COMMISSION ON ELECTIONS

FORM
October 30, 2023
Barangay and Sangguniang Kabataan Elections 1
Statement of Contributions and Expenditures

PART I: PERSONAL INFORMATION OF THE CANDIDATE

1 ANGELES LEOPOLDO PILLA
(SURNAME) (FIRST NAME) (MIDDLE NAME)
NAME OF CANDIDATE:
GENDER: MALE
(EXTENSION)

2 ELECTIVE POSITION:
BRGY. KAGAWAD
3 CONSTITUENCY OF THE ELECTIVE POSITION:
SANTO NIÑO SANTO TOMAS PANGASINAN REGION I
(BARANGAY) (CITY/MUNICIPALITY) (PROVINCE (REGION)

PART II: TOTAL ELECTION CONTRIBUTION AND EXPENDITURE

II. A. CONTRIBUTIONS RECEIVED (Itemized entries in the schedule of contributions, indicate "0.00" if none received)

1 CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES:

0.00
2 IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES:
0.00
TOTAL CONTRIBUTIONS RECEIVED 0.00
II. B. EXPENDITURES (Itemized entries in the schedule of expenditures, indicate "0.00" if none received)

1 EXPENDITURES PAID OUT OF PERSONAL FUNDS / RESOURCES: 0.00

2 EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS: 0.00
3 EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS: 0.00
TOTAL EXPENDITURES INCCURED 0.00

PART III. SUMMARY REPORT OF LAWFUL EXPENDITURES

III. A : SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATEGORY
Travel expenses of candidate and campaign personnel during the campaign and incidental personal
A expenses
0.00
Compensation of campaigners, clerks, stenographers, messengers, and other persons employed in
B
the campaign 0.00
Telephone, mobile phone usage fees, prepaid phone load, internet access, postages, freight and
C 0.00
courier charges
D Stationery, printing and distribution of printed materials relative to candidacy; 360.00
E Employment of watchers at the polls 0.00
F Rent, maintenance and furnishing of campaign headquarters, office or place of meetings 0.00
Political meetings and rallies & the use of sound systems, lights and decorations during said
G
meetings and rallies 0.00
Newspaper, radio, TV and other advertisements to promote the candidacy, including
H 0.00
website/internet ad placements

SUB- TOTAL (Item A to H) 360.00

III. B : EXPENDITURES INCURRED (Itemized entries in Schedule of Expenditures)

I Employment of counsel 0.00

Copying and classifying lists of voters, investigating and challenging the right to vote of persons
J
registered in the lists 0.00
Printing of sample ballots in such color, size and maximum number as may be authorized by the
K
Commission 0.00
SUB-TOTAL (Item I to K) 0.00
TOTAL EXPENDITURES INCURRED 360.00

POLDO PILLA ANGELES November 14 2023

NAME AND SIGNATURE DATE SIGNED

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
Indicate "✓" beside form code/document name if submitted, "✗" if not.
☐ FORM 1 ☐ Contribution Receipts
☐ FORM 2 ☐ Expenditure Receipts
☐ FORM 3 ☐ Obligations Payable
☐ Others: pls. specify: NO. OF PAGES: _________
(This space is for the receiving date/time stamp of the receiving office)
 COMMISSION ON ELECTION FORM
October 30, 2023
Barangay and Sangguniang Kabataan Elections
SCHEDULE OF ELECTION CONTRIBUTION AND EXPENDITURES
2
Type of
ANGELES Contribution LEOPOLDO PILLA
NAME OF CANDIDATE:
(MIDDLE NAME)
(SURNAME) (FIRST NAME)
(EXT)

Schedule of Contributions Received

DATE RECEIPT FULL NAME OF DESCRIPTION AMOUNT/VALUE OF

ADDRESS OF CONTRIBUTOR
RECEIVED NUMBER CONTRIBUTOR (for in-kind contributions) CONTRIBUTION

N/A N/A N/A N/A N/A N/A N/A

TOTAL CONTRIBUTIONS RECEIVED ₱0.00

(Cash
or In-kind)
Schedule of Expenditures
RECEIPT/ TIN OF
DATE FULL NAME OF BUSINESS ADDRESS OF BUSINESS FIRM OR Exp Type AMOUNT/VALUE
INVOICE CONTRACTOR or DESCRIPTION OF EXPENSE
INCURRED FIRM OR CONTRACTOR CONTRACTOR BUSINESS FIRM (A-K) OF EXPENDITURE
NUMBER
FIVE-R SIGNAGES MARKETING
October 19 2023 71 SERVICES
ROSALES, PANGASINAN 615-812-968-00000 TARPAULIN D ₱ 360.00

DESCRIPTION
OF THE
TOTAL EXPENDITURES INCURRED ₱360.00
OBLIGATION

Schedule of Unpaid Obligations

REMAINING
DATE CONTRACT / PURPOSE OBLIGATION AMOUNT/VALUE
NAME OF CREDITOR ADDRESS OF CREDITOR
INCURRED LOAN NO. (for incurring obligations) (partial payments OF OBLIGATION
were made)

N/A N/A N/A N/A N/A N/A N/A N/A

TOTAL UNPAID OBLIGATIONS N/A

(i.e. loan, etc.)
LEOPOLDO PILLA ANGELES 14/11/23

NAME AND SIGNATURE DATE SIGNED

NOTE: Use additional sheet/s if necessary
 COMMISSION ON ELECTIONS
FORM
October 30, 2023

Barangay and Sangguniang Kabataan Elections

3

CERTIFICATION AND CONSENT ON DATA PRIVACY

The undersigned candidate, after being duly sworn to, hereby depose and state that:
(1) The contributions listed in Form 1,2 and other supporting were made to me as a candidate and it was received by me and/or my duly aithorized
representative;
(2) The expenses listed in Form 1, 2 and other supporting documents were incurred by me as a candidate or by my duly authorized representative/s;
(3) The obligations listed in Form 2 were incurred by me as a candidate or with my authority by my duly authorized representative
(4) This disclosure and its attachments, are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and complete
contributions receivedreceived
(5) The contributions and expenditures incurredincurred
and expenditures by the undersigned candidate
are in accordance with and my duly authorized
the campaign representative;
finance laws and regulations;
(6) I consents on the general use and sharing of information obtained in my report and supporting documents for legitimate purposes; and
(7) All entries specified on my report on Election Contributions and Expenditures and supporting documents are true and correct.

IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on November 14, 2023.

AFFIX SIGNATURE
HERE  LEOPOLDO PILLA ANGELES
NAME AND SIGNATURE

SUBSCRIBED AND SWORN TO before me on date notarized , affiant exhibiting his/her

SENIOR CITIZEN ID
1595 SENIOR CITIZEN expiring on [N/A].
(Type of identification document) (ID Number) (Government Agency issuing the ID)

Doc. No.: ________________

Page No.: ________________
Book No.: ________________
(Place Notarial Seal & Signature here)
Series of: _________________ (Place Notarial Seal & Signature here)