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Commonwealth of Pennsylvania - Campaign Finance Report(Note: This report must be clear and legible. It should be typed)
fllerideritlfication Report Filed By Candidate Committee . Iblibist
Nurñber ( MarkX)Name of Filing Committee, Candidate or -‘
Lobbyist c ‘D
StreetAddress 4- /7’ JCItY..:--.f [State 1 f9de
iType or Report (Place x under report type)
1- 6’:TUe5daY 2- 2 Friday 3-30 Day Post 4- 6mTuesday - 2’ Friday 6-30 DayPost- -7-AnnUa[- Special 2°, Friday Special 30 Däy
Pr&.Pnmaiy Pre-Pnmaiy Primary Pre- Election Pre- Election Electton Pre Election Post Elctlon
L ED HDate Of Election - j Year Amendment Termination
(MM/DD/YYYY) j ç Report Report
Summary of Receipts and •.. . Erfli:Date. ate- - ..
.. -,::. For Office Use OnI, :-.-
Expenditures
)i7//1 - / b/I$ /
B Total Monetary Contributions and Receipts i(From Schedule I)CTOtalFufldvailab!e-..•-.-. -;--- .. .-
.
($umotllnAandB) —
D Total Expenditures S(Froni Schedule Ill) 0
ndlng Cash Balance I(Subtract LYneD from Line C)F Value of In Kind Contributions Received I(From Schedule II) —
G Unpaid Debts and Obligations S(From SChedule IV*,-;- .: —
Aftidavit Section
--
SCHEDULE 1
Contributions and ReceiptsDetailed Summary Page
I Filer Identification Number
171; t L1 .Unitemized UontrlbutlOns anu HeceIpts- 5U.UU or Less per I0flCtIbUtOt ‘
Total for the reporting period 7)g f’...4 k..Iirn, -
- •‘)fl flfl ‘
Contributions Received from Political Committees (Part A) fT ,
All Other Contributions (Part B) IT
Total for the reporting period(2)1T
3. Contributions Over $ 250.00 (FrOm Part C and Part D)‘5
,, -
V
Contributions Received from Political Committees (Part C)
Alt Other Contributions (Part 0) T—
Total for the reporting period (3) t
—
Total for the reporting period (4) rTotal Monetary Contributions and Receipts during this reporting period (Add and Tenter amount totals from Boxes 7, 2, 3 and 4; also enter this amount on Page 1, Report
Cover Page, Item B) —
u.u I Lu , rrurn .•..‘ -
PartAandPartB).
:-‘ •... .
.:
4. Otfler Receipts-Refunds, Interest Earned, ReturneU Checks, ETC. (FtO Part E) .- . . , - -
PART A
Contributions Received From Pal itical Corn mittees850.01 lOS 250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from 850.01 108250.00 in the reporting period.
I Filer Identification Number /
Amount
Full Name of QontIbutin9’,’ — Date [MM/DD/YyYV) 7’Committee
House#
]
$treetAddre Date [MM/PD/YYYY] T
City e1 J00
[
Qaté tMIDD/VYYY1 T
Full Name:otContnbutjng t. Pat@ [M4/DD/YYYYj- 8
Committee f
-,,
odsb1 treetAi Date[MM/DD/YYYY] T
1iie Zip Code Date [MM/DD/YYYY] T
nt1in”j Date [MMIDD/YYYY] T
e# $trectAdd Date [MM/DO/YYYY] T
(1 -
ty itate Zip Code Date [MM/DD/YVYYJ T
Name otgontrlbutln, Date[MMTDD/YYYY]
mittee —
e#’ StreMdre3s Date [MMJDD/VYYYJ $
,..-
7:-
$LpteJ ]IZIP Code DtoLMM/DIYYY] F
U Ø1IOflbUtifl‘ :Dätë[MMIOD/WYj _$
OUS# SetAddress .DatLMM/DDfYYVJ. 1::
cityJ
ZIP Code — Date [MM/DD/WYYJ
Full Name otContributiØ: Date LMM/DD/WVv1 S
committee - -
House # Street Address —
. Date [MMIDD/YYYYJ I
jjE — —Zip Code Date [MMIDDIYYYYI I
— -
—
PART B
All Other Contributions850.07 108250
Use this Part to itemize all other contrlbution3 with an aggregate value from
$ 50.01 TO $250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
I Filer Identification Number: lA 4 / 1full Namø at Contributor Date LMM/DD/YYVY].
House # Street Address Date IMM/DD/VYYY] I
City Pjp UIM/DD/YWY] I
.tpAMM/PP/YYYXL r
HojpTj SteétA’dUres tDat[MMIDD/YYYY] T. _/ ‘
:_____________________________City j j$tata% Dato’LMM/DD/YYVYI,
full Name ötcotQr
House#;
City Sta Zip Code - uaceiiviIvt UUIrI4TT
:Date IMMDDhYWl
[MWPWJ
______
— Zip Code
_____________
—
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SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVEDUSE THiS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
I Flier Identification Number: /
..
