HomeMy WebLinkAboutSilcox, Nathan - 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 110, . REPORT FILED lio, I 3
CANDIDATE )4 COMMITTEE . LOBBYIST
NUMBER ON BEHALF OF '
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
..t.-2i..CZ.S. .-Dz_
CITY STATE ZIP CODE
_
PAO
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY . DATE OF ELECTION
(CHECK ONE) MO. DAY , YEAR
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1.
6TH TUESDAY 4-7 am PIW.0 -rvi-,--4":,i-I •P Cur,"ry‘' •-si r), -• i‹...
PRE-PRIMARY . FOR OFFICE USE ONLY
MO. DAY YEAR ' MO. I PAY YEAR
2. DATES OF
2ND FRIDAY
I '.-
REPORTING TO r...1
PRE-PRIMARY . ,. •
PERIOD i 1 i 2-01100 I 2- 1 3 1 2,r)JO
3 CO ai ---a- XI
30 DAY •
POST-PRIMARY Cr-tri C,.. ril
CASH BALANCE AT END570,
4. OF REPORTING PERIOD: $ _ =0 IT1,-.16
6TH TUESDAY >,....-% CA)
PREELECTION
TOTAL AMOUNT OF FILER'S
OUTSTANDING DEBTS OR LIABILITIES 0CDC/3 -0
2ND FRIDAY •
PRE-ELECTION . AT THE END OF REPORTING PERIOD: $ "1z-3ill
owe
r
S.
30 DAY
AMENDMENT .r.
POST-ELECTION YES NO xi -
REPORT? Cri
7.
ANNUAL TERMINATION .
REPORT Y- REPORT? YES NO ).(
, ..
. . 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 PDR4IFICATSD ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MKNOWLEDGE AND BELIEF,TRUE.CORR ' AND COMPLETE.
SWOR TO AND SUBSCRIBED BEFORE ME THIS . iLa - ____.--)
31:01AY OF,Aail de ilf:L/ 20 17( • , SIGNATURE OF PERSON SUBMITTING REPORT
Aly driliffir
1,2).4--r-t-i-n..,..) - s•,t.-C C.---
__ ....4 dr.,_.....aii, iiiiii 6. ,... -4 c.., .
PRINTED NAME
SIGNATURE
MY COMMISSfEXPIRES /7-..',c--- (g.t9 O :) -1 I--?
MO, DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
I;A 4/ •4,--/L. 444 4
PART II - NOTARIAL SEAL
If statement is filed on teptitiltiAfRt GARdIAillteNbtaitvti9.,oliced ommittee, Candidate must sign here.
Hampden Twp.,Cumberland County
I SWEAR(OR AFFIRI I)TM CORTIM,IP6F4APRZPAI/g6PINAAF IS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.e..1.9597-Nr-32trrArAnT777E6.--
. .
SWORN TO AND SUBSCRIBED BEFORE ME THIS .
SIGNATURE OF CANDIDATE
DAY OF20
PRINTED NAME
SIGNATURE
MV COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
DtiL13-503(12-99)
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