HomeMy WebLinkAboutRepublican Principals for Cumberland - 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 - - . 2.
NUMBERlo
ON BEHALF OF , L CANDIDATE' .CONN(TTEE.. VLOBBYIST �
NAME OF HUNG COMMRTEE,CANDIDATE 0(TR!/r)LOBBYIST {!/�� ,4Y�
Q I/ I�.d�n f!,,,:de.../ A�'I, lilil. Iv^�'n ��
STREET ADDRESS
F toot
G, Pc% (41.5.
CITY STATE ZIP CODE
Na"“) \K ANA— 1 P4 17c772 — C(,ci 6-
TYPE OF REPORT NAME OF OFFIC OUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) �, MO. � DAY . : YEAR
1.
GTN'TUESDAY':..
PRE-PRIMARY>.
FOR OFFICE USE ONLY
MO. ..DAY ..:-YEAR... 'MO. DAY 'YEAR. C) `• .:.r a
2ND FRIDAY 2' DATES OF C
PRE-PRIMARY REPORTING tt p TO ..� �.tt / M •+1
PERIOD 1 r /o '. �'t 'V W TI
30 DAY 3.
m rn
POST-PRIMARYg I
CASH BALANCE AT END 2
6TH TUESDAY 4' OF REPORTING PERIOD: $ 7 14 57
' C,
}
PRE-ELECTION . . C) MC
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES St
O0 �:�
AT THE END OF REPORTING PERIOD: $ G)
PRE-ELECTION AT •4"`
-.4 an
6.
30 DAY AMENDMENT
POST-ELECTION YES NO
REPORT:' (�
7. i'
ANNUAL TERMINATION YES NO lc
REPORT REPORT ,
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($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNO OGGEE AND BELIEF,TRUE, •- CT AND OMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS !/''/%%LZ/"
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64-
11110,'"
..AY OF *r 20 17 it/a
OF PERSON SUBMITTI R
' / , � r I'/, �!' /ted� i �� ,2
s!trA t OF PCNN3YLVANIA Y ell t�ME V
/ iti, NOTARIAL SEAL ,
MY COMMIS ION EXPIRES 7 c7 ��O"�4 /
�f
1��12.IShip sburg o,Curl t:rland CountyAREA CODE DAYTIME TELEPHONE NUMBER
My Cum mIsslon Exp ltes Jan.AL 4021
PART II- MEMBER.PENNSYLVANIAASSOCIATION OF NOTARIES
If statement is filed on behalf of a Candidate's Authorized Committee, Cangi•.- :,,>ust sig ere.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITIC COMMITT ;SNOT VIO '• ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. ,,...
SWORN TOL AND SUBSCRIBED BEFORE ME THISr�, C1.
�
i . �Zf{'l.(2(// 20 SIG TORE OF CANDI TE
DAY OF , ,
IJt Y- b. /`. iF fi
m, / ./ /..�tt< L/r�2/ PRINTED NAME
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RIALS ;
MY OMMISSION AREA CODE DAYTIME TELEPHONE NUMBER
LM$ULO DAY YR.
OARLrSLt HONRotiry PuMt..,
O;,CUMBERLND CNTY
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MY Commission Expires Oct 7,2017
DSEB-503(12-99) 1 0