HomeMy WebLinkAboutEast Pennsboro Democratic Club - 2016 Annual Report COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION REPORT FILED CANDIDATE I COMMITTEE LOBBYIST 3.
NUMBER r ON BEHALF OF `
NAME�OF FILING I i6-1MMP EA#1$R0 LOBBY!
Z M OCi/A- C��
STREET ADDRESS
CITY III NO L STATEfr._ ZIP CODE —
TYPE OF REPORT NAME OF OFFICE SOUGHTHTBYCANDIDATE
(/�I ' /1 DISTRICT NO. PARTY M DATE OF ELECTION /'�'
DAY YEAR
(CHECK ONE) 1. �R L Y Li 1 OC M I ` LUB d/\ � r 1 M� 1 Cl �0�V
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAYYEAR _ MO. DAY YEAR
DATES OF
2ND FRIDAY 2 PERIOD REPORTING 1\ A l�' T° �a 3► f
PRE-PRIMARY
M •r-.1
30 DAY 3. 03 C.r.
M231.
POST-PRIMARY 14-Ci ri 75 r- N3
CASH BALANCE AT END lam/
4. OF REPORTING PERIOD: $ 1 y
6TH TUESDAY ..J
PRE-ELECTION
TOTAL AMOUNT OF FILER'S '17
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES C7 3
0
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ r
6. --
30 DAY AMENDMENT '-< 'l''7:!
POSTELECTION REPORT? YES NO 'r. <
X//1.
ANNUAL TERMINATION YES NO
REPORT REPORT?
E AFFIDAVIT SECTION
E
J PA _
If st �r►ent is filed on behalf of a Political Committee orCandidates's Committee, the Treasurer must sign here.
zIf ft i nt is filed on behalf of a Candidate,the Candidate must sign here.
U1
gtgt nt is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
,,I, S EII)R AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
O �JJO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOW DGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
...1 ._4 RN TO AND SUBSCRIBED BEFORE ME THIS
W m 5D F • 20 n (1/� SIGNATURE 0 PER 77 UBMITTING REPORT
.cc SIGNATURE PRINTED NAME
U M COMMISSION EXPIRES 1/ c O
(} DO ' 6 9 1 goa-oC1C
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
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
SIGNATURE OF CANDIDATE
DAY OF 20,
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
1