Commonwealth of PennsylvaniaPAGE 1 OF
CAMPAIGN FINANCE REPORT COVER PAGE)
NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification Report Poll CANDIDATE1
COMMITTEE2
LOBBYIST 3Number: Filed By.
Name of Filing Committee, Candidate or obbyist:
FZQVIj I aK
Street Address:
T. D . [ 3pX (o" I sCity
SSte1p: Zip
CoderoU7' In tnln 170
TYPE OF GTH TUESDAY
J7..2ND FRIDAY 2. 30 DAY 3• AMENDMENT
YES NO xREPORTPRE- PRIMARYPRE-PRIMARY POST PRIMARY REPORT?
GTH TUESDAY 2ND FRIDAY 5(' 30 DAY 6• TERMINATIONYES NO
place X t0PRE- ELECTIONPRE-ELECTION X POST ELECTION REPORTI
the right of ANNUAL - YEAR FILINGMETHODreporttype) REPORT S CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: ,,
p p
r • District Office Party County
U1 C0„ wsf.',s/C/ ex MO. DAY YEARNumber Code Code Code
r Pl'r
OS 191 -201.5- SEE INSTRUCTIONS IFOR CODES)
FOR OFFICE USE ONLYMO. DAY YEAR M0. - DAY YEAR
Summary
dReceipts06 Oq 2p( Sand Expenditures from: , To Q 201$
A Amount Brought Forward From Last Report p S$L7 N
B. Total Monetary Contributions and Receipts ( From Schedule 0 $Z 3Cp C o
cn
C. Total Funds Available ( Sum of Lines A and 8) O q,
78O
D. Total Expenditures ( From Schedule III) 00 NE. Ending Cash Balance ( Subtract Line D from Line C)
C: 3a
CD7, `+i3 `F. Value of In Kind Contributions Received ( From Schedule IO $ p
C
G Unpaid Debts and Obligations ( From Schedule IV) S ppp00
ca
AFFIDAVIT
PART I – If thite aMygr! g - 6 ign here. If this is a Candidate report candidate sign here.I swear ( or affir 1 that this reperr- ellf& had chedules, on paper or computer diskette, are to the best of my knowledge and belief true,correct and cam Iete.KATHY A. fiUI KE rWnC
Sworn to and s
UM U
a 1 I81YftheaMay23, 2018
16 daY of O P 30 j(/!
Signature of Porlibn" Submitting Report
0 ' aq QJaz-:?r Gt
iU Signature
7
Printe'
d7Name
Q 1ITMy commission expires / J-3' tY../ 00/ 4 7-' 5, ' r- — 4. 5 8MO. DAY YR. Area Code Daytime Telephone Number
PART II - If this is a report of a Candidate's Authorized Committee, candidate 11 ign herA.
I swear ( or affirm) that to the best of my knowledge and belief this political committee ies no violate any prov Bions of the Act of June 3, 1937P. L. 1333, No. 320) as amended.
Sworn to and subscribed before me this
day of 20
1 Si Iure of Can idete
NOTARRUSEAt9nolurti. Printed Name
My ommission B 17kyjaYSALZARULOR1 — I'-' 1qN- 1aly 0 DAV, YR. Area Code Daytime Telephone Number
My Coinmkston Ellpkea Oct 7. 2017
Department of State • Bureau of Commissions, Elections and Legislation303 North Office Building • Harrisburg, PA 17120- 0029 • ( 717) 787- 5280
OSEB- 502 ( 7- 99)
SCHEDULE I PAGE 2 OF
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candi c to
I I IReporting Period
P tA1 Ittw1 5 i A w 6S d l U ` l 1u + From AAA ZOiS To [ 9
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $ 50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period 1) $ 1
2. CONTRIBUTIONS $ 50.01 TO $ 250.00 ( FROM PART A AND PART B)
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) ODO 00All Other Contributions ( Part D) 00
TOTAL for the Reporting Period 3) $ IOg 110
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. ( FROM PART E)
TOTAL for the Reporting Period 14) $
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURINGTHIS REPORTING PERIOD ( Add and enter amount totals fromBoxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report
Cover Page, Item B.)
DSEB- 502 o-ssl
PAGE OF
PART C
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEESOVER $ 250.00
Use this Part to itemize only contributions received from political committeeswith an aggregate value over $ 250.00 in the reporting period.
