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Home My WebLink AboutBosha for State Senate - 2016 2nd Friday Pre-Election Jt 11 LItt Form 1 Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) • Filer Identification Report Filed By Candidate Committee Lobbyist Number Za( tom a4y(p (Mark X) Name of Filing Committee,Candidate or j.",/,., /L ..2ce , ../..,_.:\, ke LobbyistrI (L-jQ Street Address I /L /c, City U •State e A Zip Code 1 O2� �n 1 A Type of Report(Place x under report type) 1-6"'Tuesday 2- 2nd Friday 3-30 Day Post 4 6u'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 x .. • Date Of Election Year Amendment Termination (MM/DD/YYYY) '1 A g 2.6i L. Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 6 416 I d c:• 1 6/attleOlfe. A.Amount Brought Forward From st ort $ it b. B.Total Monetary Contributions and Receipts $ 12.64". (From Schedule I) 1 Z•. 4". �. C.Total Funds Available $$ /' qq •// ti �v (Sum of Lines A and B) ( 4.�y- •( ,< 77 i D.Total Expenditures $ Q { c� (From Schedule III) I Qaf•f' •' p , --f j=% ; ri E.Ending Cash Balance $ 14-1 (j (Subtract Line D from Line C) 0? Z.1'2- , i Ci (it F.Value of In-Kind Contributions Received $ y( 7..:- (From Schedule II) 9'4.a U T;. " n: �-, G.Unpaid Debts and Obligations $ P Q P_.^ CO , (From Schedule IV) „` ,..7.., Affidavit Section +C”N 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 and subscribed re me this /) /�M / day of 20 I ��,JJ`// &Lvv_t_Lx.sql Signa o Person Sub ' .ng -..rt h(.LQ �-- (nte t V. �el - e, Signature ✓ (� l '� Printed .,am-�} My Commission expires (5 0 i aoi�1 �L 1 57— 3 f�� MO. DAY YR. (Areal Daytime Telephone Number Part0OMMO Dat a nHfd9NkitAi 4(}@dCommittee,candidate shall sign here. I swear(or affirmftfiltIM RIb�sEt lmy knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as arrendedMihaela Laganin, Notary Public Camp Hill Boro, Cumberland County SworriMY 9 € 9fi? IY 1, 2019 MEMBER.PENNSYLVAA..4 A-.��.JT.'N OF NOTARIES 4v&P. _D P tit day of,.()+( ,,r 20 li c 41, ^'�/ Sivaturegf Candidate Ahapi1r, c%qc,Lti vl I . 5::A., Dior La Signature .J Printed Name My Commission expires C 01 `1/' Gj T O( I .5-10 Li `�/p o i 3 ttfr 7 MO. DAY YR. Area Code Daytime Telephone Number COMMONWEALTH OF-0ENNSYLVANIA NOTARIAL SEAL Mihaela Laganin, Notary Public Camp Hill Boro, Cumberland County My Commission Expires May 1, 2019 MEMBER.PENNSYLVAN.A _.,O.,'.:%Jr M1 .ARIES ' SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 5-, • J� 2.Contributions of$50.01 to $250.00(From /r Part A and Part B) Contributions Received from Political Committees(Part A) $ ,k r 1 UQ1 All Other Contributions(Part B) $ 6° /0(2 Total for the reporting period (2) $ ^5 - /Q 1 �I J 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 3 - 0 3s- 1 - fid 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ /Q^D Total Monetary Contributions and Receipts during this reporting period(Add and $ R1 r 1 C enter amount totals from Boxes 1,Z 3 and 4;also enter this amount on Page 1,Report t 1 2 •�p i.�/ h Cover Page,Item B) lT ' 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 Z 6 l o 619' (,o Amount Full Name of Contributing Date[MM/DD/YYYYJ $ Committee MOn e_ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYY] $ 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[MM/DD/YYYY] $ City State Zip Code Date(MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House 41 Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ 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: Z C 2.9 Full Name of Contributor � Date[MM/DD/YYYY] $ � 1 eS (?6,Z)?/)27/ 09 J281Lolb . I 2,- °/(‘6° House# Street Address Date[MM/DD/YYYY] $ 2,8 tt.0 ,Du 45be J L city r State e4 Zip Code o 11 Dafe'[MM/DD/YYYY] $ t Full Name of Contlibutor Date[MM/DD/YYYY] $ kfc5- 1 I e. gaffa7 e- 09 / - /1 do -`14`5/01 House#. Street.Address Dat MM/DD/�7 $ 383 AlD( 7 z't .e, City �1 ll State 94 Zip Code 17Q ( ' Date[MM/DD/YYYY] $ CCIV‘Full Name of Cont butor. Date[MM/DD/YYYY] $ Gore- MC. AL,' 16/1212.6(5,=7 . 3 166 % House# pater[MM/oD/YYYYJ. $ �Q Street Addresse. 1 iet54 1 _ 1 c! City State P Zip Code �� Date[MM/DD/YYYY] $ 4 Me i\er 5 b ur2), ( 61 Full Name of Contributor. Date[MM/DD ] . $ 1\i1clli6t15 ee)c41-)e1 cli/efa). House# Street Address �� Date[MM/ /YYYY] $. 14 Sc6 0 City Cc.. a, State ' f]� Zip Code . I �^ Date[MM/DD/YYYY] $ 2. Full Name of Contributor r l., Date[MM/DD/YYYY]' $ House# Street Address Date[MM/DD/YYYY] . $ _ City . :State. Zip Code Date[MM/DD/YYYY] $". Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State- Zip Code Date[MM/DD/YYYY] $ 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: 74 I c 6 2'1 Full Name of r Date[MM/DD/YYYY] $ Contributing Committee Na• c_. House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ .Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code .Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ ,city State Zip Code . ' Date[MM/DD/YYYYf $ Full Naine of Date[MM/DD/YYYY] $. Contributing Committee House# Street Address -Date[MM/DD/YYYY]• $ City State.. Zip Code Date[MM/DD/YYYY] $ Full Name of - Date[MM/DD/YYYY] $, Contributing Committee. House# Street Address Date.[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name.of Date[MM/DD/YYYY]. $ Contributing Committee House# Street Address Date[MM/DD/YYYY] '$ City State Zip Code Date[MM/DD/YYYY] $ V 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: � k co ci T 47 Full Name of Contributor Date[MM/DD/YYYY] $ ( )csha 10 a1 Zlsr� 3�1 -fib House# Street Address Date IIM/D[S/YYYY] $ 3 2 W. 0-)(....5(kzez. ,., City -41rYlt(7) State /► Zip`Code g�� Date[MM/DD/YYYY.j $ Em I e �n !I i Occupation Employer One rekiCe8 p Employer Mailing Address/ , { Principal Place of Business 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/ V __ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYI ; $'' City State Zip Code V 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/YYYY] $ City State . Zip Code Date[MM/DD/YYYY] $ 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 6l (eaZ1L Full Name` '`j 1\) v n 16 n \ House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip' Date[MM/DD/YYYYI $- Code Receipt Description Full Name. House# Street Address City State Zip ; Date[MM/DD/YYYY] -$ Code Receipt Description Full Name Hous-e# Street Address City State Zip ' Date[MM/D D/YYYY]' '•$ Code Receipt Description Full Name House t* Street Address cit State'. Zip .. Date[MM/DD/YYYYJ: $. Code Receipt Description Full Name House#' Street Address City State. Zip Date[MM/DD/YYYYJ $ 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: ZU I Se O Z. 1 cAo 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ 75 ti_cc. .00/0.0 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ ^ (Q n n 1 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ MCI I TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter , r , •Q on Page 1,Report Cover Page,Item F) "("( 4,0 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Za I Q 2-9 Full Name of Contributor Date[MM/DD/YYYY] $ None House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description 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] $ Description 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] $ Description of Contribution . Full Name of Contributor. Date[MM/DD/YVYY] $' House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description 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] $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY]iti $ aoe, 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/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 Occiipation - Employer Mailing Address/.Principal Description Place of Business of Contribution • 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: 2Ci Name of Creditor V Outstanding Balance of Debt House# Street Address a' 'v DATE:DEBT INCURRED $ [MM/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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [NIM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House it Street Address - DATE DEBT INCURRED $ [MM/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 Com.. . State Zip - Code. Description of Debt Name of Creditor Outstanding Balance of Debt House-It Street,Address DATE.DEBT INCURRED $ [MM/DD/YYVY] city State Zip Code_ Description of Debt SCHEDULE III Statement of Expenditures • Filer Identification.Number: 2a ( (2C , To Whom Paid i ^1 q1k Date[MM/DD/YYYY] $La c.Q11 ozot� Io House# treat Address Desescriptio of Expenditure CityState Sd,, l i IiCa I t CoZipde /g � ��t "'O To Whom Paid I Date[MM/DD/YYYY] $ (trit.\1/), (-S ,,�/ � tczC al /2glOo SQCf-a� House treet Address DescrSption of Expenditure ��- �� City rr r $tateD Zip J ( C ,,/ �M �l�I i Code ( ,O l ro��Ca! �Jl — �+a< ie. To Whom Paid l Date[MM/D jRYYj� $ M e� •0505 t /ttr�No .) .CCN House# Street dress Description of Expenditure (� n oft Lane City e—n p�� '.j ate n ZAP Code ‘ 76Z5- Yr-IJ. vi 5 To WFiom Paid pate[MM/DD $ House#. Street Address Description of Expenditure • City State Zip Code. To Whom Paid Date[MM/DD/YYYY] $r. House# Street Address Description of Expenditure City : Stater Zip Code To Whom Paid _Date[MM/DD/YYYY] $ House.# Street Address Description of Expenditure City State Zip Code To Whom Paid ' Date[MM/DD/YYYY] $ House#.. Street Address Description of Expenditure -- City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code