HomeMy WebLinkAboutGrell, Glen - 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 1 e/.. COMMITTEE Z LOBBYIST 3.
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Ct C2 i (�_ GY-ia 11
STREET ADDRESS
6-44 S Marc�arc- Com-:
CITY STATE ZIP CODE
f )1M a ia i°c.s�o\A rot P s- 1-705-7) _.
TYPE OF REPORT NAME OF OFFICE SO GHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) v tJ 3v/je V.���� �87 � MO. DAY YEAR
1. �L�IG IV/
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. l DAY YEAR MO. 1 DAY 1 YEAR
2ND FRIDAY 2. REPOR
DATES OF
PRE-PRIMARY PER ODTiNG 1` f f c, TO ('� 3� `ww
30 DAY 3. ` IIL
POST-PRIMARY
CASH BALANCE AT END -----
6TH TUESDAY 4. OF REPORTING PERIOD: $ .
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES ___-- "'
AT THE END OF REPORTING PERIOD: $ ."..:
COei
PRE-ELECTION �� � evil
30 DAY 6. 1 i}....t 0
POST-ELECTION REPORT? YES NO fAMENDMENT CA) 1
-rI
7.�ANNUAL TERMINATION YES NO J `n i .=
REPORT REPORT?
.- ill
i i�V AC
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 LIABILITIES 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 I KN /LEDGE . TRUE - CT AND COMPLETE.
SWOIRN a AND SUBSCRIBED BEFORE�} ME THIS
DAY OF J�/r �a r 20/7 SIGNATURE OF PERSON SUBMITTING REPORT
l�� ''� A <<GK �. Graf
efix-u ' !��- PRINTED NAME
SIGNATURE / I� h�y -111 —Lao
MY COMMISSION EXPIRES S 6 20 O 4-33 Lao t'
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
CDMMUNWEAL1H OF PENNSYLVANIA
PART II - NOTARIAL SEAL
If statement is led cciditatialkai 6etaffiakalsi6 Authorized Committee, Candidate must sign here.
City of Harrisburg, Dauphin County
I SWEAR(O F� ,�' d'Ai5''/`I'r RFRIIFPrs #MV A d0 BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 19 K C:li YWCY442't��R�lA b NOTARIES
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 J