Professional Documents
Culture Documents
May 9, 2022
National and Local Elections 1
Statement of Contributions and Expenditures SOCE
A.2. CANDIDATE TYPE: INDEPENDENT CANDIDATE (Indicate "N/A" for Part A.3.)
(Use "X" in appropriate box) X CANDIDATE WITH SUPPORT OF A POLITICAL PARTY
A.3. NAME of POLITICAL PARTY: LAKAS (LAKAS CHRISTIAN MUSLIM DEMOCRATS) CMD LCMD
(COMPLETE NAME OF THE PARTY) (ACRONYM)
ELECTIVE POSITION:
A.4. MUNICIPAL COUNCILOR (Skip Part A.5. if national position)
A.5. CONSTITUENCY OF THE ELECTIVE POSITION:
IV GUINAYANGAN QUEZON
(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)
PART B: CONTRIBUTIONS RECEIVED (Itemized entries in the schedule of contributions, indicate "0.00" if none received)
B.1. CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES: ₱0.00
B.2. IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES: ₱0.00
B.3. CASH CONTRIBUTIONS RECEIVED FROM POLITICAL PARTY: (for candidates with parties only) ₱0.00
B.4. IN-KIND CONTRIBUTIONS RECEIVED FROM POLITICAL PARTY: (for candidates with parties only) ₱0.00
TOTAL CONTRIBUTIONS RECEIVED ₱0.00
PART C: EXPENDITURES INCURRED (Itemized entries in the schedule of expenditures, indicate "0.00" if none received)
C.1. EXPENDITURES PAID OUT OF PERSONAL FUNDS / RESOURCES: P 5,765.00
C.2. EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS:
C.3. EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS:
TOTAL EXPENDITURES INCURRED P 5,765.00
PART D: CERTIFICATION & ACKNOWLEDGMENT
The undersigned candidate, after being duly sworn to, hereby depose and state that:
(1) This disclosure and its attachments, are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and
complete contributions received and expenditures incurred by the undersigned candidate and his/her duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by law
to give contributions.
(3) The undersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for legitimate
purposes.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].
Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)
THISform
Indicate "✓" beside SECTION IS FOR COMELEC
code/document USE ONLY "-✗
name if submitted, DO
" ifNOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
not.
☐ SCR (Sched of Contributions Rcvd) ☐ Contribution Receipts
☐ SOE (Sched of Expenditures) ☐ Expenditure Receipts
☐ SUO (Sched of Unpaid Obligations) ☐ Obligations Payable
☐ SLE (Sum. Report of Lawful Exp.) NO. OF PAGES: _________
☐ Others: pls. specify: (This space is for the receiving date/time stamp of the receiving office)
FORM
COMMISSION ON ELECTIONS
May 9, 2022
Schedule of Contributions Received
2
National and Local Elections
SCR
CERTIFICATION ACKNOWLEDGMENT
I hereby certify that:(1) the contributions listed above were made to me as a candidate; (2) all SUBSCRIBED AND SWORN TO BEFORE ME this
entries specified above are true & correct; (3) they are supported by the official receipts affiant exhibiting his/her OTAG 00518213
issued by me upon acceptance; (4) the contributions are from sources not prohibited by the issued by the AFP LIFETIME VALIDITY
Omnibus Election Code and other pertinent laws.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this disclosure
and its attachments for legitimate purposes.
Doc. No. ________;
Page No. ________;
ERNESTO A. SERANTE Book No. ________;
NAME AND SIGNATURE DATE SIGNED Series of ________. NOTARY PUBLIC
COMMISSION ON ELECTION FORM
May 9, 2022
National and Local Elections 3
Schedule of Expenditures SCE
DATE RECEIPT/ INVOICE FULL NAME OF BUSINESS FIRM ADDRESS OF BUSINESS FIRM TIN OF CONTRACTOR or BUSINESS Exp Type AMOUNT/VALUE OF
DESCRIPTION OF EXPENSE
INCURRED NUMBER OR CONTRACTOR OR CONTRACTOR FIRM (A-K) EXPENDITURE
04-20-2022 0.00006 A.ALCOLEA DIGITAL PRINT GUINAYANGAN,QUEZON 606-904-783-000 ELECTION TARPAULIN P1,000.00
04-20-2022 0.00007 A.ALCOLEA DIGITAL PRINT GUINAYANGAN,QUEZON 606-904-783-000 ELECTION TARPAULIN P1,350.00
0420-2022 0.00008 A.ALCOLEA DIGITAL PRINT GUINAYANGAN,QUEZON 606-904-783-000 ELECTION TARPAULIN P3,415.00
CERTIFICATION ACKNOWLEDGMENT
I hereby certify that: (1) the expenses listed above were incurred by me as a candidate or by my duly SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
authorized representative/s; (2) all entries specified above are true and correct; (3) they are supported by affiant exhibiting his/her OTAG 0058213
the official receipts, invoices or other similar documents; (4) the expenses comply with Section 102 of the issued by the AFP expiring on LIFETIME VALIDITY
Omnibus Election Code.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this disclosure and its
attachments for legitimate purposes.
Doc. No. ________;
Page No. ________;
Book No. ________;
ERNESTO A. SERANTE Series of ________.
NAME AND SIGNATURE DATE SIGNED NOTARY PUBLIC
COMMISSION ON ELECTIONS FORM
May 9, 2022
A.3. NAME of POLITICAL PARTY: LAKAS (LAKAS CHRISTIAN MUSLIM DEMOCRATS) CMD LCMD
(COMPLETE NAME OF THE PARTY) (ACRONYM)
A.4. ELECTIVE POSITION: MUNICIPAL COUNCILOR (Skip Part A.5. if national position)
A.5. CONSTITUENCY OF THE ELECTIVE POSITION:
IV GUINAYANGAN QUEZON
(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)
Printing of sample ballots in such color, size and maximum number as may be authorized by the Commission
K ₱0.00
TOTAL EXPENDITURES INCURRED P5,765.00
contributions received and expenditures incurred by the undersigned candidate and his/her duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by law to give
contributions.
(3) The undersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for legitimate purposes.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].
Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)
COMMISSION ON ELECTIONS FORM
May 9, 2022
National and Local Elections 5
Schedule of Unpaid Obligations SUO
REMAINING
PURPOSE
DATE CONTRACT / LOAN ADDRESS OF OBLIGATION AMOUNT/VALUE OF
NAME OF CREDITOR (for incurring
INCURRED NO. CREDITOR (Partial Payments were OBLIGATION
obligation)
made)
CERTIFICATION ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
I hereby certify that: (1) the obligations listed above were incurred by me as a
candidate or with my authority by my duly authorized representative; (2) all entries affiant exhibiting his/her OTAG 0058213
specified above are true & correct ; (3) they are supported by contracts, issued by the AFP expiring on LIFETIME VALIDITY
promissory notes & other similar documents.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this
disclosure and its attachments for legitimate purposes.
Doc. No. ________;
Page No. ________;
ERNESTO A. SERANTE Book No. ________;
NAME AND SIGNATURE DATE SIGNED Series of ________. NOTARY PUBLIC