COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT Fife this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed £250.00 during the reporting period.
TOTAL AMOUNT OF FILER S OUTSTANDING DEBTS OR LIABILITIES AT THE END OF REPORTING PERIOD:
2ND FRIDAY PRE-ELECTI 30 DAY POST-=LSCTi
AFHDAVJT SECUOS PART I If statement is filed on behalf of a Political Committee orCandidates's Committee, the Treasurer must sign here. If statement is filed on behalf of s Candidate, the Candidate must sign here. If statement is filed on behalf of a Contributing Lobbyist, the Lobbyist must sign here. f SWEAT (OR AFFIRM THAT TH3 AGGREGATE RECE PTE OR D.S3URSEMENTS OR UA3 JT,E5 rKCL'WED D.r,.:.3 Tr= --^TING rrRI^TOTED ABOVE DID fJOT
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SiGNATaRS OF PtRSON S13BM1ll~ING,RtPOST
'Commonwealth of Pennsylvania ; asN0fARIAL SEAL
PRlK T cD NAME
MY COVWSIC M EXPiR|^pija T . Farher Notarv Public
=ART !l -
City of BetKlehem, Northampton County My commission expires August 9, 2009
ARcA CODE
DAYTIMc 1 ELEPHOM^ NUMBER
If statement is filed on behalf of a Candidate's Authorized Committee. Candidate must sign here.
i.
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Commonwealth of Pennsylvania
CAMPAIGN FINANCE Filer identificstiof Number: NameoJ Filing Comrr ttea. Candidate or Lobbyist:
^Hed'ay A
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CANDIDATE
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State:
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6TH TUESDAY.
TYPE OF REPORT
| 1-
'2ND FRIDAY '. PRE-PRiMAF.Y "
:
(place X to the right of report type)
PRE-ELECTION
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|7j
.A&WUAL • REPORT
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2
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iND FRIDAY . PRE-ELECTiGN
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Ar^SNDf/ig-'v'T REPORT? •
POST ELECT ON_.
YEAR
wo.
DAY|
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B. Total Monetary Contributions and Recsipts (From Schedule 1)
TO
$s 5
C. Total Funds Available (Sum of Lines A < nd B)
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E. Ending Cash Ba ance (Subtract Line D from Line C) F. Value of In-Kin d Contributions Rece vea (From Schedule 11) G. Unpaid Debts ar d Obligations (From Schedu e IV)
PAPEH PAPEH .,
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of Commissions, Elections snd Lsgislatio" Harrisbarg, PA 17120-0023 t 17171 787-5280
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FOR •OFFICE U5"" ONLY
AFFIDAVIT SECTIOra PART I - if this is s Cornmjttse rsport iressurer sign here. If this is a Candidate report candidate sign hers.
NOTARIAL SEAL Kaija iK^Farber. Nettrv Publte City ot Bethlehem, Northampton County My commission expires August,?, 2009
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<5cE INSTRUCTIONS FOR CODES!
6 r ^C'gJ
0 |
0. Total Expenditu es (From Schedule 11 )
i
REPORT?-. : ~
RUNG "METHOD W . ( | CHECK ONE J^V
*)
A. Amount Brough
LOBBYIST
Zip Code:
30 DAY POST PRIMARY
[WorftomAfern County Counci) i Summary of Receipts ffc^ and Expenditures from: P
COMMITTEE i)/
.f
Friend.r QtL UXmtM, rasQmaJi Jenuiaxtf I^rlup
City:
(COVER PAGE)
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SCHEDULE
CONTRIBUTIONS AMD Detailed Summary Page Name of Filing Committee or Csndidste
|l.: UNITEMIZED CONTRIBUTIONS AND RECEtPTS - $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period
2.
(11
:1
*
(9
CONTRiBUTIONS $50.01 TO $230.00 (FROM PART A AND PART B!
Contributions Received from Political Committees (Part A)
$
0
All Other Contributions (Part B)
$
/2-S, OS / 2-S.OQ
TOTAL for the Reporting Period
(2)
$
____t.
1.3.
CONTRIBtmONS OVER $250.00 {FROM PART C AND PART D}
:
s
j Contributions Received from Political Committees (Part C) 1
1
:
1,000 -00
d
| All Other Contributions (Part D) TOTAL for the Reporting Period
14.
