _,,.�
E.Ending Cash Balance $ N
(Subtract Line D from tine C) 6 z 5 i)
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F.Value of In-Kind Contributions Received3:2 —....2,
(From Schedule II) •" -T1t ,Ti
G.Unpaid Debts and Obligations $ rill' C>✓ E
(From Schedule IV) • • -
Affidavit Section
Part 1-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,is to the best of my knowledge and belief true,correct and complete.
Sworn
�to and subscribedbeforeme this J1.41?
�� AILn
(9 rday ofalj9�r 20 1�//��G J
rI) Signature of Person Submitting report
�? o t}�Q�C�G+�I ,T A" D. 8Ak
Signature ��`1 Printed Name
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My Commission expires Off 01 �Cv 1Ci r7`� 9 - 3 t 7
MO. DAY YR. Area Code Daytime Telephone Number
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1Wundo A T nf:BSI e'aVLVA IA
Pa If this is a ari NAtes Authorized Committee,candidate shall sign here.
I swear( tti rthe t gtgiiin 1 edge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as
arf.aen mp Hill Boro. Cumberland County
M .Commission Expires May 1, 2019
Swil ariamcabedbeetleZ tDls;,rNOTARIES
4 'h. '.
day of 20 •
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
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Contributions and Receipts ,
Detailed Summary Page
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1.Unitemized CoRtributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $ 0
Contributions Received from Political Committees(Part A)
All Other Contributions(Part B) $ 0
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Total for the reporting period (2) $3.Contributions Over$250.00(From Part C and Part D) 0
............................................................................................................................................................................................................................................................................
Contributions Received from Political Committees(Part C)
$ o
All Other Contributions(Part D) $
Total for the reporting period (3) $'
4,:ptio.oxec.eicitolefoncwilMet.4-t:Eai•.060;..Rpt4effigdighocks;p:c4i1Feppl...:
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 Page 1,Report
Cover Page,Item B)
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