Commonwealth of Pennsylvania

PAGE

CAMPAIGN FINANCE REPORT

NOTE

OF
COVER PAGE)

This report must be clear and legible. It may be typed or printed in blue or black ink.)

Filer Identification
Number

X1

Name of Filing Committee, Candidate or Lobbyist,

Jcis\

1)

N- 4)6 A l'

0.

aA

Street Address:

Gs 3
State:

Cit)'.

Zip Code:

104
2.

wri

TYPE OF
REPORT

a., 39

fdit

3.

4.

place X to
the right of

7.

YEAR

0W.-

report type)
Nam

Office

of

Sought

06uy4\)

by

District
Number

Crodidmer

C& Y-

rnlw'

Office

Party

County

Code

Code

Code

6W

ssioner

and

Expenditures from:

Amount

B.

Total

aO1S

To

10 1 lcr lao)' s-

C. Total Funds Available ( Sum

and

of

Receipts ( From Schedule 1)

Lines A

and

4z

0. oo

B)

tr

7 5-0 . 0

D. Total Expenditures ( From Schedule 110

E

IONS FOR CO

CP

Brought Forward From Last Report

Monetary Contributions

NS

a)

77 1

13

Summary of Receipts

11

0 ).

9 8'

Ending Cash Balance ( Subtract Line D from Line Q

F. Value of InKind Contributions Received ( From Schedule 11).

C Unpaid Debts

and

1 ll

Obligations ( From Schedule IV)

AFFIDAVIT SECTION

I swear ( or affirm} that this repo",

correct

and

including the attached schedules, on paper or computer diskette, are to the best of my knowledge and belief true,

complete.

Sworn to and subscribed before me this

day

20

of

Signature of Person Submitting Report

Printed Name

Signature

My commission expires
Area Code

YR.

DAY

MO.

A 04

iiii~

140

Daytime Telephone Number

I swear ( or affirm) that to the best of my knowledge and belief this political committee has nit violated any provisions of the Act of June 3, 1937
P. L.

1333, No. 320) as amended.

SW

Sufteribed before me Aria

to

zy

Tld

20

of

atone\qf_QA%dnfat

4,

ro 0 Y; 5 o A

Printed Name

My

commission

1- 7

expires

Mo-.--

Area Code

YR.

Dr

COMMONWEALT

NOTARIAL SEAL

Andrea L. Wingard, Notary Public

East Pennsboro Twp Cumberland County

2418
DM-502 U- 99)

My

Commission Expires

May tt,

3) 9^
Daytime Telephone Number...

SCHEDULE I

PAGE 2 of

CONTRIBUTIONS AND RECEIPTS

Detailed Summary Page
Name

Filing Committee

of

J0

1.

n1

UQ

Candidate

or

Reporting Period
From

Q./

10`(\\

UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $

TOTAL for the

2.

0/

To

50.00 OR LESS PER CONTRIBUTOR

Reporting

Period

1) $

CONTRIBUTIONS $ 50.01 TO $ 250.00 ( FROM PART A AND PART B)

Contributions Received from Political Committees ( Part A)

a(70- OZ

All Other Contributions ( Part B)

TOTAL for the

3.

Reporting Period

2)

CONTRIBUTIONS OVER $ 250. 00 ( FROM PART C AND PART D)

Contributions Received from Political Committees ( Part C)

rjS_,

b O

All Other Contributions ( Part D)

TOTAL for the

4.

OTHER RECEIPTS -

Reporting Period

3)

REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)

TOTAL for the

Reporting

Period

4)

TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING

THIS REPORTING PERIOD (
Boxes
Cover

1,

2,

Page,

DSEB- 502 ( 7- 99)

and

Item

4;

B.)

also

Add
enter

and

enter

this

amount

amount

on

totals

Page

1,

from
Report

ryC/`

l,`

J v- v v

PAGE

PART A

OF

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.

Name of Filing Committee
UQ

6S

or

rr.

Candidate

Reporting Pye/Siod

Mon,19

000

From

O/

3 / S-

To 1611-711V

DATE
Full

Name

Contributing

of

r'

ommit

MO.

n+- 0

ailing Adtlress

Full

State

Name

Mailing

Iladel

Contributing

of

Zip

Code

I6 -

Plus 4

Address

State

Name

Contributing

of

Zip Code IPlus

Committee

ailing Address

State

City

Full

Name

Mailing

Contributing

of

ip

Code

Plus

Committee

Address

State

City

Full

Name

Contributing

of

Zip

Code

Plus 4

Committee

Mailing Address

State

City

Full Name

Mailing

Contributing

of

Committee

State

City

Mailing

of

Code

Plus 4

Address

State

Name

Mailing

Zip

Contributing Committee

City

Full

Zip Code-( Plus

Address

Full Name

l6

AMOUNT
YEAR

aois

MO.

DAY

YEAR

MO.

DAY

YEAR

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

Y Afl

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO. -

DAY

YEAR

MO.

DAY

YEAR

M.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY -

YEAR

Mo.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

Committee

City,

Full

DAY

a60.0 U

SAns rn S

70),
City

h'

'

of

Zip Code

Plus

Contributing Committee

Address

State

City

Zip

Code ( Plus

'

PAGE TOTAL

Enter Grand Total

DSEB- 502 ( 7- 99)

of

Part A

on

Schedule 1,

Detailed

Summary

Page, Section 2.

aob

PAGE

OF

'

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.
Name

of

Filing Committee

or

Candidate

Reporting Period

From

13 /

To

Nameof Contributing Com .

s
ailing

etI

Pane

tn + 0

Address

h.,'10,
Contributing

of

to

hlk

Zip Code

Plus

Committee

State

City

Mailing

State

ContributiComm
ittee
ng

of

tate

Mailing

of

Contributing

Code ( Plus

Address

State

Name

Marling

Zip

Committee

City

Full

Zip Code iPlus

Address

Name

Zip

ode

Plus 4

ofContributing Committee

Address

State

City

Full Name

Mailing

of

Contributing

Zip Code

Pus

Committee

ress

State

City

Full Name

of

ao

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

Mo.

DAY

YEAR

MO.

DAY -

YEAR

MO.

DAY

YEAR

DAY

YEAR

DAY

YEAR

M0DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

MO. -

DAY

MO.

DAY

Mo.

DAY

MO.

DAY

YEAR

Mo.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR -

MO.

DAY

YEAR

MO.

DAY

YEAR

MO.

DAY

YEAR'

MO.

City

Full

Pus

Contributing Committee

of

City

Mailing

Zip Code

Address

Full Name

YEAR

SSD, 0 0

1 yob -

Mailing Address

Full Name

i0

SaA Sora S+-

02

Cityt

Full Name

DAY

M0.

tta

AMOUNT

DATE
Full

Zip

Code

us

Contributing Committee

Mailing Address

State

City

Zip

Code

tPlus 4

MO.

'

NYEAR
$

PAGE TOTAL

Enter Grand Total of Part C

DSE9- 502 ( 7- 99)

on

Schedule I, Detailed Summary Page, Section 3.

is

SSS, D 0

PAGE

OF

SCHEDULE 111

STATEMENT OF EXPENDITURES
Name

of

Filing Committee / or Candidate

7osS
To

Wh'

)0.

M
r'

Ir

Reporting Period

oy1,,

hah

CoV4

O4 h
OR

MD.:

^ 1T`

11 C

rufa

St to

MO:

US

GmrniSt(
oy1

State

i c-c
Zip Code ( Plus 4)

to

Zip Code ( Plus 4)

Paid

Mo.' '

DAY., I" YEAR)" i

mount

Description of Expenditure

State

Zip Code ( Plus 4)

1, Mo:, i '^ QDAY% . YEAR. . fAmount

Address

Description of Expenditure

City

State

Zip Code ( Plus 4)

To Whom Paid

MO "

k..

Address

"!

DAY

YEAR

Amount

Description of Expenditure

City

State

Zip Code ( Plus 4)

Whom Paid

Y"

Address

Mo.

'

bDAY
j-

-'

YEAR_

mount

Description of Expenditure

City

Mailing

mount

I10SL

Address

State

To Whom

YEAR'

Description of Expenditure

Whom Paid

Mailing

DAY"

C)

City

To

.52

dres

Mailing

mou t

MO.

ty

Mailing

YEAR'

Description of Expenditure

0- UX)

tA

DAY

"

ung

Mailing Address

To

8. 00

174W
m

Mailing

mOUnt

Zip Code ( Plus 4)

Whom

YEATi'

To

Description of Expenditure

To WhoPaitl

To

if

Curl s1e

3-Sq
City

Mailing

DAY

Ocle

Address

Mailing

63

From

Zip Code ( Plus 4)

Paid

Mo:

Address

,-

DAR= - YEwR _

mount

Description of Expenditure

City

State

Zip Code ( Plus 4)

PAGE TOTAL

Enter Grand Total

DSEB- 502 ( 7- 99)

of

Expenditures

on

Page 1,

Report Cover Page, Item D.

XA