(3)
%
1,000-00
OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART. ElTOTAL for the Reporting Period
(4)
*
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING j (HIS REPORTING PERIOD (Add ana enter- amount t o t a l s from $
j Cover Page,
Item 8. >
: ' : ^^
6 'j/ '/C ±5 .00
j
PART B
*«_Ji-
ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Psrt to itemize sif other contributions with sn aggregate vaiue fron $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate
I
Friends
DSEB-5Q3 17-93!
c£ Lorraine
Reporting Period Frc
AMOUNT
PART C
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER $250,00 Use this Part to itemize only contributions received from politics! committees with an aggregate vslue over $250.00 in the reporting period. Reporting Period
Name of Filing Committee or Candidate
i Frienas ,&P LorratruL J/)E4T7^ °7!>,£ • i "5V "fyrz/ppanu
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34? DAY
-.-.iffiri o~x&v-.
MO.
DAY
YbAR
MO.
DAY
• YEAR
MO. ^
DAY
"• y-3/ £/eb /$£&({
Pft
jfbW-""
wa.
DAY
Full Name of Contributing Committee
$
oy s
S
YEAR
.
YEAR
MO.
DAY
YSAfi:
wo.
DAY
Y5AS
DAY
|
YEAR
! MO.
f . PAT. .
T£AR'
I DAY- I
YEAR
$
mo.
DAT
TEAS
MO.
DAY
YEAR -
s s $
wo.
DAY
"YEAR "
MO.
DAY
Y C AR '
MO.
DAY
YEAR
j F u l l Name of Contributing Committee
MO.
DAY-
YEAR
- Mailins AdQress
MO.
DAY
MO.
DAY
S32;
—£iX—
wo.
DAY
'Y=AR
DAY
YEAR
jFuii Nsme of Contnbirtino Committee
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MO.
1
1
Full N3rT,e of Contributing Committee
iy
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; City
' Zip Code (Plus 4)
•
V^AS
. YSAR .
-
s F u l l Name of Contributing Committee Ivlsiling Address City
,52#,<30
s $ $ $ $ $
oe
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iip Code (Plus 4-1
MO. '
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$
$ E -
S
$ $
s $ s PAGE TOTAL
Enter Grand Tots! of Part C on Schedule i Detailed Summery Psgs, Section 3. DSSG-502 ;7-5Si
$
1 /I/I/1] /)/} / > 6* ^' £* ' Ls^S
SCHEDULE !!
PACE
>
OF
IN-KIND CONTRIBUTIONS -AMD VALUABLE THIMGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Pegs Reporting Period
Name of Filing Committee cr Candidate
1: _; UNItEMIZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period
2.
«
IN^KiND CONTRIBUTIONS RECEIVED - VALUE OF $30.01 TO $250.00 {FROM PART F! TOTAL for the Reporting Period
J3,
(1)
(2)
$
IN-KIND CONTRIBUTION HECEIVED - VALUE OVER $250.00 (FROM PART Gi TOTAL for the Reporting Period
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add zn d enter amount totals from Boxes J , 2 ,
DSES-502 (7-SSi
(2)
$
$
fl
PAGE
SCHEDULE II!
STATEMENT OF Name of Filing Committee or Candidate
Reponing Period
friends
Enter Grand TotaE cf Expenditures on Psga 1, Report Cover Page, Hem D.
D5EB-502 !7-SS!
° OF
SCHEDULE IV
STATEMENT OF UNPAID Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Reporting Pejiod
/
,
^Ffi^r^fZrmfrw faswc /)
r
Kama erf Creditor
Mailing Address
DATc
MO.-
INCURRED
s
City
3AY
;
utstanding Sslance of Uebtl
s
T^Afi
P rt . ,
• Description of Debt
[Outstanding Balance of Debt
'.Name of Creditor
iS r/o.
DAY.'
vs.-?;
INCURRiD : City
tsiandmg Balance or Debt
G ———————
Hems of Creditor
Mailing Address
• MO.
CIAV .
YEAR - .
INCURRED
y
-- . .
-
: Description of Debt
!
~Jf~s „.,„„«*...
DATE DEBT INCURRED
MO-
-
DAT
—7T55t|
YEAH
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I
'" " " " • '•'•'" ' ; .' ; !
i City
' '
' Name of Creditor
[Outstanding Balance of Debt
!S Mailing Address
DATE OcET
- MO. Sia;s
City
DAY
I VtAS
Zip Cofis (Plus 4)
Description of Debt
!ggi^*s • •, • . -M
Cj-;y.5na/ng Belance C T Utjui
"""" C"°"°r
S
Mailing Address
MO.
| DAY
YEAR
DEBT INCURRED City
-
D C P
" " "°" PAGE TOTAL
Enter Grand Tctsf of Unpsici Debts on Psgs 1, Rsport Cover Fags., tsm Q.
0