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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist 1akiti
���'` �� ���
Street Address a'S- P o rl ^
City Ca,\_O' kS 11
State /� Zip Code 1 1-1) 1 i
Type of Report(Place x under rep rt type) �"�
1-St" Tuesday 2. 2nd Friday 3-30 Day Post 4-6u+Tuesday 5.2""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
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) i l/bb j ra b tL4 a o 4 r 1 Report Report X
Summary of Receipts and FromttttDate To Date For Office Use Only
Expenditures
IDIaUlattko " I u 1 AMM /
A.Amount Brought Forward From ast Report $ 4,1-9 `6
B.Total Monetary Contributions and Receipts $ . 7
(From Schedule I) 13. 0 .
C.Total Funds Available $ Q '
(Sum of Lines A and B) '' 1 -1 U?j ,
D.Total Expenditures $ ( 57 .
(From Schedule iII) U i. 53' -_�
E.Ending Cash Balance $ C S.
t J c •
(Subtract Line D from Line C) '' /, J J. "!J r
F.Value of In-Kind Contributions Received $ - .
(From Schedule II)
G.Unpaid Debts and Obligations $ `` 1 r�" 1j "
-7
(From Schedule iV) `j J r`( S
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. x 3 0 CI
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. a `c 5 z z
Sworn to and subscribed before me this P g m ;ii
/av7frnbC20 / �� 11th]kgi
. r
My Commission expires lel 30 il L 31?) I (1 y „3 ...m
MO. DAY YR. Area Code Daytime Telephone Number O `;s ,, z
Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. Q a c
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 June 3,1937(P.L.1333,i l.i ej$ az
r3
amended. � °D.Z
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number '
1
I
I1UnitenlzedContributions and Receipts-$50:00 or Less per Contributor j
Total for the reporting period (1) $
2.Contributions $50.01 to $250,00(From
Part A and Part B)of
Contributions Received from Political Committees(Part A) $
All Other Contributions(Part B) $
Total for the reporting period (2) $
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part 0) $
Total for the reporting period (3) $
4.Other Receipts-Refunds,interest Earned,Returned Checks,ETC.(From Part E) 1
Total for the reporting period (4) $ -73
3 ' 06
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 3 `, a b
Cover Page,Item B)
•
PART A
Contributions Received From Political Committees
$50.01 TO$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from$50.01 TO$250.00 In the reporting period.
Filer identification Number
I
Amount
Full Name of Contributing Date[MM/DD/YYYYJ $
Committee C
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY' $
Full Name of Contributing Date[MM/DD/YYYY] ' $
Committee
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYyJ $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Contributing Date[MM/DD/YYYY] ' $
Committee
House# Street Address Date[MM/DD/YYYY] -$
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MVMM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
I
Full Name of Contributor Date[MM/DD/YYYYJ $
0
House# ' Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/0D/YYYY1 yl
House# Street Address Date[MM/DD/YYYYJ ' $
City State Zip Code Date(MM/DD/YYYYJ $
Full Name of Contributor Date[MM/DO/YYYY) $
House# Street Address Date(MM/DD/YYYY) $
City State Zip Code Date.(MM/00/YYYY) $
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ 1 $
City State Zip Code Date[(VIM/DD/YYYYJ,. $
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Contributor ' Date[MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYYJ $
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
filer identification Number:
I
I
Full Name of Date[MM/DD/YYYY] $ /��
Contributing Committee V
House# Street Address ` Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD.f YYYY]
Full Name of Date[MM/DD/YYYY] r$
Contributing Committee
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/MY] f
Full Name of Date[MM/DD/MY] $
Contributing Committee
House# Street Address Date[MM/DD/MY] $
City State' Zip Code Date(MM/DD/YYYY1 $
Full Name of Date[NIM/DD/MY] $
Contributing Committee
House it Street Address Date[MM/DD/MY] $
City State Zip Code ,Date(MM/DD/YYYYJ $
I
Full Name of Date[MM/DDJYYYYJ $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
i
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
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:
I
Full Name of Contributor Date.[MM/DD/YYYYJ $
_ D
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYYJ . $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of ContrIbutor r
Date(MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code . Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Foil Name of Contributor Date tMM/DD/YYYY] $
House# Street Address Date[AAM/DD/YYYY] $
City State Zip Code Date[MM/DD/YVYYJ $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date tMM/DD/YYYY) $
House 0 Street Address Date[MM/DDJYYYYJ $
City State Zip Code Date[MM/DD/YYYY] 4
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
PART E
Other Receipts
REFUNDS,INTREST INCOME,RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number:
•
Full Name skaftes
House# J bc-O Street Address c u7 •' S I/(. plk4
City �a�nn�C� State Zi� Code � �� Date jMM/DD/YYYY] $ ��, O CA
IWOrt t -9 e W sola 2)f ?b1
Receipt Description la D4,o f hQ 0 v n' par/
Full Name'"
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name.... ..-
House# Street Address
City State Zip Date jMM/DD/YYYY] $
Code
Receipt Description
Full Name. _- -
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date jMM/DD/YYYY] $
Code
Receipt Description
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Filer Identification Number:
1. UNITEM1ZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
1 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $
I • 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Report Cover Page,Item F)
NDN
•
SCHEDULE II � I
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer identification Number.
