HomeMy WebLinkAboutHall, Kevin - 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 Op. REPORT FILEDI, 2 7.
CANDIDATE )/ COMMITTEE' LOBBYIST
NUMBER ON BEHALF OF /�,
NAME OF ILINO COMMITTEE,CANDIDATE OR LOBBYIST
I(-Evi l'J 1 . 4 A- LL
STREET ADDRESS
q S 1-1111 e i14-pJ 13LVb .
CITY STATE ZIP CODE
1v eV C U M 66 L/4-w P>- (?in D -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
i
CO
(CHECK ONE) MO. DAY' YEAR
G i l g 6'�' s t I 3-
TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2N0'FRIDAY 2' OATES OF
PRE-PRIMARY REPORTING 1 I Z i TO (Z 1 ( /_ 2 Q
( 2 J l 10 C _.
30 DAY a" 03
POST-PRIMARY ri I —
CASH BALANCE AT END7( :.-TJ zr6TH TUESDAY
4.
OF REPORTING PERIOD: $ /f/ _- c.....)PRE ELECTION .7-..
TOTAL AMOUNT OF FILER'S
OUTSTANDING DEBTS OR LIABILITIES
2no-FRIDAY
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C)
C W
30 DAY; .AMENDMENT —
POST-ELECTION" YES NO ✓ -< Cti'+'
REPORT?
7.
ANNUAL. " :TERMINATION
REPORT REPORT? YES NO V
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.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE D BELIEF,TRUE,CORRECT AND COMPLETE.
iti
SWORN TO AND SUBSCRIBED BEFORE ME THIS A
.Y1 D MG2�11Y �'I e.F PENNSYLVAN I SI NAT E F PERSOSUBMITTING REPORT
� ASt O • -9f'LSEAL K iil� L. A l i
1� une• •tary Public
Le oyn •.`7,-u i nberla d County PRINTED NAME
MY COMMISSI omareiSSIOn Ex L.,,i CD:ro26,2020 7 i 7 41 I o t3
MEMBER,PENN WA' :j ."'. OF o •"IES 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.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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