Name of Filing Committee or Candidate
I,,
Reporting Period
Q mb tLLQ+ I IA, Q I r I.YI (,(... y From 2 OBJ 2015 To
I A S
DATE AMOUNT
Full Name of Contributing C ' ttec
n M0. I DAV I YEAR
15 zv 15 $
17'
C1 DO®ailing Address MO. DAV YEAR $
City State 41P Cod¢ Plus 41 MO. DAY YEAR $
CclnaM, rl tiu Pry I w S -Full Name of Contributing Committee MO. DAY. YEAR $
Mailing Address MO. DAY YEAR $
City tateIp o e Plus MO. DAY YEAR
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR
City state Zip Code Pus M0. DAY YEAR
Full Name of Contributing Committee MO. . DAY YEAR
Mailing Address MO. DAY YEAR
City State Zip Code Plus MO. DAV YEAR $
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Ad ress MO. DAY YEAR
City State Zip Code us MO. DAYYEAR
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR
City State Zip Coe — us MO. DAV YEAR $
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. ' DAY YEAR
City Staleip Code us 4 MO. DAY. . YEAR
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. DAY YEAR $
City State Zip Coo tPlus MO. DAV YEAR
aaaaaaaa
PAGE TOTALtJ
Enter Grand Total of Part C on Schedule (,' Detailed Summary Page, Section 3. $ ID1b0£ r
00
DSEB- 502 ( 7- 99)
PART D PAGE OF
ALL OTHER CONTRIBUTIONS
OVER $ 250.00
Use this Part to itemize all other contributions with an aggregate value of
over $ 250.00 in the reporting period.Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Carl date Reporting Period
From4 0 15 ToV 1e
DATE AMOUNT
Full Name of Contributor MO: DAY
rr a• !. 1' cl 0 I q 201 $ Cg o0oA
Mailing AddressDAY YEAR $
loo& S AIcLt Stitpr-}-City State Zip Code ( Plus 4) :- MO. DAYS' YEAR
Plp" um,,,jbvP 1 1s - Employer Name W Occupation
CSj' Uo,4WEmployer MailingPAddressiPfincipal Place otgOsiness
JM4= i ijkFull Name of Contributor fu MO.=c. . DAY --, YEAR $
Mailing Address MM DAY YEAR $
City state Zip Code ( Plus 4) MO. DAY YEAR
Employer Name Occupation
Employer Mailing Address/ Principal Place of Business
Full Name of Contributor MO. " DAY" YEAR
Mailing Address MO. DAY YEAR. $
city State Zip Code ( Plus 4) — M . " DAY ' YEAR
Employer Name Occupation
Employer Meiling Address/Principal Place of Business
Full Name of Contributor MO. - ' DAY- YEAR $
Mailing Address MO. '• DAY YEAR. $
City State Zip Code ( Plus 4) MO, DAY YEAR
Employer Name Occupation
Employer Mailing Address/ Principal Place of Business
Full Name of Contributor MO. Li5DAYYE;AR " $
Meiling Address MO:'=
itY State Zip Code ( Plus 41 MO.' S'
Employer Name Occupation
Employer Mailing Address/ Principal Place of Business
PAGE
TOgjLnEnter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ VGSS
JIJVV
DSEB- 502 ( 7- 99)
PART EPAGE OF
OTHER RECEIPTS
REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC.
Use this Part to report refunds received, interest earned, returned checks andprior expenditures that were returned to the filer.
Name of Filing Committee or Candidate Reporting Period
C r.f7 41 G2- t V M AG i I oik wf b2 IG=v1 From 00CI 2.015 To
Full Name
Mailing Address
City State Zip Code ( Plus 41 ;,( Ni .`" -=- DAY,. ': YEAR.- moue
lec n« tibwtr Pt 155 - 2v3
Receipt Description
Full Name
Mailing Address
City State Zip Code ( Plus 4) ` iMD. DAY - YEAR'> moun
isReceipt Description
Full Name
Mailing Address
City State Zip Code ( Plus 4) .'' MO'., + OAY' "; YEAR
IAmount
Receipt Description
Full Name
Mailing Address
City State Zip Code ( Plus 4) "'. MO. - :- DAY , YEAR:': moun
Receipt Description
Full Name
Mailing Address
City State Zip Code ( Plus 4) 1 ` M O. DAY- : YEAR
IAmount
Receipt Description
Full Name
Mailing Address
City State Zip Code ( Plus 4) MO: ' DAY. ' YEAH - moun
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 2,3DSEB- 502 ( 7- 99)
SCHEDULE IIIPAGE OF
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
RI I From Ca OR 115 To
To Whom Paid MO. DAY_ . YEAR mount
4 cQ ( 1 o ati s 10 1 2015 3, sooMailing Address Description of Expenditure
City State Zip Code ( Plus 4)
PA 1 1- 4603-To Whom Paid MO. I DAY!, ' YEAR mount
Mailing Address Description of Expenditure
City State Zip Code ( Plus 4)
To Whom Paid MO. DAY - YEAR` SAmount
Mailing Address Description of Expenditure
City State Zip Code ( Plus 4)
To Whom Paid MO.
IDAY .. YEAR-' I Amount
Mailing Address Description of Expenditure
City State Zip Code ( Plus 4)
To Whom Paid MO. ,_ DAY ' YEAR Amount
Mailing Address Description of Expenditure
City State Zip Code ( Plus 4)
To Whom Paid MO: :: DAY YEAR mount
Mailing Address Description of Expenditure
City State Zip Code ( Plus 4)
To Whom Paid Vo.
SCHEDULE 1V
PAGE OF
STATEMENT OF UNPAID DEBTSUse this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Name of Filing Committee
i
Or Candijd//[
jeLReporting Period
l
ZQ tLb `CttA 1 Y
t
ar,,,G, From AGDq of To 1
d
Name of Creditor Outstanding Balance of Debtftp 96D,
Mailing Address DATE
MtDAY I YEAR
3- 2—1..Z
DEBT
41INCURRED S ZSiSCity tate Zip Code ( Plus 4)
1 osS-Description of Debt
Name of Creditor Outstanding Balance of DebtUn
Meiling Address
c+
DATE Mo. DAY YEARBT
2C S, M1 t7 IINNCURRED 2t f SCity State Zip Code ( Plus 4)
4j f bw• a IdsDescription of Debt
p (h
nrL C iT' t.
Name of Creditor outstanding Balance O e t
Mailing Address DATE MO. DAY YEAR
DEBT
INCURRED
City State Zip Code ( Plus 4)
Description of Debt
as
Name of Creditor outstanding Balance O e t
Mailing Address DATE MO. DAY YEAR
DEBTNCURREDCity State Zip Code { Plus 4)
Description of Debt
Name of Creditor utsBalanceofb
Mailing Address DATE MD. DAY YEAR
DEBTNCURREDCity State Zip Code ( Plus 4)
Description of Debt
Name of Creditor outstanding Balance of Debt
Mailing Address DATE MD. DAY YEARDEBT
INCURRED
City state Zip Code ( Plus 4)
Description of Debt
PAGE TOTALrid
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G.
DSEB=502 ( 7. 99)