Full Name of Contributor Date(MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYYJ $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DO/YYYYJ $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of.Contributor Date(MM/OD/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ
City State Zip Code Date[MM/DD/YYYYJ $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date(MM/OD/YYYY) $
Description of Contribution
•
SCHEDULE II (�, P'c.
Part 6 �"
In-Kind Contributions Received
VALUE OVER$250
Filer identification Numbers
1
I
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYY) $
City State Zip Code Date(MM/DD/YYYY) $
Employer Name Occupation
Employer Mailing Address/Principal " Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYY) $
City State Zip Code Date[MM/DD/YYYY) $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
_. . . .... Contribution
full Name of Contributor' Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYY) $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYYJ
City u State Zip Code Date[MM/DD/YYYY) $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business • of
Contribution
SCHEDULE III
Statement of Expenditures
Filer identification Number:
I
To Whom Paid Date[MM/DD/YYYY] $
Rof LeS /00 -1 a-o) 10
House# 505-0 Street Address r i 1s n ) Description of Expenditure
City peva)
Q n 1 G�\o
V✓y ress /1 Code ) SS- T Y11 - C i I u LIQ-), laicrOf
To Whom Paid �, Date[MM/DD/YYYY] ''$ 3 GI
loia-�f kolio
House# `U�� Street Address r oil
/ , Le �
, � Description of Expenditure
City Y Zip
U/VIUI(�`Ls o State FA Code 1 -r)cr Y19 (kt2 i( GU/
To Whom Paid Date(MM/DD/YYYY] $
w0rY^a4 0/014) .)0/ to i s , 35--
House# / cjo Street Address C n(hot ^i1' „ Description of Expenditure
.� `,At an COO State A de ITb5U TabQ i I ovf
To Whom Paid Date[MM/DD/YYYYJ $
Wt ('YtG4. ►1 a412'all / vlv, 19
House# ILI 00
Street Address Dedcription of Expenditure
Zip
City C/04)1 1`\'.t) State PA
Code t I V I 1 i c'o ` / ovf i
To Whom Paid . •r} Date IMM/DDfVYYY]. -$
?-0) q il
House# toJ)v Street Address 1Ile Des ription of Expenditure
GoiCity \,, Statep Zip -�^ p
f\a\ir1�S�i k VU eJ Code 1 1b 647 Lei j c<
To Whom Paid ✓✓✓ Date iMM/DD/YYYY] $ 5-l'
1
L54-111 I.�J I1) ID ' gt1�
House# Street Address d Description of Expenditure
aty Zip
v U`I Y\ Fh `) State i Code 1 1 k :lr\k- C 1 otc0, -1—are
To Whom Paid Date IMM/DD/YYYY] $
PDv4-v► (-14j )' of 03/. oo ii, /os-, SO-
House
# U1(0_r n Street Address
Can
'S Li pi k-e Des riptfon Expenditure
_ . _ .. .
Zip
CityG� ;GS\�"�"v'nv.,/� State QA Code 1 r"D,�b j(1/4\' W.