Joç I
1.. UNIIEMiZE9I 10 CEIVED-VALUE OF 8 50.00 ORTESS PERco9
TOTAL for the reporting period 1) 8
; TOTAL for the reporting period (2) I I3. IN-lciru tUN uwUTION RECEIYALOYEB 8250.00 (FROM PARTG):.: 2 • S
TOTAL for the reporting period (3) ITOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING SPERIOD (Add and enter amount totals from boxes 1, 2, and 3; also enteron Page 1, Report Cover Page, Item F)
$CHEDULE IIPART F
in-Kind Contributions ReceivedVALUE OF $50.01 TO $250
‘Date [MMIDD/YYYY] J
:
L’Y’
I’
PMP
:State4II
I fiIerIdenlltiation Number:’
f1;c -4 ((s
Ii ?atOjMMiDDiVYYY]:
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ippviaiis
SCHEDULE IV
Statement of Unpaid DebtsUse this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
I filer Identification Numbor
,‘c- .-Qt
I, -
I IllitE
Commonwealth of Pennsylvania - Campaign Finance Report(Note: This report must be cleat and legible. It should be typed)
:FflerldeñtificatiØn Report Filed By Candidate -. -. Committee Lobbyist
Number ( Mark X)Name f Filing Committee, Candidate or —
Lobbyist D t:i /), c — 7 ( j /b ‘
Street Address -
.: :--.--
City State 1•ie•1•j gj 5Type of Report (Place x under report type)
1.6th Tuesday. 22 Friday 3- 30 Day Pos 4- 6mTu day 54 Friday äO Day Post, Annual; :‘pccl.,Ftiday Special 30 Day -
Pre-Pnmary Pre-Pnmaiy Primary Pre- Election Pre- Election Election Pre-Eleètlon Post Election
J----. LID LI LI LIDate Of Election: --: :- Year ‘ Amendrneflt: Termination
fMM/DD/YYYY) — Report Report
Summary of Receipts and rrom Date To Date for Office Use Only
Expenditures ) )-__-
4Jitt1A Amount UrougtflprWaraiiO(nLstHepOrt :B Total Mqnetary Contributions and Receipts i(From Schedule I) f 5 -j
C Total Funds Available $(SumoftinesAàfldB) — 5 I 5/ i 5D Total Expenditures $ ‘
(From Schedule IV) 1,E. Ending CashB. -,‘ :- $(Subtract tine D froi Llnø t 5 5 7 / J__F Value olin Kind Coqtributtons Received(From Schedule U) — 3 Ut’G. Unpaid Debtsand-,OblJgatOn,(From Schedule IV)
S
Affidavit Section
I-—-I- —
_t
t.tjAi ON Q& NOfARIES
SCHEDULE I
Contributions and ReceiptsDetailed Summary Page
rr’tion Nwnber’
7k-i c/
Total for the reporthig period (1) S
/ ,
Contributions Received from Political Committees (Part A)
All Other Contributions (Part B) —
Lfl:,_L’-
Total for the reporting period (2) T
-L3ontrlbuhons Livers U.UU rom i’art u ana i’art 0)
Contributions Received from Political Committees (Part C)b
All Other Contributions (Part D)SU;yV
Total for the reporting period (3) S ç
4.Qther Receipts-Refunds, interest Earned, Returned Checks, ETC. (From Pert E — - - -
%....“—
‘—. — -
•—_.—
Total for the reporting period ‘TTotal Monetary Contributions and Receipts during this reporting period (Add and — Tenter amount totals from Boxes 7, 2, 3 and 4; also enter this amount on Page 7, Report
CoverPage,ltemB) —
J..Uflltornlzed ContributiOns and Receipts4 50.00 orLOsspelCOnttibUtot •-.
. ornriouuons or eu.u i io eu.uu it-Tom
-Párt A and Part B)
PART A
Contributions Received From Political Committees$ 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.
tIdentification NumberF/’,Nz_y z( (
Amount
amcofContrlbutlnD Date CMM/DD!YYYJ
IttC -‘- -:
P SháëtAddfrejDate [MM1DplYYYY]:’ T
$tat Zip Code Date [MM/DD/YYYY] T
‘-“
ecoInrlbuun’Date tMMtDDfYVYY]: 1
T
f
StreetAdiisJ Date [MM/DD/YVYY f
State Zip Code Date [MM/DDI’YVYJ S
of qontrbtn - Date [MMiDQYYYY] -,
$CetAddress Date [MMtPD/YC(J
State Zip Code Date (MM/DDIYYYY] 1
etnfrIbutlng Date[MM/DD/YyyVJ: 7’
‘ $treetAde t&[MMtDD/YYYY1 T
State Zip Code Date [F1M/P.QIYVYY]
me otontribng -;Date CN!MtDD1YL,Tz
Co ttee. -- —
C # $tteetAddrss DätO [MM!DD/YYY]
-
State [ZiPCOde DateMM/DDIYYYY], -I
Najno’ofContributjng Date LMM/DD/YYYYI S
nitte
House# Street A1iS Datç [MM/DD/YYYYI I
city Date [MM/DD/VVVy] I-
- ‘-.r:-cn’;,
- ‘-S - -- -. -. ,‘-
—
PART B
All Other Contributions$50.01 TO $250
Use this Part to itemize all other contributions with an aggregate value from
850.01 TO 8250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
I Filer Identification Number:
Fv’ - cl
‘2Yrb
cbi.
