HomeMy WebLinkAboutCamp Hill Republican Committee - 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 1110,, REPORT FLED CANDIDATE I, COMMITTEE. LOBBYIST
NUMBER ON BEHALF OF r
NAME OF FILING COMMITTEE,CANDIDA OR LOBBYIST / ,,,,
CA449 4/ii 6e4, 116-4TN (€ 14,1i1/1-1 STREET AD ADDRF_SS/
7g 71-7o I k 5---- 1.-sse4---
CRY STATE p ji ZIP CODE
CANp 1-(,-(( 170/t —a 7g
NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO.iPARTY DATE OF ELECTION
TYPE OF RESORT
(CHECK ONE) 1:: ,e..r, /mi. DAY , YEAR
-.---.
6TH TUESDAY . s0/6
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY NM= MO. DA EMI
L„, FRIDAT
DATES OF
ND ,
REPORTING
PRE-PRIMARY PERIOD , _ TO ,4
l‘ C, na
30 Day . 3'
pOST-PRIMARY.
CASH BALANCE AT END $ ( 0/ S-3 co c_
6-643- _
rn Sa. ..
OF REPORTING PERIOD:
.. 6ESeAY 4.-
PREELECTION . in,
., . . ... . TOTAL AMOUNT OF FILER'S
.2r4O'Fill'OAY - OUTSTANDING DEBTS OR LIABILITIES -
CD 1
.. 'V
p.iteLecnOw • AT THE END OF REPORTING PERIOD: $ (_) =
p_
. ,
• 30 DAY-- C Cal
AMENDMENT 7.
POST-ELECTION"• YES NO
- .. 'REPORT?
- . .
ANNUAL .- TERMINATION
REPORT REPORT? YES NO X
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
it Ma ement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
Za
-- :::. .R(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR IJABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
D TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
5I- 6 6
SWORN TO AND SUBSCRIBED BEFORE NE THIS
Z -Icr TiI.,,a3
LLI ul T:.c r-,9 64-DAY OF CAcVN UPeP4 20 1-7 Dok r SIGNATURE OF PERSON SUBMITTING REPORT
ELLL U) .E gan, spolvil
7.... a Q. -) __
en-e-rE12, --
-,--c-- -' PRINTED NAME
< .0 9 COMMISSION EXPIRES
C521(53/0-Cid-e 7 17 737— :3 3 8
z I— 2 M DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
•
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0 —lir
2 U1),„ I-
§, 42tat.-ment 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 re.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 is (717)787-5280