To Whom Paid 1 Date[MM/DD/YYYY) $
1)00Ila( flite flyi►/o?)a-oIt, Iq. D6
House#. 'y�� Street Address rn�� Description of Expenditure
City f'`b State r� n Zip
Code 1 1 3 Boo\ o f
y r�\
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Filer Identification Number:
I
Name of Creditor �� G�n X.� Sr Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
F Q f5CSX 1 IMM/DD/YYYY] i f 6
City N t Uf rA^, State N Code Zip id-10 I '
Description of Debt \ i�
prt v o be \ouii b raug1(0' -6r i0vr) -fyo rn \a(- r° 61'
Name of Creditor ftn11.6 11.6 WV\ ?x yrf rs Outstanding Balance of Debt
House# Street Addresstpa,, C�/ DATE DEBT INCURRED $ �7 U q
I (7 W d J. I eThb (MM/DD/YYYY] . 7 9 1, !to 1' 9 a'.)9
/�� to 3a-Ja- Ili
City k0 eW (A Gi State �S Code Zip ;1 80-7-I I
)
Description of Debt
5' 61P tt,p 10V- I G et5 c>wk
Name of Creditor PPM
„_ „ 0 i 1 EX rP� ' Outstanding Balance of Debt
House#- Street Address n( r1( DATE DEBT INCURRED $ p
pd aox l?-9-b. [MM/DD/YYYY] - Be?, iS +37-• b
City I V I We ��' State Code zip 6316,l- 91,-tee).,-1
Description of Debt ja. /
1
Name of Creditor Ft^DW,;CAM Y xQ v e( Outstanding Balance of Debt
House# Street AddressDATE DEBT INCURRED $
• P(5 �Ub�/ !I� i a' (MM/DD/YYYYI ' /G
?q,)11 + I e,Si,3 s
City VJr State �� C de e) .-1'f D i , = 1� !l , 51
1v
Description of Debt' i a
– — . - ” W a TY\A'' 4-a, t-fla 1 OVS 'CY(kr)(4
Name of CreditorRYINij(1�1^ 7x Outstanding Balance of Debt
House#. Street Address n W, 1 �� DATE DEBT INCURRED ~$ q
1 b f7OX 1�'' _ IMM/DD/YYYY] =�)11,A.59 4' 1010. 11
City OW w`(-- State vis... Code 0- 1 o I, '. 1, ,)' t b i
Description of Debt `��
a(Y16/" - )G✓S f,f7nu
Name of Creditor
()POW;
tan
n e` jc Outstanding Balance of Debt
House# Street Address n l�iJ\�. ](1(j� DATE DEBT INCURRED $ G
v 97OX 1?�v (MM/DD/YYYY] ' 1)e9$,3-8 4-I9'a,”
City N �1a(N State1\1,1Zip O tO I- '' I i 147), ?, -
Code__
Description of Debt
\04 Y Y WV, ' t6001.16 1 60 f)( CC
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Filer identification Number:
I
Name of Creditor 6rn e7; CAA �i( Outstanding Balance of Debt
House# Street Address `" �( J DATE DEBT INCURRED $
Q
F O Q"t)X 13 -> [MM/DD/YYYY] ' 1,,-13')i 1'a -I- 57,q
City i v o w State NT Zip 04-/o i , J' Sa&, l03
v Code
Description of Debt 03-0
61-01 tO -- ; nk -+-a-c e off/i
Name of Creditor ' l 'V D!� G� 0)( IS
)r Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
Pb 'SIO X ►a-TD [MM/DD/YYYVI : )).Sa 3, 103 9- J v5,$ -
City State Zip p-ID) ' J I,10a-9, 5
W ev A , NT Code ia.'70
Description of Debt
1701b1 CA - ►o 0&vi eX cr
Name of Creditor
PrvAkelf
10
0 A (:)cferS`. Outstanding Balance of Debt
House# Street Address U t� DATE DEBT INCURRED $ 1}
6b PJby, 1 ^ IMM/DD/YYYYI ` ),L,a'9.c4,i-4- 19,0Q $
City State Zip DMDIP - I" - 1 ,`��
Ne-W( V-- NJ Code PTI;)
Description of Debt t 0 1 t 1 a,V! Thi - a I I a Y\,) -0(p-r/�
Name of Creditor vOutstanding Balance of Debt
House if Street Address DATE DEBT INCURRED $
IMM/DD/YYYY] i 1, N 5,51
City State Zip
qb,0� Ytjvrv►cr� P 1
Code u 1
Description of Debt • 1) �J
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
IMM/DD/YYYYJ
City State Zip
Code
Description of Debt.
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt