CAMPAIGN FINANCE REPORT <cover **<*>
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1 (NOTE: Commonwealth of Pennsylvania PAGE 1 OF CAMPAIGN FINANCE REPORT <cover **<*> This report must be clear and legible. It may be typed or printed in blue or black ink.) IZ Fifer Identification ^^ Report ^^»wijl *t / Number W Filed By: ^.CANDI ^ Name of Filing Committee, Candidate or Lobbyist: <JOS.\ SVlAp'ii^C? Street Address: " 2 i CONBMtTTE^ LOBBYIST 3. :, NornS TYPE OF REPORT (place X to the right of report type) hju>n ;^^fh"sruesda>^ 1 :;^JWE«UM'A*fe^' ll^^isi*' Name of OH ice Sought by Candidate; "TA [ 'fsizw^fmbay^fe'. 2 30T 3 l>2^*se«mi^rs?.^v 5 30= 6 POSTELECTION P^MW^^iil; 7i/ ^ ffist FILING,METHOD ^r" ^L^ ipc^m"ury^"h^: r /i.v'f'' l ^^^^^ / i J I / It 7 f^ttff^^ ft m.*f* ^^^^^. i*" HCK^«wfc'T^*:'*^"v 'j?1*' f* ^^^ L*^f \ 1 _,J vocvn %JIiil_l *'^^^^ 'MO' ^rt^ v^;^^?"^ Summary ot Receipts ^^ '. n~7~i')\5 and Expenditures from: ^^ H T ^u ' ^ A. Amount Brought Forward From Last Report B. Total Monetary Contributions and Receipts (From Schedule 1) C Total Funds Available (Sum of Lines A and B) D. Total Expenditures (From ScheduleIII) E. Ending Cash Balance (Subtract Line D from Line C) F. Value of InKind Contributions Received (From Schedule II) G. Unpaid Debts and Obligations (From Schedule IV) ^ */.at^m»m 31 Jttl!! Distnct Office Party Co jnty MO BtAY' ^" '' 11 Ob Z>\2 TO \ ^2 s 0 s s s s AFFIDAVIT SECTION Zip Code:,!?** yes» TERMINATION REPORT? J ^^ "O X ' ' h DISKETTE ' "L I/* ^ ^ '' (SEE INSTRUCTIONS FOR CODES) ^/i^^^dtt^oreace'tmejombrt...:.» ^ 1 / "S i_^j " ^ c),n c. rn VI^TI ^ O v, b.';n xs pn,! A Z 0 ^«iliip3pf!^mig&ep^ 1 ^A^MnHnn^grriH np'pg^nsylvanla1 ' ' '"..;.::..:.. '... jr^:.. A.' ~~^_._... 1 swear (or affirm) that this report, tnltirtinp twhm^1iffvrifh7lrtiilii ;er diskette, are to the best of my knowledge and belief true, correct end complete. NotariaT'Seal Dlanna Dilllio, Notary Public Sworn to and subscribed before me this Norrtstown Boro, Montgomery County Signature My commission expires / C L*ea /' f" Area Code Daytime Telephone Number ^ 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, No. 320) as amended. Sworn to and subscribed before me this day of 20 Signature of Candidate Signature Printed Name My commission expires Area Code Daytime Telephone Number Department of Bureau of Commissions, Elections and Legislation 210 North Office Building Harrisburg, PA ( DSEB502 (799)
2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page PAGE 2 OF IName of Filing Committee or Candidate Jo Reporting Per od. I 2_ 1 From If 2~T l2 TO ^R'l^l * 1 SiWftnsBn^MSiffiilp^ ^i^lebtfotbfegr TOTAL for the (1) 2 "CONTRIBUTIONS TO 25C koohifrompaffr A AND PART BJ Contributions Received from Political Committees (Part A) All Other Contributions (Part B) TOTAL for the (2) 0 p q ipfew&lie^^ ' ~ *^ ', =. Contributions Received from Political Committees {Part C) All Other Contributions {Part D) TOTAL for the (3) 0 j& &*) ililiibte^ TOTAL for the (4) 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 Cover Page, Item B.) ft DSEB502 (799)
3 PAGE PART A COIMTRIBUTIOIMS RECEIVED FROM POLITICAL COMMITTEES TO Use this Part to itemize only contributions received from political committees with an aggregate value from to in the reporting period. OF Name of Filing Committee or Candidate OosVi From To Zip Code (Pius 4) " MO, " r AMOUNT 'MO J ; YEAH Zip Code (Plus 4> " 1 : " ' ". ' V " Mo:1' ' '^OAY'"' ' : v MO Zip Code (Plus 4} MO, ' r<1 '"" ~ "' ' MO; " 1 ' ' Zip Code (Plus 4t '" ~MOr,.' ;~wor.r '' 'WAY1" "; Mff. " " ".! 'B ' ' V.MO7.."' ' " "'"" rf.bayi " :.".' PAGE TOTAL DSEB502 (799)
4 PART 8 PAGE OF 12 ALL OTHER CONTRIBUTIONS TO Use this Part to itemize all other contributions with an aggregate value from to in the reporting period. (Exclude contributions from political committees reported in Part A.) IName of Filing Committee or Candidate. Marling Address Zip Code (Plus 4} Zip Code (Plus A) riwioi"' MO ">:.MOr. From 1" 1 ' 1 '^" To l^l^ ' l*~ 1 ::v. ' : v"1 ''^" : OAV?:.&& '? TWO^'; T>DAV<^ yeaff :Mtt SV5 r ' YEAft:"'. >YEAB^ YCAR:V^ AMOUNT Zip Code (Plus 41 " TJAr ' MO r./dat."" ^ 'VEAff''1 M0: ": DAV. Zip Cade (Plus 4) MO;"'" '=' : ' YEAft " '*' : ";:MO:; OAV' = v'weaff"'' YEAH Zip Code (Plus 4} :vm<k;"1 'OAY ' '?lhek. ~ "^" :YE*R P ' : MO" DAV^:: =':'^ ' MO' ' ^ OAY YEAW"1 Zip Code {Plus 4} v>mot^ ^ ;:=^'v :r.ye»w*;r <r:"?.mcv";:' ^^O»Y;"2: ffiyewr"1 ~MOI?'^ ""^MO";."": YEA«;" WEAR rv^jay i ^ YEA'Ri" r&tif&^ yvybwf"; ^'MQi'^!."^*>AY^ ^YEftB'v' Zip Code (Plus 4 ^ MO?1 ' ^DAV' syeaffi v Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. PAGE TOTAL p DSEB502!799>
5 PART C PAGE 5 OF z. CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER Use this Part to itemize only contributions received from political committees with an aggregate value over in the reporting period.! Name of riling Committee or uandidate From TO MO; " YEAH1 AMOUNT DAV YEAft ' 1 ' YEAfl MO Matting Address OAY." : MO>V" ' " ':' YEAB:> MO; " :. 'TYEAH Zip Code IPlus 4} MO' * : r YEA«MO, Zip Cade (Plus 4) '1"' : vmcc;;:; :r:v" ryeab^ : MO; 'YEAS ' wo.'. : : ' ' '^ :' VOAY. ; '. : r ^YEAf^I; '^''"MO1 " " *' :: ;: v. ::YEAH '"..l Zip Code (Pius 4) ^MO; ' "D'AY"'' ; ^ Zip Code (Pius 4> ". '' ' " MO'.Ai.'v/ '' ">MO^.^ DAy^1 'YESff* Enter Grand Total of Part C on Schedule 1, Detailed Summary Page, Section 3. PAGE TOTAL P DSEB502 (799)
6 PART D ALL OTHER CONTRIBUTIONS OVER Use this Part to itemize all other contributions with an aggregate value of over in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate From PAGE 12, To Matting Address : M0_ ' ' DAV ^YgAft" ye/at AMOUNT Employer Nome " O ecu pal ion Y AR Employer Moiling Address'Principaf Place of Business :ull Name of Contributor ^MOJVJ :T Y6AH " =' 1 : : Employer Name Employer /Principal Place of Business :, 'MOr: ' " YEAH MO, :OAY : C.ty Zip Code (Plus 4} Mb. ' :YEAB:j Employer Name Employer /Principal Piece of Business MO:'i. '. ". VE'AfE;1 '" YBAB ' ;MO: ' ' " : : Employer Name Employer 'Principal Place of Business ' rmo;>' '. 0AY ; r:mo; DAV^ ' rv:mo,v. :r;'" T'VEAR Employer Name Employer /Prineipal Place of Business Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. I "" DSEB602 (799) ^^m
7 PARTE OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. PAGE_L^ Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate From j To J2/S1?0 pc Jo^V? S>rUpirQ : I := Amount Receipt Description Full Name 1 v* ( Receipt Description "' ''."'j Amount T Full Name Receipt Description Zip Code (Plus Full Name Receipt Description Ztp Code (Plus 4J MO'J "1; : ' Amount Receipt Description Amount I Full Name Zip Code (Plus 4J MOV;. ^YEAfl plamount Receipt Description Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. PA A 2 "?' DSEB502 (799)
8 SCHEDULE II INKIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL INKIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page PAGE Name of Filing Committee or Candidate From 3t Mip 8E^^ vi TOTAL for the (1) «0 gllliikj^^ (FROM P^JflT fl TOTAL for the (2) f> HiiiifPM TOTAL for the (3) TOTAL VALUE OF INKIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes and 3; also enter on Page 1. Report Cover Page, Item F.) DSEB502 (799)
9 SCHEDULE II PART F INKIND CONTRIBUTIONS RECEIVED PAGE OF ( Name of Filing Committee or Candidate J osi/i St%)/o VALUE OF TO ' 'T^hl \ 12? M From / (I is ' 1 1 * To '*' \** 1 I ' I :: **EA»>' AMOUNT :: Description of Contribution: Description of Contribution: ^ ":YEAH":; ~ ~' : ' " ':, ; VEAft.V'V.'. %.YEA«::=r:, MO, 'T ; : Zip Code (Plus 4} r YEAH Description of Contribution; MO;;;!:: :flre*rt: OAY ~ Y6AR; ' :MO7" ' " ^VEAff'' Description of Contribution: 'MOVi^ =".^OAYV rv6ab:"v MO; ;.; OA r; YEAff Description of Contribution: r " ' '": ' ':' :' '?MO;* '""S ;.*B*B:'r ',. MO; «:r>v^ ';==. 'vjmtt^.v'oav5"'' ^" Description of Contribution: Enter Grand Total of Part F on Schedule II, InKind Contributions Detailed Summary Page, Section 2. PAtiE TOTAL DSEB502 (799)
10 SCHEDULE II PART G INKIND CONTRIBUTIONS RECEIVED VALUE OVER IName of Filing Committee or Candidate / / / 7 ' f'l > From / ' / ^ ' ( t ; ' 2 TO /2/3/;/2 1 AMOUNT ^ Employer of Contributor Employer /Principal Place of Business Description of Contribution ' MO: ' YEAH v Employer of Contributor Employer fprincipal Place of Business Description of Contribution Futl Name of Contributor MOl " V ; " Employer of Contributor Employer /Principal Place of Business Description of Contribution "''1 ''"MO"'' MO; '" 1 ' ' Employer of Contributor Employer /Principal Place of Business Description of Contribution ' MO: 'DAV?".'". ""'' : ' 1 "' ; ri ' ""': Employer of Contributor Employer /Principal Place of Business Description of Contribution Enter Grand Total of Part G on Schedule II, InKind Contributions Detailed Summary Page, Section 3. PAGE TOTAL 0 DSEB502 (799)
11 SCHEDULE HI STATEMENT OF EXPENDITURES PAGE j( OF /Z Name of Filing Committee or Candidate TO A i i,. > v 301 W Awyii* C"yjv/eujl//)^ AA/ \Ls ""''vl''" JAmount, ** t \ \ 1 3 3d> Description of Expenditure, \OdQ V"LX M)! V A MIX" " 1 \ I Amount 1 Is Description of Expenditure O(P6/^'t^ TO Whom Paid.MO; " ;' ; OAY.'v 1 ^1 Amount 1 Is Zip Code (Plus 4> : v.i DAV.'" Amount Is Description of Expenditure Zip Code (Plus 4> 'MO, : : Amount 1 Is Description of Expenditure MOl ' ' 'OAY1^; ;"TVEAft^^ Amount Is Description of Expenditure ^MO;;:; = OAV'* " VEAB"! Amount Is Description of Expenditure 1 s Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL s DSEBB02 (799)
12 Name of Filing Committee or Candidate 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. PAGE From?>//2 To Name of Creditor Description of Debt DEBT INCURRED J! cmiv ";.!= Zip Code (Plus 4} Outstanding Balance of Debt ( i Name of Creditor DEBT INCURRED Outstanding Balance of Debt : : MO YgAR '' Zip Code (Plus 4} Description of Debt Name of Creditor DEBT INCURRED ' YEA* Uutstanding Balance of Pebt Description of Debt Name of Creditor Uutstanding Balance of Debt DEBT INCURRED, ''"1'.'cD'Atf; I'1 ' ' Zip Code (Plus 41 ' Description of Debt Name of Creditor DEBT INCURRED ; "'..;YEAB Outstanding Balance of Debt i t Description of Debt Name of Creditor Dutstanding Balance of Debt DiBT INCURRED V.'MOS ;^BAY^ ; YE&R Zip Code (Plus 4k ( i Description of Debt IPAGE TOTAL ( DSE8502 (791)
Commonwealth of Pennsylvania CAMPAIGN FINANCE REPORT
Filer Identification Number: (NOTE: Commonwealth of Pennsylvania CAMPAIGN FINANCE REPORT PAGE 1 OF This report must be clear and legible. It may be typed or printed in blue or black ink.) mm Report 2.
Campaign Finance Report
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CAMPAIGN FINANCE REPORT
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