Ir Date[MM/DDIYYYY] 7’‘‘v_
DaJMM/DbYYY&
3t—[State ZlP69
, _ /:DatelMM/oD/YYYY]
Date [MMIDDIYYYYI T
c4 1- IVY\ cftfpemDJT
i/o.
f L Drj State Zip Code Date [MM/OD/YYYYJ S
4JLt3 1 ?I.. ..rn- — Date [MM/DD/YYYY]
11ode# Street AUdre3sDat MM! /YYVY]
.JLJ *. i1City State Zip Code Date [MM/DDIYYYY]
j 5— , — — —— —
Full Name of Contributor Date MMIDDIYYYY], $
‘—
HOuo# tAddres Dat [MM! D1YYYY]: S
:* J15 4LJ Vc1/_DijT_ ZipCode Date[MM/DD/yYYY] $
‘ P4 1/ 7 blFUII Name at Contributor Date [MM/DL
HouL $tdde pate [MjJ%
City Zjp Code.;
Full Name of ConffibUtor,
House# StrOet AdIres ‘Darn [MM/DYJY]
City State ipCde Date [M4IpD1Y).
—
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PARTE
Other ReceiptsREFUNDS, 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.
I filer Identification NUmber:
ft J4 - J c
Full Name
HoUse#, StreetAddress
cItj .
Date[MM/DD/YYYYJ,e
I Fb1.IQate [MM/DDIYYYY] 2
Cocfe;
iI Date [MM/DD/YYYYJ
JUll.Namei[
IICity 1at fpate[MM/pDfyY’Y] $
Receipt Description
Full Name
House# tSI,‘ *Receipt Descriptifl
c
FIF1h..:
I%’
1ftMI/DDfYYYY1:t1
I
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVEDUSE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTiONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
I Met Identification Nunbet: fr12r 0g h -
1. UNITEMIZEDIN-KIND CONTRIBUTIONS RECEIVED-VLUL OF 85OJJO OR LESS PER CONT
TOTIL for the reporting period (1) $ -o2. IN-KiND CONTRIBUTIONS RECEIVED-VALUE OFt5O.O1 TO S250,00 (FROMPART
TOTAL for the reporting period (2) S
3-I%ItMU L.UPII ruDu IUI\I L1ILtIVUJ-VP.LUE UVIH ZU.UU 1-ljUM PMKI Ii) -,
TOTAL for the reporting period (3) 8 —,
—))b. L0
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SCHEDULE IIPart G
In-Kind Contributions ReceivedVALUE OVER 8250
Y7’ C-i, L.- I
—. 4UcCUpatIo:.’t-wyn ? (.,jv- ‘L*Z
Date[MM/DD/YYYY] S - -
Date IMM/DDIYYYY
iII1Date [MM/DD/YVYY]
: cU ation
. flAtMptIóñ’
riwaeCMWDD)YYY.J,
I.i
LMM/0Drfr
1kI
scd:II
Deptton
D M4DYJ
1’udLeLIvIIvI,uu,!UTj ‘
IPate CMI LkP/YYYYJ
(Lc
FrtAddtess
13 j-:
Date’[MM/DIYYYY]
33L, L
Itip I
Contributton(t(a-
.- v_c (-
II
Date LMM!UU/YYYYJ
Descripknot Expenditure
$CHEDULE III
Statement of Expenditures
frI1 “‘:c .,(:! (1”\L 4\Q,.-?J1 I
Street Addressu C
v s-1 \Lwx J State e- I 41 i I ‘jMfcr ‘i) cv,
Date [fVM/D/Y Li
Pr-t’ J<Z / 3.fStreetMdres1 Descr4,tion 61 Ependit.
State AL?-\1C S--.’ c’Date [MM/DD/YYYYJ j ci
SfritAddress Description of Expenditure(
M
.Date[MM/DD/YYYY]
1%St$e
tCodk
PP:13%1
5tfjStte
LflOLMMYP.Di.,1t,
— Oescrptionof Expendhur
State-
-Da!e[MM/DDfYYYYJ:.. T•
f Street Address1 —Description of Expendiwli
stateCode’
om Paid
16ttsa1 [SetALdtess1 qOftOfEXPendKI
City. State...
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